Across the country, patients who receive out-of-network care can face “exorbitant” charges for medical services compared to Medicare’s rates for the same procedures, and the prices can vary dramatically. But what explains these differences? It depends on who you ask.
C-sections have been in the news a lot lately, and the seemingly conflicting messages are enough to sow confusion. But the fact remains that the procedure is way too common in the majority of hospitals throughout the country. And that has consequences for both moms' health and health care costs.
When it comes to getting kids into health coverage, the numbers have never been better. By the first quarter of 2015, the percentage of kids without insurance was less than 5 percent. But despite the gains made in improving children’s coverage, big challenges remain on the horizon.
Out-of-network "surprise bills" are a growing problem. Patients think they're staying in their coverage network only to receive a bill for thousands of dollars after a procedure from, say, an anesthesiologist who wasn't included in their plan. So far, proposed solutions have proven controversial.
Medicare levies penalties against hospitals in an effort to reduce the number of infections patients pick up at these facilities.
Medicare levies penalties against hospitals for lack of quality care, but does the system punish those facilities that accept lower-income patients?
By now you’ve heard about the launch of the new California Healthcare Compare website, which allows users to compare cost and quality on common procedures throughout the state. Less noted, however, are some of the site’s serious limitations. Bill Heisel breaks them down for us.
Hospitals are penalized by Medicare for high readmission rates, but does this system really encourage better healthcare?
Created by the Affordable Care Act to cut costs and improve quality, Medicare’s penalty programs disproportionately impact hospitals serving the sickest and poorest patients.
People with insurance are significantly more likely to be diagnosed with a chronic condition than uninsured people. That means that as the number of insured grows, the health system will have to cope with an influx of patients newly diagnosed with conditions such as diabetes and high blood pressure.
