“Health care wonks play a game where they wonder whether health care really is changing in ways that are palpably better for everyone,” Brian Klepper writes over at careandcost.com and the Valid Points Newsletter. “Everyone, that is, except for the senior executives of the drug and device firms, electronic health record companies, major health plans […]
Medical coding and billing seems impenetrable — those strings of numbers on a bill that purport to show what was done, and what was spent. Sometimes it looks as if chimpanzees are typing in random strings of numbers. The bills and explanations arrive months if not years after the event. The numbers are unfamiliar. Memories […]
“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 […]
“An Open Letter to My Patients Who Have Insurance Coverage Through EMI” is the headline of the blog post, by Randy G. Delcore, M.D., medical director, Cedar Orthopaedic Surgery Specialty Clinic, on the Cedar Orthopaedic Surgery Center web site, describing to patients the end of a contract with an insurer. The blog post ends with […]
Summary: “Kate and Scott Savett were trying to be responsible when they needed some medical care… Scott, 43, is a chemist and designs software for labs; Kate, 37, works in life insurance,” wrote Elana Gordon, at our partner WHYY public radio in Philadelphia, a bit ago. “They buy their health insurance through Scott’s job, and […]
Guest post by Dina D. Strachan, M.D. If one were to survey the public, it is not obvious whether being sick would rank as more frustrating than dealing with health insurance —- especially in these times of health reform and uncertainty. Doctors also sometimes find dealing with health insurance difficult —- especially when their patients […]
Summary: “When Maria spoke to the collections agency about the latest bill she’d received for her daughter’s surgery, the woman on the other end of the phone was encouraging: ‘You only owe $10,000. It WAS $44,000. You should be happy!’ Mandi Bishop writes over at Tincture. “Only $10,000. For a surgery that should not have […]
SUMMARY: This list of 10 tips and tools for insurance shopping that I wrote was originally posted on the blog at credit.com, where I am a contributor, and distributed to the credit.com network. The chart of state-by-state subsidies from Credit Suisse drew a lot of attention.