‘I always price out any labs or tests, even prescriptions’: How people shop for health care

‘I always price out any labs or tests, even prescriptions’: How people shop for health care

“I always price out any labs or tests, even prescriptions before hand the price variations are wild, I then choose the lowest’” — she commented on a Facebook post on my TED talk. I queried her: “Thanks for this! This is my TED talk. I’d like to write about your experience for my blog. Can […]

How much does an emergency room visit cost? Or how to successfully argue a bill

How much does an emergency room visit cost? Or how to successfully argue a bill

His kid was treated at the emergency room at Children’s Medical Center – Plano, Tex., he told us when he shared his experience on our website. The charge was $1,770; insurance paid nothing, and he was asked to pay $1,501.24. His remark: ‘Waited six hours. Very expensive treatment for a kid’s tummyache.” I asked him […]

A missed opportunity for the malpractice system to improve health care: The New York Times

A missed opportunity for the malpractice system to improve health care: The New York Times

“The American medical malpractice system is doing almost nothing to improve the quality of health care, research suggests,” Aaron E. Carroll writes over at The New York Times. “What may be more concerning is that there is very little discussion, much less action, about changing this. Despite worries among doctors that they are at financial […]

Strategies for Effective Cost-of-Care Conversations with Patients: Revcycle Intelligence

Filed Under: Costs, Health plans, Patients

Strategies for Effective Cost-of-Care Conversations with Patients: Revcycle Intelligence

“Patients are paying more and more for their healthcare services, making effective cost-of-care conversations a skill that providers need to successfully treat patients,” Jacqueline LaPointe writes over at RevCycle Intelligence. “Health plans with deductibles are becoming commonplace. A new analysis from the Kaiser Family Foundation (KFF) shows that about 85 percent of covered workers had […]

How much does a hip replacement cost, $95,459 or $77,967? Or, why does the insurance company pay more than the bill?

Filed Under: Costs, Health plans, Patients

How much does a hip replacement cost, $95,459 or $77,967? Or, why does the insurance company pay more than the bill?

How much does a hip replacement cost, $95,459.83 or $77,967? Or $63,604? A friend had a hip replacement recently, and she sent over her bill. What’s interesting to us is, among other things, the Hospital for Special Surgery bill and the Cigna bill don’t add up. Cigna reports that it was billed $95,459.83; HSS reports […]

PriceCheck: We’re creating health cost guides with our partners and our communities across the nation

PriceCheck: We’re creating health cost guides with our partners and our communities across the nation

(Updated, September 2019) Our work with PriceCheck, our health cost transparency partnerships with media and other organizations, has stretched across the nation, bringing thousands of people to our partner web sites to share and search prices — from databases, from our reporting, and from our communities. We build interactive software and place it on our […]

Do PBMs Delay Drugs and Drive Up Drug Prices? – The Atlantic

Do PBMs Delay Drugs and Drive Up Drug Prices? – The Atlantic

“Lynn Lear finished her final round of chemotherapy for breast cancer in December. To help keep the cancer from coming back, Lear’s doctor told her about a new medication she could take called Nerlynx. Lear, who is 46, wanted to do everything she could to remain healthy, so she asked her doctor to order the […]

Ohio insurers deny 20% of Obamacare claims: cleveland.com

Ohio insurers deny 20% of Obamacare claims: cleveland.com

“As many as one out of five in-network claims made for Ohio patients with Obamacare are denied, according to research by the Kaiser Family Foundation,” Ginger Christ writes over at cleveland.com. “When a health insurance claim is denied, that leaves patients or providers to cover the cost, leading to unexpected medical bills for patients or […]

A reader’s victory on facility fees: She saved more than $300, or how to argue a bill

Filed Under: Costs, Health plans, Patients

A reader’s victory on facility fees: She saved more than $300, or how to argue a bill

A comment came in on one of our “facility fee” posts, explaining this mysterious charge, imposed by hospitals on top of a bill for medical treatment if a patient visits one of their facilities: “As of today, Jan. 30, 2019, this is still happening at Tulane Sports. I received a bill for $153.00 facility fee. […]