Uninsured but Undaunted, a Surgical Patient 吃瓜不打烊ed the Globe for a Deal
When surgery became unavoidable, a man with no insurance shopped around for the best price for a hernia repair 鈥 and saved thousands by traveling out of state.
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This crowdsourced investigation by 吃瓜不打烊 dissects and explains your medical bills every month in order to shed light on U.S. health care prices and to help patients learn how to be more active in managing costs.
When surgery became unavoidable, a man with no insurance shopped around for the best price for a hernia repair 鈥 and saved thousands by traveling out of state.
Margaret Hvatum ended up in the hospital after her insurer denied coverage of a medicine she relies on to boost her immune system. Hvatum got entangled in the preapproval process, which the insurance industry has vowed to improve.
Do you have a medical bill that is exorbitant, baffling, infuriating, or all of the above? Send it to us and tell us about your experience.
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After a car wreck, three siblings were transported to the same hospital by ambulances from three separate districts. The sibling with the most minor injuries got the biggest bill.
Whether a simple operation is performed under the auspices of a hospital or at an independent surgery center can make a huge difference in cost.
KHN and California Healthline staff made the rounds on national and local media this week to discuss their stories. Here鈥檚 a collection of their appearances.
Stemming gun violence is back on the legislative agenda following three mass shootings in less than a month, but it鈥檚 hard to predict success when so many previous efforts have failed. Meanwhile, lawmakers must soon decide if they will extend current premium subsidies for those buying health insurance under the Affordable Care Act, and the Biden administration acts, belatedly, on Medicare premiums. Margot Sanger-Katz of the New York Times, Sandhya Raman of CQ Roll Call, and Rachel Cohrs of Stat News join KHN鈥檚 Julie Rovner to discuss these issues and more. Also this week, Rovner interviews KHN鈥檚 Michelle Andrews, who reported and wrote the latest KHN-NPR 鈥淏ill of the Month鈥 episode about a too-common problem: denial of no-cost preventive care for a colonoscopy under the Affordable Care Act.
Preventive care, like screening colonoscopies, is supposed to be free of charge to patients under the Affordable Care Act. But some hospitals haven鈥檛 gotten the memo.
Only 15 states require insurance to cover in vitro fertilization, a common path to parenthood for people who have trouble getting pregnant. And even for those whose insurance covers IVF, the expensive procedures and required drugs can lead to unexpected bills.
The Fierro family owed a Yuma, Arizona, hospital more than $7,000 for care given to mom and dad, so when a son dislocated his shoulder, they headed to Mexicali. The care was quick, good, and affordable.
In his proposed budget, President Joe Biden called for a boost in health spending that includes billions of dollars to prepare for a future pandemic. But that doesn鈥檛 include money he says is needed immediately for testing and treating covid-19. Also this week, federal regulators authorized a second booster shot for people 50 and older yet gave little guidance to consumers about who needs the shot and when. Amy Goldstein of The Washington Post, Jennifer Haberkorn of the Los Angeles Times, and Rachana Pradhan of KHN join KHN鈥檚 Mary Agnes Carey to discuss these issues and more. Plus, Julie Rovner interviews KHN鈥檚 Julie Appleby, who reported and wrote the latest KHN-NPR 鈥淏ill of the Month鈥 episode about a very expensive air ambulance ride.
Diagnosed with aggressive leukemia on a Western trip, a young man thought his insurance would cover an air ambulance ride home to North Carolina. Instead, questions about medical necessity left him with an astronomical bill.
The insurance company said that the birth of the Bull family鈥檚 twins was not an emergency and that NICU care was 鈥渘ot medically necessary.鈥 The family鈥檚 experience with a huge bill sent to collections happened in 2020, but it exposes a hole in the new No Surprises law that took effect Jan. 1.
Health and Human Services Secretary Xavier Becerra is drawing criticism for his hands-off handling of the covid crisis even though the heads of the Centers for Disease Control and Prevention, National Institutes of Health, and FDA report to him. Meanwhile, the Department of Labor looks to enforce mental health 鈥減arity laws鈥 that have failed to achieve their goals. Margot Sanger-Katz of The New York Times, Alice Miranda Ollstein of Politico, and Rachel Cohrs of Stat join KHN鈥檚 Julie Rovner to discuss these issues and more. Also this week, Rovner interviews KHN鈥檚 Noam N. Levey, who reported and wrote the latest KHN-NPR 鈥淏ill of the Month鈥 episode about a large emergency room bill for a small amount of medical care.
KHN Editor-in-Chief Elisabeth Rosenthal weighs in on the January installment of KHN-NPR's Bill of the Month, in which a family gets burned over a visit to the emergency room.
A St. Louis-area toddler burned his hand on the stove, and his mom took him to the ER on the advice of her pediatrician. He wasn鈥檛 seen by a doctor, and the dressing on the wound wasn鈥檛 changed. The bill was more than a thousand dollars.
It鈥檚 2022 and the covid-19 pandemic is still with us, as are congressional efforts to pass President Joe Biden鈥檚 big health and social spending bill. But other issues seem certain to take center stage on this year鈥檚 health agenda, including abortion, the state of the health care workforce, and prescription drug prices. Tami Luhby of CNN, Alice Miranda Ollstein of Politico and Mary Ellen McIntire of CQ Roll Call join KHN鈥檚 Julie Rovner to discuss these issues and more. Also this week, Rovner interviews KHN鈥檚 Victoria Knight, who reported the latest KHN-NPR 鈥淏ill of the Month鈥 episode.
Our crowdsourced investigation of the high, confusing and arbitrary medical bills generated by our health system is set to begin its fifth year in 2022.
After baby Dorian Bennett arrived two months early and spent more than 50 days in the neonatal ICU, his parents received a bill of more than $550,000 鈥 despite having insurance. The Florida hospital had a not-so-helpful suggestion: monthly payments of more than $45,000 for a year.
With few options for health care in their rural community, a Tennessee couple鈥檚 experience with one outrageous bill could have led to a deadly decision the next time they needed help.
Although it鈥檚 possible to buy travel insurance that provides some health coverage, the devil is in the fine print. Obama-era laws that prevent refusal of payment for preexisting conditions don鈥檛 apply to travel insurance.
Kids who need a hormone-blocking drug to delay puberty have lost an off-label option. The nearly identical drug the company still sells costs eight times more.
Democratic negotiators on Capitol Hill appear to be nearing a compromise on President Joe Biden鈥檚 social spending agenda, spurred partly by Democratic losses on Election Day in Virginia. Meanwhile, the Supreme Court hints it might allow abortion providers to sue Texas over its restrictive new ban. But the relief, if it comes, could be short-lived if the court uses a second case, challenging a law in Mississippi, to weaken or overturn Roe v. Wade. Alice Miranda Ollstein of Politico, Margot Sanger-Katz of The New York Times and Mary Ellen McIntire of CQ Roll Call join KHN鈥檚 Julie Rovner to discuss these issues and more. Also this week, Rovner interviews KHN鈥檚 Rae Ellen Bichell, who reported and wrote the latest KHN-NPR 鈥淏ill of the Month鈥 feature about an emergency bill for a nonemergency birth.
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