How much does Dupixent cost? How our information helps people appeal a denial

How much does Dupixent cost? How our information helps people appeal a denial

A friend writes: “I was fortunate to meet Jeanne at ClearHealthCosts, and with her assistance I was able to get Dupixent, an injected medication needed twice a month for my niece’s eczema. “Other medications did not treat this condition, and her doctor at Columbia Doctors Dermatology recommended this new medication. “We learned that the cost […]

Arthritis drugs show companies’ price policies: Kaiser Health News

Arthritis drugs show companies’ price policies: Kaiser Health News

“Renda Bower knows well the cost of drugs to treat rheumatoid arthritis – her husband, son and daughter all have the painful, disabling autoimmune disease,” Julie Appleby writes over at Kaiser Health News, explaining the behind-the-scenes actions of drug makers and pharmacy benefit companies. “And the family’s finances revolve around paying for them. Even with […]

Politics, lobying, hospital behavior and health care spending: NBER study

Politics, lobying, hospital behavior and health care spending: NBER study

“When trying to pass sweeping legislation, congressional leaders can attract votes by adding targeted provisions that steer money toward the districts of reluctant legislators,” Zack Cooper, Amanda E. Kowalski, Eleanor N. Powell and Jennifer Wu write in a National Bureau of Economic research paper in August 2017 examining the link between legislative politics, hospital behavior, […]

The sky-high pay of health care CEOs: Axios

The sky-high pay of health care CEOs: Axios

“The CEOs of 70 of the largest U.S. health care companies cumulatively have earned $9.8 billion in the seven years since the Affordable Care Act was passed, and their earnings have grown faster than most Americans’ during that time, according to an Axios analysis of federal financial documents,” Bob Herman writes over at Axios, in […]

Health Giant Sutter Destroys Evidence In Crucial Antitrust Case Over High Prices | Kaiser Health News

Health Giant Sutter Destroys Evidence In Crucial Antitrust Case Over High Prices | Kaiser Health News

“Sutter Health intentionally destroyed 192 boxes of documents that employers and labor unions were seeking in a lawsuit that accuses the giant Northern California health system of abusing its market power and charging inflated prices, according to a state judge,” Chad Terhune writes over at Kaiser Health News. “In a ruling this week, San Francisco […]

The only health insurance enrollment guide you’ll need

The only health insurance enrollment guide you’ll need

This post originally appeared on Forbes, where I am a contributor. It’s open enrollment season for health insurance. And this year there’s much more confusion than in past years, given the events in Washington. Don’t worry: I’ll break it all down for you in this, the only guide to buying health insurance you’ll need this year, […]

Save Money On Prescriptions: 8 Easy Hacks

Save Money On Prescriptions: 8 Easy Hacks

This post originally appeared on Forbes, where I am a contributor.  If you’re like a lot of Americans, your prescription prices keep going up and up. What to do? Here are eight easy hacks for saving money on meds. Before the hacks though, one important point: If your insurance company won’t pay for something that is recommended by […]

Buying health insurance: An invaluable resource from Charles Gaba at acasignups.net

Buying health insurance: An invaluable resource from Charles Gaba at acasignups.net

An excellent source for how to think about buying health insurance if you’re not employer- or government-covered is this one, from Charles Gaba, a Web developer who has meticulously kept track of the Affordable Care Act for several years now. The effects of the events in Washington on different people with different income levels and […]

Appealing a denial, or how to turn ‘no’ into ‘yes’: Part 3 of our series on billing

Appealing a denial, or how to turn ‘no’ into ‘yes’: Part 3 of our series on billing

So your insurance company denied a treatment or a medication, in advance, and you want help. This is part of our series on billing advice (see below for other entries.) Here are a few steps. Understand the reason for the denial. Ask that it be clearly stated, in writing, and that the appeal process for […]