The Day: Billing Errors, Dollars to Docs, Legislative Update

Filed Under: Costs, Patients, Providers

News of the day: Ways to save money, a pair of stories from ProPublica (with graphics and charts) about where the money goes in medicine, and more! How to Spot and Fight  Medical Billing Errors mint.com Financial Ties Bind Medical Societies To Drug and Device Makers – ProPublica. With USA Today Medical Groups Shy About […]

Why do hospital costs vary so much?

Why do hospital costs vary so much?

Hospital costs vary widely. The reasons are often in dispute. The value of analysis, though, is clear. “[N]early 30 percent of Medicare‟s costs could be saved without negatively affecting health outcomes if spending in high- and medium-cost areas could be reduced to the level in low-cost areas—and those estimates could probably be extrapolated to the […]

The roundup: Health reform, journalism, costs and hospital safety

A British View of the US Health Reform and US Health Journalism | Reporting on Health. The Annenberg School for Communications at the University of Southern California Harvard School of Public Health analysis (in slides) of the health-care crisis HSPH Hundreds of thousands of 20-somethings join parents’ health-care plans under new health law Kaiser Health […]

Roundup: Insurance, Medicaid, technology, house calls

Filed Under: Costs, Health plans, Patients

Illinois Insurance Chief (Soon to Head U.S. Insurance Office) Sees Market Becoming More Concentrated  —   Kaiser Health News “Are you hearing anecdotal stories from consumers? “We sure are. People in the pre-Medicare age have a lot of trouble receiving individual and family coverage. Historically someone in that group would receive an offer of coverage […]

Test charges: $401 = $24.80

Filed Under: Costs, Health plans, Patients

Test charges: $401 = $24.80

It’s not the first time medical bills in my family have seemed really confusing. Take a look at these two bills, for the same procedure, performed not long ago. The top one is from the provider for the actual test, a blood test at a lab. The charge was $401, the mysterious “adjustment” $376.20, leaving […]

Finding the money

Filed Under: Providers, Regulators

Finding the money

Groundbreaking reporting on the health-care payments system this year came from The Wall Street Journal.  The government is the largest payer of medical claims, and The Journal has made good use of what data it has to identify providers who have performed an outsize number of procedures, collected an outsize amount of money, and generally […]

An ultrasound: $74 or $59,490?

An ultrasound: $74 or $59,490?

Aetna is unhappy: it received high bills from providers and paid them, and now it’s suing. “Aetna Inc. (AET) is suing six New Jersey doctors over medical bills it calls ‘unconscionable,’ including $56,980 for a bedside consultation and $59,490 for an ultrasound that typically costs $74,” Peter Waldman wrote on Bloomberg News on March 24. […]