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. […]