| 2 min
The 2010 Affordable Care Act (ACA) deemed certain types of preventive services to be “essential health benefits” that should be free. Yet this potentially lifesaving care often results in unexpected patient bills sent by what a BenefitsPro article calls “America's ever-creative medical billing juggernaut.”
| April 10, 2024
| 2 min
In the latest whitewashing of our ever-more costly healthcare system, hotel-like hospitals with “therapeutic art collections” and haute cuisine are touted as “better for healing.” The notion that “sickness is a journey” is often taken at facilities that invest more in luxury amenities than clinical quality.
| December 6, 2023
| 2 min
Medical directors adjudicating claims are supposed to examine patient records, review coverage policies, and use their expertise to approve or deny claims. But at Cigna, they spend only 1.2 seconds on each case and instantly reject millions of claims without even opening the file.
| April 4, 2023
| 2 min
A study published in the journal Radiology confirms what we already know — that there’s no rational explanation for wildly divergent costs for the same test at the same hospital or even between hospitals. And with every negotiation, it appears that hospitals hold the winning hand.
| November 23, 2022
| 2 min
Saying things have “gone to the dogs” implies a worsened situation. However, a recent study by the Journal of the American Medical Association (JAMA) shows that dogs have a leg up and humans get the short end of the stick, paying more for commonly prescribed drugs used to treat both people and pets.
| September 22, 2022
| 2 min
The landmark No Surprises Act became effective January 1, 2022 to protect consumers from surprise medical bills from out-of-network providers and facilities. Greedy industry stakeholders are fighting to remove these long overdue protections. Is anyone surprised?
| August 2, 2022
| < 1 min
Is laughter really the best medicine? Sadly, it is mightily needed to offset these tragic “health care” experiences. While it’s easy to shake our heads at the absurdity of the American healthcare system, it’s hard to laugh at its outrageous and often heartbreaking impact on patients.
| July 19, 2022
| < 1 min
Brand name inhaler manufacturers tinker with patents and use gimmicks the Food and Drug Administration (FDA) shouldn’t allow to thwart the availability of low-cost generic inhalers. And profits are so high that a tobacco manufacturer took over an asthma inhaler company to “diversity its portfolio.”
| June 7, 2022
| 2 min
In 2012, Emily Barker, a 19-year old student at the Art Institute of Chicago, fell four stories inside an improperly secured building. The accident led to paraplegia, a six-month hospital stay, countless operations, chronic pain, and a stack of bills and correspondence that inspired “Death by 7865 Paper Cuts.”
| May 10, 2022
| 2 min
You know things are bad when a pharmaceutical executive calls out the dysfunctional and deceptive industry practices that trigger skyrocketing drug costs for prescription medicines. But if drug companies are not the culprit, as asserted by Adam Gluck, Head of US Corporate Affairs at Sanofi, who is?
| April 12, 2022
| < 1 min
How can an image be worth a thousand words when it leaves you speechless? How can anyone justify why trillions of dollars in doctor services, drugs, and medical care expenditures exceed the Consumer Price Index, with hospital services exceeding at a whopping 347%?
| December 8, 2021
| < 1 min
A woman in California received treatment for a broken foot at a reputable orthopedic facility. She was happy with their service until she looked at her bill: $809 for a plastic walking boot that costs about $80 on Amazon. She assumed it was a typo but after contacting the facility, she was shocked to learn the charge was correct.
| November 18, 2021
| < 1 min
Imagine you’ve been hired as the CFO of a well-known regional health system. You’re told during your interview that they’re looking for someone who can make difficult changes to address systemwide financial and accounting issues.
| November 9, 2021
Vitori Health has eliminated the excess costs and conflicts of interest in legacy health plans and upgraded what really matters – payment controls and the member experience.
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