I have often told the story about the time my wife unknowingly tried to schedule a CT scan at a nearby hospital outpatient department. As luck would have it, prior authorization is all that saved us from a huge bill, of which her share was going to be $2,700. I quickly found a free-standing radiology clinic that had a contract with Blue Cross Blue Shield (BCBS) of Texas for $403. Oddly enough, BCBS was willing to approve a scan at either facility. Nobody called her to explain the huge mistake she was about to make by getting a diagnostic scan at a hospital-owned facility. Here is the thing: Health insurers, Medicare and Medicaid pay hospitals higher prices for the same services that are available elsewhere for a fraction of the cost. Neither do payers alert patients that cheaper alternatives exist.
Category: Health Insurance
Monday Links
- Trustees: Social Security to run out in 2033; Medicare runs out in 2031.
- The earth’s population just passed 8 billion. Why some scholars think that’s good.
- Awards for dysfunction in health care.
- Judge: Obamacare preventive medicine freebies are out: Five things to know. Why the mandates were a waste of money anyway.
- What preventive procedures would patients pay for with their own money?
Sunday Links
- AAF study of the effects of Medicare’s coming drug price negotiations: fewer than 6 million beneficiaries – less than 10% of enrollees – will benefit at all and for those with any saving 69% of will save less than $300.
- Given Trump and Biden executive orders promoting the idea, why is it taking so long to allow states to import drugs from Canada?
- Health Affairs authors: giving insulin to patients for free is cost effective. So why don’t insurers – including Medicare Part D insurers – do that? I explained that months ago.
- How health care was rationed during the pandemic: Mississippi case study.
- Left-of-center Tax Policy Center: people earning less than $400,000 will pay more taxes under the new Biden budget proposal. A lot more taxes!
Fact Checking the CDC
We documented 25 instances when the CDC reported statistical or numerical errors. Twenty (80%) of these instances exaggerated the severity of the COVID-19 situation, 3 (12%) instances simultaneously exaggerated and downplayed the severity of the situation, one error was neutral, and one error exaggerated COVID-19 vaccine risks. The CDC was notified about the errors in 16 (64%) instances, and later corrected the errors, at least partially, in 13 (52%) instances.