The Day: Payments denied, reform

Filed Under: Costs, Health plans, Patients

The Day: Payments denied, reform

Insurance companies deny payments for treatments doctors recommend, with increasing frequency. “Last month insurance tried to deny another patient of mine an in-hospital kidney biopsy after three years of multiple hospital admissions for uncontrolled hypertension. Finally after approval, the biopsy revealed a condition called IgA nephropathy that was responsible for her kidney dysfunction and high […]

Uninsured patients pay more: A first-person account

Filed Under: Costs, Patients, Providers

Uninsured patients pay more: A first-person account

A friend came over to fill out our “tell us what you paid” forms. I’ve taken out some of the details, and left others. “Kidnapped by ambulance” might be a better headline for this, a $2,859 unreimbursed emergency room experience (and don’t miss the $1,699 blood test). I did know that uninsured people pay the […]

If you’re uninsured, Part 2: The options

If you’re uninsured, Part 2: The options

Welcome to Part 2 of our handbook for people who are uninsured. We’re planning several articles in this series, much as we have started publishing our “Ways to Save” series, and we’ll then  archive them on the site. Here’s Part I of the uninsured series. The best way to start shopping for insurance is to know […]

The day: Costs of treatment and surgery, Canada, Medicare

Filed Under: Costs, Health plans, Patients

The day: Costs of treatment and surgery, Canada, Medicare

“Physicians don’t see the price tags and they never get the bill. Doctors are the true consumers of health care dollars, but the rules of economics falter when the consumers aren’t the ones that pay up. This disconnect is a fundamental cause of the uncontrollable inflation of health care costs in the US. Ignorance about […]

The day: Fraud, lower premiums, the uninsured, rising costs

Filed Under: Costs, Patients, Providers

The day: Fraud, lower premiums, the uninsured, rising costs

Fraud in health-care billing is the topic of Professor Terry Leap’s new book, “Phantom Billing, Fake Prescriptions and the High Cost of Medicine: Health Care Fraud and What to Do About It.” A conversation over at thecrimereport.org. HHS to Reduce Premiums, Make it Easier for Americans with Pre-Existing Conditions to Get Health Insurance. New regulations. […]

Gaming the on-line doctor ratings

Filed Under: Costs, Patients, Providers

Gaming the on-line doctor ratings

Suspicions of gaming the ratings leap to mind when one reads reviews of providers in places like yelp.com and Angie’s List. So it wasn’t surprising to read the other day on arstechnica.com that Timothy B. Lee had written a long sort-of expose of the ways in which doctors and dentists may try to affect their […]

The Day: Reform, Republican doctors, free medical school

The Day: Reform, Republican doctors, free medical school

  Dave Chase, a former Microsoft executive, wrote two treatises on huffingtonpost.com about health care were choice. Here’s one: Dave Chase: Do it Yourself Health Care Reform. and here’s the other: Dave Chase: Health Insurance’s Bunker Buster. P.S. He’s really smart, and he’s also working on a startup about health care called Avado. It’s sort of like a mint.com […]