A contributor to one of my online communities, Scott Haas, wrote this to the group the other day in the context of what happens behind the scenes in health insurance. His note primarily concerns the Medical Loss Ratio formula and the way it was changed by the Affordable Care Act — and the role of […]
By Morgan Gleason I am thinking that we might really need to just burn the healthcare system to the ground and completely start over. Although I am pretty experienced with healthcare, the financial piece is one that I haven’t really been as involved in since I am still on my parents’ insurance and they pay […]
Summary: You may have asked yourself why health prices rise inexorably. Are escalator clauses, the automatic price increases common to many managed care contracts, the driving force behind trend factors? Bill Rusteberg, an independent insurance consultant in Texas, posted on his blog recently about escalator clauses, which he said commonly add 5 percent a year to […]
Summary: “A respected group of cancer specialists developed a chemotherapy program for a breast cancer patient,” David Belk writes over at The Huffington Post. “But then her insurance company denied the claim, so the cancer center stuck her with a bill three times as large as what they would have required from the insurance company. […]
“You probably remember hearing the news a few weeks ago about a greedy hedge fund manager who acquired the rights to sell a life-saving medication just so he could raise the price of it by about 5,000%,” Dr. David Belk writes over at Huffington Post. “That was a pretty evil thing to do, and it showcased […]
Summary: Prices paid by insurers for common procedures vary wildly. Two recent reports from the Blue Cross and Blue Shield Association, which insures one of three Americans, point to the discrepancies.
Guest Post by Amy Gleason This post began from an e-mail Amy Gleason sent to a group of members of the Society for Participatory Medicine. It is posted with permission from Amy. I just wanted to share a positive experience I had as an e-patient (well e-caregiver in this case). I have really struggled with […]