A NASA astronaut and the Russian cosmonauts parachute-landed in Kazakhstan on Wednesday after a trip back to Earth from the International Space Station, in a rare instance of U.S.-Russia cooperation.
Read more on NPR
I'm not sure if this is the right sub, I need some help on who to approach for my reimbursement. I go to PT often and they have my card on file. I checked my insurance and realized that I met my deductible 5 visits ago but they still charged my cc for it. I asked them and they said reimbursement will take time, etc and were not forthcoming with information on this. Do I call my insurance for reimbursement or the health care provider?
Im sure this is asked many times. As many know health care in the U.S. is crazy expensive and I am just curious which countries are open to helping foreigners. Those who are staying temporarily.
I am helping my aunt, who I feel is being betrayed by the company that she’s worked for over 15 years. For context, my aunt has been placed on unpaid leave since November 2021 because her work has cannot accommodate her new medical care. Her doctor has sent her job a note stating that she cannot carry over 15 pounds of work, and her work cannot accommodate that, so they have placed her on unpaid leave, hoping that she would quit herself.
She’s been on unpaid leave since November 2021 and has no other job and no other income. Yet the company would not terminate her. HR in her company are scammers. They have told her to get her own insurance, but then after she gets her own insurance through the government (Obamacare), HR told her they cannot cancel her medical premiums from the employer unless she quits, divorces, marries, or has a child.
She was asked to pay for her medical premium $300 a month (which is a lot) while she’s on unpaid leave from the company. My question is, she now has Insurance through the government, and she has insurance through her employer…. what happens if she doesn’t pay the medical premium to the company?
She is hoping that the company can accommodate her not carrying 15 pounds since she’s been there for 15 years, but they are telling her that if she wants to remove the medical insurance, she would have to quit herself as they are not planning to terminate her because they don't want to pay for a severance package and EDD.
Did the company do her wrong? What can my aunt do? Thank you in advance.
Hi all,
Long story short:
In-network doctor wanted to do a genetic test for a life threatening disease.
I get the kit, spit in the tube, seal & send it back.
Got an email from the company that insurance didn’t cover the kit, and offered us a patient price.
Called up insurance and they stated: we do not cover at home tests. If you were to go to a lab, it’d be covered.
I’m planning on appealing this. The doctor prescribed this. The doctor clearly evaluated given the current situation that this is the best course of action. This is a large hospital group in Southern California.
What I’m hoping to get here is: * does this make sense to file an appeal? * what can I add to it? * anything else I’m missing / not considering.
An incident in the past changed my whole life and lifestyle. One day as I was returning back home from work, the roads were jammed due to traffic, and the horn sounds of cars annoyed me a lot. And suddenly out of the blue, I realized a severe ache on my head. As if someone is beating my head with a hammer. I couldn't figure out what was happening to me since it was my first time experiencing such pain. On top of that, the bright lights from the street and cars were adding more pain to my agony. I couldn't even open my eyes. So I told the cab driver to drive me to the hospital. Once I reached the hospital, the doctor diagnosed my condition and reported that I'm suffering from chronic migraine.
I was surprised. Then the doctor asked me a few questions related to my work and lifestyle. After the question answer round got over, the doctor said that I was suffering from stress induced migraine.
At that moment, I realized how stress can affect our bodies and mind. Since then I have made changes in my daily routine. I started working out for at least 30 minutes daily, ate a healthy and balanced diet, started writing journals, got 6-8 hours of sleep at night, meditated, and stayed hydrated.
Isn't our body amazing? The way we adapt to certain changes, climate, medications just to protect us is fascinating. But in return, we just completely take it for granted. Ignoring its efforts and putting it through a lot of stress and struggles, until it literally starts shutting down. That's why I've decided to consider My Body as a wonderland. We all should just take some time to appreciate our healthy bodies. It takes care of us all the time and we just neglect it. Let's maintain our body because sometimes prioritizing our health is extremely important than anything else.
What do you do to keep your wonderland healthy?
He went to AFC in January for a kidney infection. He doesn’t have insurance so I asked how pricing works and if we pay before or after treatment. They said that we pay a flat fee before treatment which covers anything they can do in office. I clarified that we wouldn’t be paying for the individual services, they said that was correct and we wouldn’t pay for any services done in office since we paid the fee. However, he just got an email with a bill from them. It’s an itemized list of everything he had done and they’re now asking for twice what the fee we paid was. We don’t have the money to pay this bill and shouldn’t have to because they told us all of the things on the bill were included in the fee we paid
According to this POLITICO report, Health data breaches swelled last year. The article states that:
"Experts say the increased hacking can be attributed to the health care industry’s rapid move to digital, particularly amid the Covid-19 pandemic; an increase in remote work, which allows more avenues for attacks with employees using more personal devices; the financially lucrative information for cybercriminals in health care; and greater awareness of attacks across the industry, thus more reporting."
In reality, the real problem is that these healthcare data have many different sources of origin and different places where they are stored. And, most importantly, there is no single oversight body that has the responsibility to decide how these data are used and where they go.
Until we have such a centralized oversight body, these data breaches will continue to plague our system! One such potential solution is establishing a National Healthcare Board modeled after the Federal Reserve System. You can read about it here: https://www.theembraceplan.com
I'm exploring some ideas around software for managing scanned documents and automating document workflows.
A lot of companies are using Fujitsu ScanSnap or fi series scanners for scanning their documents but I'm curious about the workflows that follow. After you get the paper document scanned and converted in a searchable pdf, what do you do with it?
It would be very helpful if you could share information about the following:
For those of you that scan more than 50 pages per day (less than that would mean that you can manually create folders and put the documents in the right place), can you describe your workflows? Any particular pain points or processes that take a lot of time?
What do you use for document retrieval? Is there any software you use that searches inside documents?
Do you store the documents locally or on the cloud?
How do you see community pharmacies and providers collaborate to improve the adoption of vaccines?
I have been working in skilled nursing facilities (nursing homes) for almost 15 years. I have seen, and dealt with, everything you could possibly think of. I have consistently been there for my residents, day in and day out. My residents love me, and I love them.
When covid struck, it was absolutely devastating. In a matter of weeks, I watched people that I had formed strong relationships with drop, one after another. I even lost a couple co-workers.
My facility just happened to make the news because of the amount of deaths. This news story dealt a SIGNIFICANT blow to the moral of all the workers in the facility and almost HALF of our nurses and CNA's walked out as they were embarrassed.
You know who didn't walk out? Who stayed and performed job duties that they had no business performing, however because of the state of emergency and the staffing shortage went ahead and performed these duties anyway..... That would be the facilities ancillary staff. The dietary workers, laundry, housekeeping, central supply, and my personal position, Maintenance. As all our nurses and aids walked out, WE we're the ones tasked with sitting and feeding the residents who could not feed themselves. We were the ones delivering food trays and water. We were the ones answering call lights. We were doing everything we could do to help our residents through covid. I, personally, worked nearly 5 months straight, with only taking 2 days off through the entire time. There were MANY of us that did similar things. We still did it as our remaining nurses and aids recieved 6 dollar raises, with a hefty portion of that coming straight from the government. We didn't see that money, as we weren't (and still aren't) considered direct care staff.
I am NOT trying to bash on nurses and CNA's. Bless the ones who stayed. They were being tasked with taking care of triple the amount that they had previously been used to. They deserved every cent of these raises, plus some. I am simply stating a fact here. However, I take issue with the fact that us non "direct care" workers, were and still are not showed a single bit of appreciation.
People who just decided they didn't want to work anymore, were shown more appreciation then us. They got to collect unemployment that equalled out to well over many of myself, and my coworkers, wages. They recieved this...... For nothing. WE worked through it all. Regularly interacting with the residents who were positive. Regularly having to perform job duties in the covid units, and covid positive residents rooms. We had to go home and basically be a leper from our families, as no one knew just how bad or infectious this all was.
My daily ritual was to undress in the garage, bag my work clothes, run STRAIGHT to the washing machine, start washing, then run straight to the shower. Yes, I had to undress in the garage in very cold weather (I live in Michigan). I didn't want to put my family in any risk, so I did what I had to. Speaking of families.... How about getting yelled at because I wasn't recieving the pay that other healthcare workers were recieving, and I refused to quit for another job. This was the start of a slippery slope that led to divorce (I didn't need to be married to anyone that lacks empathy to that extent anyway). My wife didn't like that I would say that "Right now. There is NO WAY I'm leaving my residents and coworkers when they need my help the most.". She was always quick to point out that even though I was putting myself (and by proxy, her) at just as high of a risk then the "direct care" staff, I reaped none of the appreciation, pay, or perks of the "direct care" staff.
At the time, it didn't bother me as much. I just wanted to do what I could to get through all of this. Well.... My life slowly started falling apart. I mentioned the divorce. Well, that also came with losing my house. Then, because of the current housing situation, trying to find an affordable (for my pay) apartment, was next to impossible. I ended up living in my car in the parking lot of work for 2 weeks before I finally lucked into an insanely overpriced tiny apartment. Then my car broke down, and I had to figure out how to pay for a new one. Just one thing piled on top of another and my life spiralled. Throughout all of this, I'm still watching EVERYONE, including the unemployed, bring home much more money then myself.
Throughout, I just told myself that I'm doing the right thing. That I am making a legitimate difference. That I am helping to save lives.
Well, now that things are starting to normalize a bit. I've had time to reflect. I'll tell you what..... I'm pissed off. I have been right in the thick of things during covid just as much, if not more, then 90% of the direct care staff (which, once again, those who stuck it out deserve all of the appreciation, plus some).
Where is my raise from the federal government?
Where is my plaque?
Where is Mary's appreciation? She gave her LIFE to help the residents, but she was just a laundry worker.
How about a slice of that sweet, sweet unemployment money..... Where's that?
How about a friggin candy bar?
I don't care what it is, but dammit.... It wasn't only nurses that put their, and their families at risk (my mom, dad, and sister are ALL considered high risk with autoimmune disorders, I couldn't even hug them during one of the toughest moments in my life)
There is a whole lot more staff in these facilities that, without them, the entire machine stops working.
So how about some appreciation for your healthcare facility ancillary staff. The whole covid situation would have been MUCH MUCH MUCH worse without them.
Vulnerable Americans are desperate to find this Covid-19 drug. Thousands of boxes are sitting around unused
https://www.cnn.com/2022/03/24/health/evusheld-unused/index.html
As the title states, I started a new therapist and part of the process of signing the paper work from the start was to provide your card information. Well after each service, they just run your card with whatever the balance is and don’t send a bill. I have asked for one multiple times and to have it explain what ran through insurance and what they are charging me with each virtual visit. They still have not sent one to mail or email. They are pretty much ignoring me at this point. Is there some kind of law that states I have to receive a bill or at least get one if I request?
I spend a lot of time trying to figure out how to make commercial health insurance make sense. I keep thinking that if patients are informed and doctors are motivated to provide good care we could make this system manageable. That is becoming less and less true.
Health insurance companies are cherry picking data to justify their austere coverage policies. They are bilking consumers with crazy costs. Everyone is terrified to have a crisis without insurance, but even with insurance they are still financially devastated when that crisis hits.
I honestly think the answer is to advise people to not buy insurance. Pay out of pocket and most people would save money. If a crisis happens set up a payment plan with the hospital after the fact which would probably be similar cost to paying health insurance for a few years.
If things are really bad qualify for emergency medicaid.
It will mean everyone in the top of the field will have to take a deep pay but probably, nurses, doctors, and definitely the administrators. This is a big down side, but I can’t think of another solution. Thoughts?
Hi! I am trying to understand for my thesis how providers collaborate with community pharmacies, what tools/methods you use, what you don’t like about collaboration, and where you think this could be expanded!
My insurance company and my employer are NOT helpful so I'm asking the internet. Due to some issues I'm still trying to work out my doctor is not considered out of network and I got a $246 bill. I looked at a past bill to see how insurance covered past in-network appointments. Here is what the breakdown is:
Amount billed: $246
Plan discount: $104.07
Plan paid: $116.93
Does this mean the doctor was paid $116.93? If this is the case, why do I have to pay the full $246 out of pocket if the insurance is only on the hook for $116.93? Seems ridiculous that an insurance company has to pay less than someone trying to pay without insurance. Trying to understand to see if there is anything I can do to reduce the bill because I have six bills like this that are now not covered.
I’m wondering if anyone has had success with non-hospital charges, specifically therapy.
My daughter and I have both been seeing therapists (because mental health is super important) and it was covered by insurance. Suddenly I got two very large bills in the mail ($1,000 each) because my employer changed the insurance network and they were no longer covered. We didn’t know this so we continued to go. Now we are on the hook for the full session costs which are about $250 each.
I’ve only seen private pay amounts for out of pocket sessions as high as $150, not the $250 they bill insurance.
Just wondering the best way to possibly reduce an unexpected $2K bill that is going to hit hard.
I mean out-of-pocket maximums can't be that high, right? So if you have health insurance you should be safe. I realise monthly premiums might be high but if you are someone that needs constant health assistance, does the price make it worth it? Or am I missing something big?
If everyone got health insurance, will it healthcare be alright?
By law, the Medicare Payment Advisory Commission (MEDPAC) reports to the Congress each March on the Medicare fee-for-service (FFS) payment systems, the Medicare Advantage (MA) program, and the Medicare prescription drug program (Medicare Part D).
March 2022 03/15/2022 - Report to the Congress: Medicare Payment Policy
The whole report is very detailed but thought I would just post a few lines of it since this board discusses "problems" This comes from the Executive Summary - a download - which you will have to do for more details in the report.
Although the pandemic is not expected to have a long-term impact on Medicare, the program’s finances nevertheless need urgent attention. Medicare’s Trustees expect that the program’s Hospital Insurance Trust Fund (which funds Medicare Part A services) will become insolvent by 2026, and the Congressional Budget Office (CBO) expects the fund to reach insolvency in 2027, due to the declining ratio of workers to Medicare beneficiaries (since payroll taxes are the primary source of funding for the trust fund). To extend the solvency of the trust fund for an additional 25 years, Medicare’s Trustees have estimated that the Medicare payroll tax would need to be raised from 2.9 percent to 3.7 percent, or Medicare Part A spending would need to immediately be reduced by 18 percent (about $70 billion in 2022); alternatively, a smaller tax rate increase could be combined with a smaller spending reduction to achieve a comparable effect.
Medicare’s Trustees estimate that total Medicare spending will nearly double between 2020 and 2030— driven by growth in the volume and intensity of services provided to beneficiaries and by the number of beneficiaries in the program (which is projected to increase from 62 million to 77 million over this period)
Edited to add: Keep those Medicare payroll tax withholdings coming - baby boomers are entering the Medicare and SS rolls at a rate of 10,000 per day and this will continue until the end of 2030.
Worried?
I have seen online portals for medical history from individual hospitals but never one that the patient controls. Is there one? If not why?
Why can't the doctor release the records to the patient and send bills directly through their portal using online payments? Seems like a lot of hassle getting records taken to new doctors, and it makes difficult for a patient to see their progress.
You could also manage your daily maintenance, such as pills with reminders and goals.
Hi everyone,
So I went to an OBGYN about a month ago to do some standard tests in order to do a monthly check up for STDs. The office that I went to was in my insurances list of approved providers, and the office speechified that my insurance would cover the cost of my bill. However, they did not specify that the blood work they did would cost $600. They did not mention this to me at all. They just said they would run the tests and it was all covered. Today, I received an invoice from Labcorps for my blood tests and it was $600–my insurance did not cover it. What do I do to lower this? They didn’t inform me they would use a third party lab and bill me, they only said they would do the tests themselves. I don’t know what to do—I don’t think they were lying but they definitely not transparent about what my bill would look like or how the services would be provided. Someone help, is there a loophole for this? I definitely can not afford the bill and I’m deeply upset they did not convert this to me at my OBGYN.
Appreciate any help! I’m look for some stats on the average amount spent on health care by a non insured person. So if you were to pay for every appointment and procedure on the out of pocket rate, how much are you spending on average. If anyone could guide me to a website or something, thanks so much!
I dated someone while living in NYC who worked as a medical scribe at a prominent hospital network and was often complaining about being told to code higher. Then scrolling through Twitter saw someone posted that she was charged for two ultrasounds for having twins.
It seems criminal.
My company insurance is having open enrollment right and I was planning to add my daughter (2yo) to my insurance plan but it quadruples my insurance payment and I can't afford that right now. Do I have any other options? When looking online I see short term insurance but I haven't heard great things. I haven't been to the doctor for anything other than allergies in years, my daughter just needs her routine checkups but I also want to be prepared in case something happens.
My wife and I were just married in December, she has insurance through the VA, we've been paying out of pocket for my daughter.
If I was in some accident where I lost consciousness and then woke up in a hospital but I don’t have health insurance, do I have to pay? I never got the chance to refuse medical treatment
New to this topic but just want to understand the core of the issue. I am fairly confident it is one of the two options in my questions, especially when we exclude the role of insurance companies. So, which is it?