Why Drug Costs Are Skyrocketing for Conditions Like MS, Parkinson’s: Healthline

Filed Under: Costs, Health plans, Patients

Why Drug Costs Are Skyrocketing for Conditions Like MS, Parkinson’s: Healthline

“The financial cost of having a neurological disease such as Parkinson’s or multiple sclerosis is growing,” according to Healthline. “Those are the findings of a new study funded by the American Academy of Neurology and published in the organization’s journal Neurology. In it, researchers say they found the average out-of-pocket costs for a number of […]

How much do blood tests cost? Or, how to argue a bill for a $3,000-plus trip to the doctor.

Filed Under: Costs, Health plans, Patients

How much do blood tests cost? Or, how to argue a bill for a $3,000-plus trip to the doctor.

It was one of those shares that seemed hard to believe. The charge for the blood tests at University of North Carolina Hospitals was $2,378, and the person who shared was asked to pay $1,474.92. Cigna, the insurer, paid nothing. The comment: “The UNC facility in question notably distinguished by Cigna as meeting certain quality […]

Insurance company cites ClearHealthCosts as a good source of pricing information

Insurance company cites ClearHealthCosts as a good source of pricing information

Headscratchers: Blue Cross Blue Shield of Texas and Blue Cross Blue Shield of Illinois refer their insured people to us to save money on health care. In a piece titled “Be the 1 in 5 who’s saving money,” the piece posted on these two sites explains how to save — by using, among other tools, […]

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 […]

How much does a salpingectomy for an ectopic pregnancy cost?

Filed Under: Costs, Health plans, Patients

How much does a salpingectomy for an ectopic pregnancy cost?

A community member shared one price — anesthesia during treatment for an ectopic pregnancy. We asked for details, and she said: 1. This was the bill from the anesthesiologist during a salpingectomy I had. It was an emergency surgery that arose from an ER visit. I was discharged the same day. 2. I have healthcare […]

Claims denials and appeals in ACA marketplace plans: Kaiser Family Foundation

Claims denials and appeals in ACA marketplace plans: Kaiser Family Foundation

“In this report, we analyze transparency data released by the Centers for Medicare and Medicaid Services (CMS) to examine claims denials and appeals among issuers offering individual market coverage on healthcare.gov from 2015-2017,” Karen Pollitz, Cynthia Cox and Rachel Fehr write for the Kaiser Family Foundation, in a startling analysis of federal data that reveals […]

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 […]