If you are lucky enough to have health insurance, one of the keys to keeping a handle on your healthcare costs is understanding what are “reasonable and customary” charges under your health insurance policy. If you can understand your health insurance policy’s “reasonable and customary” charges, you will have taken the first step in finding . . . → Read More: Are Your Doctor’s Charges “Reasonable and Customary”?
Always ask what you’re paying for!
When Keith Yaskin and his wife, Loren, rushed their 2-year-old son to the hospital with a dangerous infection in his neck, they weren’t thinking about how much his care would cost. After his three-day inpatient stay with nonstop intravenous antibiotics, they were hit with $8,900 in charges.
But the . . . → Read More: Have You Ever Gotten a Medical Bill With No Explanation?
Interesting case out of California. A Los Angeles jury ruled that Anthem Blue Cross illegally barred Dr. Jeffrey Nordella from its provider network, slapping the health insurance giant with a $3.8 million judgement:
The jury ruled late Monday in favor of Jeffrey Nordella, 58, an urgent-care and family-practice doctor who alleged that Anthem barred him . . . → Read More: Doctor Gets $3.8 Million Judgment Against Anthem Blue Cross
Are you a Medicare patient? Tell us about it in our Medicare discussion forum!
Are we part of the problem? One doctor described his frustration with trying to control medical costs:
Earlier that week, for example, he had tried to avoid ordering a costly M.R.I. scan for a patient who had been suffering from headaches. After a thorough examination, my colleague was convinced the headaches were the result of . . . → Read More: Are Patients the Problem with Health Care Costs?
Do “bodega clinics” have a place in the U.S. healthcare system?
The so-called bodega clinicas that line the streets of Los Angeles’ immigrant neighborhoods blend into a dense forest of commerce. Wedged between money order kiosks and pawn shops, these storefront doctors’ offices treat ailments for cash: a doctor’s visit is $20 to $40, a . . . → Read More: Obamacare: What Will Become of Corner “Bodega Clinics”?
Generics for a fistful of major prescription drugs like Lipitor, Singulair, and Plavix became available in the last year. So why is your doctor still prescribing you a brand-name drug when a generic drug is available?
Eight in 10 prescriptions are filled with generics rather than brand-name drugs these days.
The generics are usually inexpensive. . . . → Read More: Why Is Your Doctor Still Prescribing You a Brand-Name Drug?
Are we on the road to a single-payer system? Something to think about in the New Year:
When the marketing of ObamaCare began in 2009, I always believed that the end game was for a federal single payer system. Since the present Affordable Care Act, (ACA), was passed in 2010, there has been nothing to . . . → Read More: Obamacare: Do All Roads Really Lead to Single-Payer?
Here, we go again! We finally made it through Medicare Open Enrollment Season (sort of), only to find ourselves in another edition of wrangling over the Medicare “doc fix.” And this time, the talks were on fiscal cliff steroids!
In case you haven’t been through our now Medicare “doc fix” annual rite of passage, Medicare . . . → Read More: Medicare: The “Doc Fix,” Fiscal Cliff Edition
Here, we go again! We finally made it through Medicare Open Enrollment Season (sort of), only to find ourselves in another edition of wrangling over the Medicare “doc fix.” And this time, the talks are on fiscal cliff steroids!
In case you haven’t been through our now Medicare “doc fix” annual rite of passage, Medicare . . . → Read More: Medicare: “Doc Fix,” the Fiscal Cliff Edition