by Advize Admin | Jul 29, 2022 | Healthcare
Data wonks with mighty computers are overjoyed. Ordinary consumers, not so much. That’s the reaction about three weeks into a data dump of enormous proportions. Health insurers are posting their negotiated rates for just about every type of medical service they cover...
by Advize Admin | Jul 1, 2022 | Healthcare
Consumers, employers, and just about everyone else interested in health care prices will soon get an unprecedented look at what insurers pay for care, perhaps helping answer a question that has long dogged those who buy insurance: Are we getting the best deal we can?...
by Advize Admin | Jun 24, 2022 | Healthcare
RALEIGH, N.C. — When Erin Williams-Reavis faced a $3,500 surgery bill, the hospital offered to let her pay in $300 monthly installments. It was too much, said Williams-Reavis, 44, who lives in Greensboro, about an hour west of the state capital. Her hours as a...
by Advize Admin | Jun 10, 2022 | Healthcare Facepalm
Well there is a first time for everything. This week marked a big one. On 6/8, CMS issued its first fines under federal price transparency rules which took effect in January of last year. Two Georgia hospitals were fined close to $1.1M for failing to...
by Advize Admin | Oct 8, 2021 | Healthcare
Anthem Blue Cross, the country’s second-biggest health insurance company, is behind on billions of dollars in payments owed to hospitals and doctors because of onerous new reimbursement rules, computer problems and mishandled claims, say hospital officials in multiple...
by Advize Admin | Jul 16, 2021 | FWA, Healthcare
The care was ordinary. A hospital in Modesto, California, treated a 30-year-old man for shoulder and back pain after a car accident. He went home in less than three hours. The bill was extraordinary. Sutter Health Memorial Medical Center charged $44,914 including an...
by Advize Admin | Jul 9, 2021 | OIG Files
Actual Loss is defined as “reasonably foreseeable pecuniary harm that resulted from the offense.” Intended Loss is defined as “the pecuniary harm that the defendant purposefully sought to inflict.” For us that do not have a law degree, what does this all...
by Advize Admin | May 28, 2021 | Healthcare
José Mendoza’s snoring was bad — but the silence when he stopped breathing was even worse for his wife, Nancy. The sudden quiet would wake her and she waited anxiously for him to take another breath. If too many seconds ticked by, she pushed him hard so that he moved...
by Advize Admin | Mar 26, 2021 | Healthcare
A recent “cost-saving change” in Medicare will cut payments to hospitals for some surgical procedures while potentially raising costs and confusion for patients. For years, the Centers for Medicare & Medicaid Services classified 1,740 surgeries and...
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