Thứ Hai, 28 tháng 2, 2022
UHC = all people have access to healthcare and drives economic growth
How did ERISA inspire calls for a patient bill of rights?
Does/Did ERISA prevent patients from suing MCOs and thats why?
Chủ Nhật, 27 tháng 2, 2022
Mark Cuban's New Company Has 2 (Not So Kind) Words for the Pharmaceutical Industry: It's a Lesson in Empathy, Leadership, and Emotional Intelligence
Cambodia: Confusion reigns at Khmer Soviet Hospital in Phnom Penh as tempers fray over PCR tests and false negative reports - Khmer Times
A pimple in my penis ignited
I'm planning on seeing a doctor. There won't be any permanent problems, right?
Industry Trends in 2022
Hi everyone, I am a financial analyst within the healthcare sector. I wanted to reach out to the public to seek out some possible industry trends that could be possible throughout 2022. I am open to any and all interesting thoughts and ideas about the industry as a whole, or any publicly traded companies that may have an interesting run in the near future. Thanks in advance for any input!
My hospital billed my insurance company nearly $9,500 for lab tests. Is this normal?
On January 11th, I went for a blood test because my primary care doctor noticed that I have "mild neutropenia." Although my previous PCP didn't seem the least bit concerned about it, I decided to get the recommended blood work done because "an ounce of prevention, etc., etc."
This morning I was emailed a bill for $1,400, my share of a nearly $9,500 bill for... general lab work. I included a screenshot of the bill: https://imgur.com/a/evgO1Tu
I'm just wondering if this is normal. I already paid a $250 bill for this same visit, so I wasn't expecting to be billed again. I will get in touch with the billing department during "regular business hours." Until then, I was just curious if anyone here has had a similar experience with expensive lab tests. Thanks!
Thứ Bảy, 26 tháng 2, 2022
They want people to get back to work and back out in the community, yet CMS and other insurers keep slashing reimbursement for physical therapy.
We’re seeing an influx of post-Covid patients (I’m talking a year + out) who absolutely cannot go back to work or out in the community because they’re debilitated from long-Covid symptoms and are hardly able to walk. There are so many long-Covid sufferers out there who need physical rehab badly but cannot afford it due to continuous insurance reimbursement cuts. How are these people supposed to get back out in the community let alone get back to work without these services? They can’t.
Moving out of my parent's house (F19) and am not sure how to pay for medication or healthcare.
Im moving out of my parent's house on Sunday. It's been a swift decision. We have been fighting, and I need out. Im moving in with my boyfriend. Anyway, that's beside the point.
I am on three prescription medications and not sure how I will pay for those on my own. Im working a part-time job, so they don't offer me insurance. Just wondering what I need to do. Thanks.
Plan to Fix Postal Service Shifts New Retirees to Medicare — Along With Billions in Costs
From the link:
A congressional effort to fix the nation’s deteriorating mail service may come at the expense of an even bigger and more complicated problem: Medicare solvency.
The Postal Service Reform Act of 2022 would help shore up post office finances by ending the unusual and onerous legal requirement to fund 75 years of retirement health benefits in advance. In return, it would require future Postal Service retirees to enroll in Medicare.
late in the process, some lawmakers are raising alarms over the move, arguing that maybe Congress should look more carefully at the financial impact to Medicare’s trust fund, which is expected to run dry in 2026.
IOW, this is just a cost-shift - from the USPS to Medicare - but that's OK by me.
more at the link ~
Thứ Sáu, 25 tháng 2, 2022
WHO: The Evolution of BA.2 (Super transmissible)
Covid-19 is killing more people now than during most of the pandemic. Here's who's still at risk
Can I refuse to pay for a failed procedure? How?
As step 1 of a 3 part set of procedures, I got a hydrogel spacer installed below my prostate.
TL:DR - It failed, so we're not doing the other two parts, but I'm going to get a $1,300 - $1,500 copay/deductible bill. Given my circumstances, I think he shouldn't have tried it in the first place.
Details:
I suggested to the doc - in writing - that I was concerned because of the likelihood of scar tissue in the area from previous radiation. He said that wasn't a problem.
During the procedure, he had trouble slicing open a space to inject the gel, because of "tons of scar tissue."
The gel did not deploy as expected, so I've got more of a "football" than a pad. I can no longer sit for more than few minutes at this point, my intestines are unhappy, and the other two parts of the procedure had to be cancelled.
Meanwhile, the doctor's response to all this is to take ibuprofen, and follow a high soluble fiber diet. The ibuprofen helps with the pain, but can't tell if the diet's making much difference.
There is more minutia to this, but that's the gist of it.
The gel will dissolve starting in another 5 weeks, and I'm just hoping there won't be any permanent damage.
Thanks for any advice.
Tracking healthcare professionals patient ratios
NPR News: Looks like non-mRNA vaccines can be as good as Pfizer and Moderna in certain scenarios
The consensus has been that Pfizer and Moderna are most protective. But a study looking at 5 vaccines — including Russia's Sputnik V and two Chinese types — offers an unexpected finding.
Read more on NPR
NPR News: The world's insect population is in decline — and that's bad news for humans
Environmental writer Oliver Milman says habitat loss, pesticides and climate change are killing off insects worldwide, which, in turn, threatens humans. His new book is The Insect Crisis.
Read more on NPR
Thứ Năm, 24 tháng 2, 2022
Inside the American Medical Association’s Fight Over Single-Payer Health Care
We need to fix masks (read the whole thing)
As someone from Hong Kong, we've been used to wearing masks whenever we catch even he slightest of colds. It's practically ingrained in us that we, as part of the society, must put effort into protecting other members of the society. Even before the pandemic, it's not uncommon to see someone walking around with a mask on the streets.
When Covid struck, we put our masks on, no big deal (if you ignore the fact that mask prices soared to 5 times their usual prices). What baffled me was how when the virus started appearing in western countries, people began protesting about how it restricted their rights. To this day I still don't understand how wearing a mask, something we've been doing since 5, is such a big deal to them. Perhaps it was racism, or perhaps it was the lack of education regarding the spread of diseases and use of masks. These are mandatory parts of primary education in Hong Kong, and we have been taught how to wear masks properly as children. (We have mini, baby sized masks and they come in cartoon prints. Talk about fashion.)
About a year ago, some covid restrictions finally losened up and I arrived in London to participate in clinical placements. It was an (unpleasant) surprise when I realized most patients (and many of their carers) are not required to wear any kind of face covering- in fact, nobody under the age of 18 are recommended to put on face covering. It was a stark difference from what I was used to, since toddlers above the age of 2 are mandated to wear at least some form of face covering to protect them from the virus. As therapists, we are provided with PPE and masks and required to test for the virus twice a week. While these procedures are in place, I noticed that many of my colleagues had difficulties keeping their masks over their noses.
I first dismissed it as a problem with how they put the masks on (considering some of them never pinched the metal wire to fit their noses), but eventually by observing my lecturers and native UK classmates repeatedly pushing their masks back over their noses, I noticed something.
When I wear masks, they rest perfectly fine on my face (with help of 2 little knots). However, it does not seem to be the case of my European descent classmates- they simply do not fit properly on their faces.
I'm not sure how this conclusion can be made without sounding racist, but the masks readily available on the market do not seem to fit Caucasian/white/large nose people's noses properly as they do not fit well in the curves formed by the accordion folds.
I am concerned as this poses health risks to the relevant people/races as the masks would not provide as much protection as they were designed to, and if they are service providers, would further pose a risk to their service targets.
Which countries have the best Healthcare systems and why?
NPR News: A rare fossil of a 170 million-year-old pterosaur with an 8-foot wingspan is found
The National Museum of Scotland said the fossil of the pterosaur is the largest of its kind ever discovered from the Jurassic period. A Ph.D. student made the discovery while on a field trip.
Read more on NPR
Can the american health care be fixed?
Thứ Tư, 23 tháng 2, 2022
Question about recent legislation regarding surprise billing & protecting consumers
Hello guys,
It seems like new rules have been created in California to protect consumers from Balance Billing / Surprise Medical Bills.
Seems like the rules are here :
https://www.cms.gov/nosurprises/Ending-Surprise-Medical-Bills
Have any of you been to an emergency room lately? If so, were these new rules implemented ?
Is there something we need to look out for before heading to emergency rooms ?
Do these new rules really protect the consumers?
Does California's single payer system cover pre-existing conditions and how soon?
I likely have an adrenal gland tumor based on blood work. Before I get it screened and the prognosis can be confirmed as a condition, should I move to California or can I get it tested and see the financial costs before deciding if I need to move?
P.S. I've wanted to move from my very conservative state for some time, but this could be the kick in the pants I always needed. Sorry if that is the wrong tag or this is the wrong sub, wasn't sure but it seemed to match.
NPR News: Who might benefit from a 4th shot — and who might not
Some countries are moving ahead with plans to offer a fourth dose of COVID-19 vaccine. But studies are raising questions about the potential advantages of this extra booster.
Read more on NPR
NPR News: Scientists piece together what led to the massive volcanic eruption in Tonga
Scientists are piecing together what led up to a massive eruption in Tonga last month. They found a likely sequence of events.
Read more on NPR
I'm on my parents insurance and might need to stay in the hospital, but I don't want them to know. Is that possible?
Like the title says, I am having a health issue that I'm working through, but if it gets more severe, I may need to be admitted to the hospital. Is it possible for me to somehow keep my parents from knowing if I pay my own bill and have all the hospital paperwork sent to myself? I really don't understand insurance that well.
Nearly half of the 140,000 who went on strike in 2021 work in health care
So how am I going to reach my deductible if everything I see has a copay which doesn't count towards my deductible? I got the platinum plan because of the lowest OOP because I know I'll need it eventually.
NPR News: Soot is accelerating snow melt in popular parts of Antarctica, study finds
Arctic communities have long been plagued by soot that drives snow melt and respiratory disease. Now, humans are making their mark in Antarctica.
Read more on NPR
Thứ Ba, 22 tháng 2, 2022
Dr. Paul Farmer, global health champion, has died : NPR
NPR News: As booster shot protections wane, here's the latest research on a 4th vaccine dose
Scientists now know that the potency of the booster shot wanes quickly after about three months. We look at the latest research on a fourth shot.
Read more on NPR
Hey there! ❤️ I just recieved my brain scan results but have to wait many weeks to get my NS report. Anyone who can leave an unprofessional comment meanwhile would be highly appreciated! Thank you in advance! 🙏
Of the 33 top industrialized nations, 32 have universal healthcare with the United States as the exception
Thứ Hai, 21 tháng 2, 2022
Cambodia: Ministry of Posts sees massive influx of purchase of Molnupiravir as Omicron cases continue to rise - Khmer Times
I’m worried for my friend
One of my best friends has recently been having visual and auditory hallucinations. So bad to the point where he has to leave work early. He’s also having really bad suicidal thoughts.
I’m worried for his well-being and want to get him to a doctor or psychiatrist but he doesn’t have any health insurance. We’re both 19 and dirt poor working minimum wage jobs. Any advice on how to go about this?
Should I question the hospital about two vastly different costs for nearly identical procedures?
So I had a vitrectomy last month to fix a detached retina. Unfortunately there were complications, I developed scar tissue and had to have another procedure. I went in for a second vitrectomy about 3 weeks later and this time he added a scleral band. I haven't actually received any bills from the hospital but I've looked at the claims on my insurance website and I have some questions. The first procedure was billed at $2400 while the second was billed at $55,000 (both prices before insurance). These procedures were nearly identical, the only difference being the addition of the scleral band. My husband thinks I should call the hospital to question why there is such a large discrepancy between the two. I am afraid with healthcare costs being what they are in the US that the first bill was an oversight, rather than the second bill being incorrect. What do you guys think? Should I contact the hospital? I worry if I do, they will end up charging me more for the first procedure. I'm already in so much debt over this. TIA for any feedback.
PARIS DE LEVAGE
Is ezcema causing hair fall?
Is that means if ezcema is cured then hair fall will be improved?
Is ezcema causing hair fall?
Chủ Nhật, 20 tháng 2, 2022
Canadian researchers with the University Health Network have developed a method that would convert the blood type of a donor organ to type O blood, the universal blood type, allowing it to be transplanted into anyone in need.
How much does the average person pay after insurance for a helicopter lift?
Can I get information on what is driving a 34% increase in my premium? It is a self funded plan (SEIU 1199). What’s the MLR requirement? It is a grandfathered plan.
Basically the title.
My premium is increasing 34% which is mind boggling given my knowledge of the New York market (my SO works in commercial lines).
Do we have any rights as far as asking for actuarial justification of the increase?
Thứ Bảy, 19 tháng 2, 2022
What is the point of price transparency laws if they can still charge way more than they quote you for a procedure?
Recently was estimated $492 for a procedure. Ended up being billed $2700 I understand a quote being a little off….but 5x? How is this allowed.
Ultralow-field MRI scanner could improve global access to neuroimaging: « The development of such ULF MRI technologies will enable patient-centric and site-agnostic MRI scanners to fulfil the unmet clinical needs across various global healthcare sites. »
Can you get an std from making out/kissing
I recently got into a relationship and we recently kissed, so as a scaredy cat im here to ask: can you get an std from kissing/making out? Thanks!
Thứ Sáu, 18 tháng 2, 2022
NPR News: Craig Richard: Whispers and haircuts — the science of ASMR
Why do so many people experience brain tingles when watching ASMR videos? Physiologist Craig Richard shares the science behind the "Autonomous Sensory Meridian Response," and how it calms the mind.
Read more on NPR
NPR News: NASA's Perseverance rover marks its first year hunting for past life on Mars
Since touching down in Jezero Crater, NASA's Perseverance rover has already cached 6 samples that could one day be brought back to Earth. Astrobiologists hope they hold signs of past microbial life.
Read more on NPR
What does the future of healthcare look like? Will the top healthcare trends change the course of the medical sector in 2022?
NPR News: Elephant tusk DNA can expose poaching networks, new analysis finds
Researchers at the University of Washington have developed a way of using DNA from elephant tusks to solve poaching mysteries and bring animal traffickers to justice.
Read more on NPR
Medicine cost in developed countries as a % of US
OKC hospital tightens security, locks down ICU after 'online attacks' over COVID-19 patient
How to go about finding price of service ahead of appointment?
I made an appointment with a healthcare provider for an overnight test/procedure.
I asked them what the cost of this would be and the person on the phone said they don't know. They could only tell me the benefit/coverage percent. I'd have to call the insurance company. They submitted some claim with the insurance company and the insurance company will tell me.
I called the insurance company and they said that is not right. They don't have that information and that the provider is the only one who can tell me. They can only tell me the benefit/coverage.
I don't want to agree to the procedure without having an idea of what the cost will be. I aske for the retail cost because I can do the math of my benefit coverage to figure out an estimated out of pocket but the doctors office said they don't have that information yet and I'd have to get it from the insurance company.
Very confused. How do I go about estimated how much this procedure will cost? As of now I don't even have a ballpark
CDC says coronavirus proved racism is a threat to health
Thứ Năm, 17 tháng 2, 2022
How did you handle huge charges and medical debt?
Mods - please remove if not allowed
I am a grad student researching medical billing in the US. I would love to hear about your experiences navigating medical bills, reducing charges, and managing debt that went to collections. If you would be open to a quick interview for my project, please comment or dm below.
I am trying to better understand how patients navigate the complexities of the healthcare system after receiving care. If you have tips for what worked, what didn't, and advice for others, I would appreciate it if you would be willing to share.
NPR News: The surgeon general's young daughter got COVID. This is what he wants you to know
This past weekend, U.S. Surgeon General Vivek Murthy wasn't a leading scientific voice on the pandemic — he was another worried parent whose young daughter had just tested positive for COVID.
Read more on NPR
NPR News: Scientists say elephant tusk DNA can expose poaching networks
Researchers at the University of Washington have developed a way of using DNA from elephant tusks to solve poaching mysteries and bring animal traffickers to justice.
Read more on NPR
NPR News: Accusations of 'greenwashing' by big oil companies are well-founded, a new study finds
Chevron, ExxonMobil, BP and Shell used terms like "climate" and "low-carbon" more frequently in recent annual reports, but their actions on clean energy didn't match their words, researchers conclude.
Read more on NPR
NPR News: A Norwegian student found a boat launched by New Hampshire middle schoolers in 2020
The Rye Riptides began as a science class project in New Hampshire. Some 462 days and 8,300 miles later, a sixth-grader retrieved it from an uninhabited Norwegian island, with its notes still intact.
Read more on NPR
Why when US healthcare hits other subs it’s invariably for a terrible and avoidable reason?
Cheaper out of pocket than with insurance
(USA) Wife and I are having a baby. Had our first set of appointments and tests and got the bill. We elected for a better health plan from my employer.
Out of pocket $482 for billing with insurance (states $250 for our deductible, $232 co-insurance)
Self-Pay Cash Price $349, saving $133
What is the reasoning for billing without insurance being cheaper?
Anything we should plan for going forward throughout this pregnancy so we know what to expect financially?
Also, if we opt for self-pay--I'm guessing these tests/appts are HSA eligible?
Thứ Tư, 16 tháng 2, 2022
NPR News: A geeky quiz says what kind of immune cell you are. Bonus: See our immune cell primer
Answer a few questions and find out what kind of immune cell you'd be – and learn more about these amazing cells that fight off infection.
Read more on NPR
Why, after eating, do I feel like throwing up?
Sometimes, after eating, I get this wave of nausea. I typically just hold still till it passes, usually like 20 seconds. During that time though, I feel at the peak of nauseous enough to throw up, and I just have to contain it, and hold still. After it passes though, I'm perfectly fine again.
What could this be?
Are you a PCP?
Be part of a PCP interview, receive $25!
Are you age 18+ and a licensed Primary Care Physician in the United States with current or former LGBTQ+ patients?
If so, consider participating in a research study on the healthcare experiences of LGBTQ+ people in primary care. Participants in this study will:
- Complete an interview for up to 1 hour
If you participate, you will be asked questions about:
- Your learning and access around education with the LGBTQ+ population
- Your experiences with the LGBTQ+ regarding patient needs and specialization
To participate, please contact Primary Research Contact:
Email epp232@nyu.edu Thank you!
Eddie Plata
Master of Arts Candidate at Gallatin School of Individualized Study
Thứ Ba, 15 tháng 2, 2022
Dominique Karetsos, CEO at Healthy Pleasure Group, did us the honor of speaking at the Med-Tech World Summit this November 2021. NAME discussed the topic of 'Breaking the taboo in women's health'
I have a question
I (13M) realise that when I go to pee there is an extra peace of skin on my pp so I googled it and It turns out I have a skin bridge on there and tbh I wanna have it checked out but I'm very young and my father passed away 4 years ago so I awkward talking to my mom about it, I need advice to know what I should do