Meet my friend in the billing office, Part 2

Meet my friend in the billing office, Part 2

Did you ever wonder why the bill from your medical provider is $3,000, while the insurance company pays only a paltry few hundred dollars? There’s a reason. Walk with me through the billing office of a self-standing New York radiology center with my friend S. (Here’s our first visit to her office, complete with her […]

The Day: Payments denied, reform

Filed Under: Costs, Health plans, Patients

The Day: Payments denied, reform

Insurance companies deny payments for treatments doctors recommend, with increasing frequency. “Last month insurance tried to deny another patient of mine an in-hospital kidney biopsy after three years of multiple hospital admissions for uncontrolled hypertension. Finally after approval, the biopsy revealed a condition called IgA nephropathy that was responsible for her kidney dysfunction and high […]

If you’re uninsured, Part 2: The options

If you’re uninsured, Part 2: The options

Welcome to Part 2 of our handbook for people who are uninsured. We’re planning several articles in this series, much as we have started publishing our “Ways to Save” series, and we’ll then  archive them on the site. Here’s Part I of the uninsured series. The best way to start shopping for insurance is to know […]

The day: Costs of treatment and surgery, Canada, Medicare

Filed Under: Costs, Health plans, Patients

The day: Costs of treatment and surgery, Canada, Medicare

“Physicians don’t see the price tags and they never get the bill. Doctors are the true consumers of health care dollars, but the rules of economics falter when the consumers aren’t the ones that pay up. This disconnect is a fundamental cause of the uncontrollable inflation of health care costs in the US. Ignorance about […]

The day: Fraud, lower premiums, the uninsured, rising costs

Filed Under: Costs, Patients, Providers

The day: Fraud, lower premiums, the uninsured, rising costs

Fraud in health-care billing is the topic of Professor Terry Leap’s new book, “Phantom Billing, Fake Prescriptions and the High Cost of Medicine: Health Care Fraud and What to Do About It.” A conversation over at thecrimereport.org. HHS to Reduce Premiums, Make it Easier for Americans with Pre-Existing Conditions to Get Health Insurance. New regulations. […]

Pharmacy Discount Plans–A Good Option?

Filed Under: Costs, Patients

Call me late to the party, but until recently, I knew very little about pharmacy-run discount plans for generic drugs. From Walgreens to Walmart, chains now offer customers a way to fill prescriptions for bargain-basement prices. Some have a signup cost. Others don’t. Either way, they usually cover several hundred generic meds. Companies will all […]