Thứ Tư, 31 tháng 5, 2023

The administrator has created a Whatsapp US stock group, and everyone can participate in the discussion. There are US stock coaches in the group to share the latest US stock information, share the most avant-garde investment skills, and recommend good stocks for everyone. join as soon as possible

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https://ift.tt/6JLtIMw Submitted May 31, 2023 at 07:17PM by BeyondShroud https://ift.tt/hGzqIj3

Thứ Ba, 30 tháng 5, 2023

Update on the best friend

If anyone remembers from my prior post here, I posted about my best friend potentially having breast cancer (I think I mentioned 2 others but I can't remember what they were). She went to her PCP today (she has to see them before she can get any screenings done) and they found a lump in one of her breasts. Because of this, she has to get blood work, a transvaginal ultrasound, and a chest X-ray.

We already exhausted all of the lower cost methods, and while I'm sure blood work won't be that bad, I know the X-ray is going to be a brutal bill (I'm not sure about the ultrasound)

As I edited into my last post, she won't be eligible for Medicaid because her dad (who makes $150k a year) claimed her on his taxes as a dependent so she's lumped into his household income.

What can be done to lower costs while not needing to wait a long time for any potential diagnosis/treatment?



https://ift.tt/4EDuHtd Submitted May 30, 2023 at 10:49PM by Kornfan91903 https://ift.tt/pzHdc9s

Saw an extremely messed up patient the other day…

Got emotionally numb, but felt a chill go down my spine. Patient had no face anymore basically. Nose and cheek/jaw was gone. I could see into their throat. Their eyes were stitched closed. Stitches all over their bloodies face. Damn… Felt so extremely bad for them. I couldn’t even imagine…

I am new to healthcare, been working at a level 1 trauma center for 4 months. I love helping people, but things like this can get to me sometimes. Had to take a long break afterwards. The ED can get pretty bloody pretty fast with the injuries coming in.

I am not even a doctor or nurse, I just work alongside them as a logistics role… So I suppose I am not completely used to it. Can’t help but feel helpless and sad for some of these patients though.

What do you usually do to calm yourself?



https://ift.tt/3wHyiIP Submitted May 30, 2023 at 11:04AM by I-Ponder https://ift.tt/PlMj1uL

NPR News: For Black drivers, a police officer's first 45 words are a portent of what's to come

For Black drivers, a police officer's first 45 words are a portent of what's to come
A Black driver is more likely to face being searched, handcuffed, or arrested when a police officer's first words are commands rather than a greeting or an explanation.

Read more on NPR

Thứ Hai, 29 tháng 5, 2023

Value-Based Programs - pros and cons

Looking for others who work in the value-based space (I work in administration at a health system). I have seen the following pros and cons to VBPs, and am curious what others’ experiences have been.

Pros: - Attempt to change incentives. I see recognition on both provider and insurance sides that fee-for-service is broken and needs to change. It’s refreshing to hear insurance executives say this out loud in meetings. - Meeting topics and goals shift to actual patient value, away from “productivity” measures like RVUs and towards quality measures and reducing total cost of care. - Beginning to focus on social determinants of health - housing, food access, mental/behavioral health, etc.

Cons: - VBPs are still built on top of fee-for-service, not as a replacement to it. Therefore, there are still plenty of volume-based incentive metrics like # of screenings and visits. - Not yet transformational. At my health system VBPs are only like 1-2% of total revenues, and we’re about 5-6 years in. - “Quality” is still, IMO, incorrectly defined as cancer screenings and annual wellness visits…see above on volume-based. Instead of volume of cancer screenings…how about measuring improvements in early detection rate and outcomes of your cancer treatments program(s)? - Risk-capture and coding/documentation are keys to success in all the VBPs I’ve seen. This means more clinical time at the keyboard (more fee for service activity!!). This is a heavy push from insurance, since their premiums go up if risk scores go up.



https://ift.tt/3wHyiIP Submitted May 29, 2023 at 09:41PM by TD9056 https://ift.tt/ToRphzf

Physician order to PT

Excuse me if I'm overthinking, but I'm new to this whole situation and here in the US too.

So I got a physiotherapy order from my physician as I have chronic pain with my "left" knee and ankle.

But in the medical order (paper) it's written my "right" knee (which is wrong). I called the clinic and they said it's fine it doesn't matter overall, and I can tell my physiotherapist later about it. But I'm not really sure if that's how it should be.

Especially that I will do MRI later after physiotherapy (I do PT first so insurance can cover the image). I'm afraid it will make things complicated with the insurance later. Any thoughts?



https://ift.tt/uywZL76 Submitted May 29, 2023 at 04:09AM by Hood-01 https://ift.tt/BjX1DPm

Chủ Nhật, 28 tháng 5, 2023

A.PSA to all clinicians who underprescribe pain medicines, intentionally or not:

I'm borrowing a lot of this content from replies I made in another thread that evolved into a discussion about approaches to so-called/apparent 'drug seeking' behavior. I am but a lowly registered nurse, but I have been hospitalized and immobilized with pain, I am not direct naive and I'm certainly not misguided. So, I'll begin with a story.

Imagine a nurse named David. Despite having battled with drug problems and mental instability on and off for much of his life, including essentially all of the way through nursing school, David has proven to be good and well respected nurse, and had several years of success working in some of the world's most intense trauma ICUs and stepdown floors.

Imagine that today at 0720, David was interrupted halfway through getting report on six patients (two of whom should still be in the ICU, David would go on to find), by the unannounced- except by her own crying and screaming- arrival of his admit from the ICU. Being unable to tolerate the idea of someone suffering when he might be able to help, David leaped into action and took report at bedside:

Pt is a(33y) female post MVC in which her husband was killer with compound and spiral fractures to the left tibia, fibula, femur, acetabulum, right femur, right fibula, right tibula, and right ulna- at least.

While rapidly performing neurovascular checks, he confirms with the patient that she is in pain, which seems ridiculous, but he does it anyway. Rushing to the computer he pulls up her orders: 975mg Tyleno q6, of course, scheduled gabapentin (of course? These days)-300mg q8,- 50 mg tramadol q6 prn and ZERO POINT TWO MILLIGRAMS OF Dilaudid IVP q3h.

Having promised that he would bring effective pain relief, David immediately opens his phone and dials the number of whatever MD is listed as her attending doctor, and is redirected to a likely-resident, Tim, who admittedly is not even at the hospital. Not wasting any time, David says simply "0.2mg will not be sufficient for her pain level. I recommend at least 1 mg q3, but given the severity of the trauma, I think 2mg would be even more appropriate and safe given vitals." David knows that even 4 mg of Dilaudid q2h would not do much for the amount of pain is patient is in, but he knows better than to suggest that to Tim.

Tbc



https://ift.tt/uywZL76 Submitted May 28, 2023 at 02:28PM by EternalSophism https://ift.tt/lOfsq63

Thứ Bảy, 27 tháng 5, 2023

NPR News: Local farmers in South Africa were cut out of rooibos tea cash. Now change is brewing

Local farmers in South Africa were cut out of rooibos tea cash. Now change is brewing
For generations, the Khoisan people harvested the rooibos plant to make tea. As this caffeine-free drink has grown trendy — 9,000 tons exported a year — they've been cut out of revenues. Until now.

Read more on NPR

Should I change my major to any allied health care like paramedicine or radtech? Is it worth it wasting my half year worth of effort and tuition fees?

I don't know where to ask this question but here seems fine. Currently I'm a business student but I don't see myself doing this in future . And even If i change it, I can only transfer credits of 2 courses out of 6 courses I took till now. What should I do?



https://ift.tt/DmUCdlu Submitted May 27, 2023 at 02:36PM by Alive_Ad_6196 https://ift.tt/xl0REb2

How common is DRG payment system in inpatient setting?

Hi friends,

If I understand correct, how hospitals are paid for inpatient services depend on their contracts with payers. It can be: DRG payment, capitated rate, or fee-for-services. Curious to know how common is DRG payment now?

Thanks!



https://ift.tt/DmUCdlu Submitted May 27, 2023 at 08:54AM by EnvironmentalSet4210 https://ift.tt/NzRrOd0

An introduction to my recently published book on health care system reform.

To give a better idea of what my new book ("Building a Unified American Health Care System, A Blueprint for Comprehensive Reform"), is about, I am copying its introduction. Please feel to ask questions and/or start a discussion.

https://preview.redd.it/ilfr5dekj82b1.png?width=936&format=png&auto=webp&v=enabled&s=df93d88c3f9411e62643158f13aeef8df405be5e



https://ift.tt/DmUCdlu Submitted May 27, 2023 at 03:29AM by GILMD https://ift.tt/TXc1WLv

Thứ Sáu, 26 tháng 5, 2023

In Vitro Gametogenesis: Emerging fertility technology enables embryo creation using simple skin punch biopsy samples; embryos can be created which have anywhere from 1 to N biological parents who may or may not have reached puberty

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https://ift.tt/qH7xGKE Submitted May 26, 2023 at 05:03AM by TurretLauncher https://ift.tt/ovzmKGP

Thứ Tư, 24 tháng 5, 2023

Is it realy a waste to do one deep cleaning?

I went to the dentist the other day. They checked my x-rays and said I have periodontis disease. But I also need 4 wisdom teeth extractions and a broken crown replaced and filling mabye root canal.. They said it would be four thousand dollars even though I have delta dental insurance. I'm waiting to see a list of all the prices for the program. I don't know if it comes with toothbrushes and things like that but I am curious the price. If it is normally that high with insurance the thing is they said I would have to come back every three months and get scraped And made the comment that it is a complete waste of money if I do not come back. Is this true it does say online? You are supposed to go every 3 or 4 months. I? Know I had this scraping done 4 years ago I've just quit drinking. I've been eating awful for a long time and Was thinking if it took 4 or 5 years to get this bad? Surely it would be better to get it done. Even if I only came back in a year or two but I am not going to go every three months and get scrapings I can afford it I don't want the damage to my mouth So the question is is it actually worth doing once using the mouthwash and flossing If i'm not coming every three months I know I am right at the point of being Severe I am six Millimeters on a lot of the measurements and fours



https://ift.tt/oHYZ8VP Submitted May 24, 2023 at 12:28AM by kenshinkan08 https://ift.tt/GOQWVp1

Thứ Ba, 23 tháng 5, 2023

NPR News: People with disabilities aren't often seen in stock photos. The CPSC is changing that

People with disabilities aren't often seen in stock photos. The CPSC is changing that
The Consumer Product Safety Commission took photos of people with disabilities using home safety devices like flashlights and smoke alarms — then put them in the public domain for anyone to use.

Read more on NPR

Premera BCBS versus BCBS MA – Where to submit claims?

My employer offers health insurance coverage from Premera BCBS, and the plan I am on specifically states that therapy is covered, and that my therapist is in-network. My therapist tried to submit claims for our sessions to BCBS Massachusetts, because that is the instruction given on my insurance card, and she was told that they were not the correct place to submit claims. However, when she submitted the claims directly to Premera, she was told claims needed to be sent to our local BCBS office – which is BCBS MA.

So for claim submission, BCBS says to go to Premera, and Premera says go to BCBS MA. Is there some third option my therapist and I are missing? She isn't having this issue with any of her other BCBS patients.



https://ift.tt/oHYZ8VP Submitted May 23, 2023 at 03:55AM by peakghostbug https://ift.tt/hfNewdC

What is a the cheapest way to get blood work done in the USA?

I have a high deductible healthcare plan. I know sometimes you can go outside of the insurance to save money. Can you do that with bloodwork? Anyone know a good company to use?



https://ift.tt/oHYZ8VP Submitted May 23, 2023 at 03:00AM by fobreezee https://ift.tt/VvsINBH

I've requested a DNR

I'm a 25 year old female in relatively good health, I do have conditions but let's not go into that. For personal reasons, I have made the decision to not wish to resuscitated in the event that I go into cardiac arrest or stop breathing. My family are mostly supportive of this but my sister is a little confused, I have an appointment with my doctor coming up to discuss it and put it in place and I was just wondering what kind of questions they may ask? I am of sound mind and being a medical professional, am aware that I am within my rights under The Mental Capacity Act 2005 that I can make this decision.



https://ift.tt/D05ulL3 Submitted May 23, 2023 at 01:00AM by PipPup77 https://ift.tt/GD1j0Yp

Thứ Hai, 22 tháng 5, 2023

NPR News: Saudi astronauts, including nation's 1st woman, catch a SpaceX flight to space station

Saudi astronauts, including nation's 1st woman, catch a SpaceX flight to space station
Saudi Arabia's first astronauts in decades rocketed toward the International Space Station on a chartered multimillion-dollar flight. The crew will spend just over a week there before returning home.

Read more on NPR

I think my work environment in LTC is bordering illegal practices, what can I do about it?

I work in the admissions department of a LTC/SNF. I have noticed that bordering the end of the Medicare waiver period and following the end of the Medicare waiver period that the admissions director has been more frequently accepting cases outside the facility’s scope of care, cases that cannot be properly cared for due to staffing shortages/failure to provide staff training to accommodate certain medical devices. My director does not come into work for more than an hour or two, but instead goes to local hospitals to meet with individuals referred to us by social workers.

However, my department has several doubts about the legitimacy of her hospital visits and suspect she has been using this time to network, have lunch, and see a case when it is absolutely necessary—most often when my department asks her to directly see a potential admission due to a complicated H&P or when a family wishes to speak to her directly.

My director’s failures in screening of these referalls has led to an increase in hospitalizations, falls, and needs for sitter services that are unable to be met due to staffing shortages. These issues coincide with empty promises she makes to families and residents often without consulting with medical staff, pharmacy, infection control, or even discharge planning. These promises include assuring their medications will be able to be dispensed as soon as they arrive, even though that is reliant moreso on our contract pharmacy’s abiltiies, or that they will recieve rooms that are unavailable to them upon arrival because my director has been banking on a discharge occurring or an individual agreeing to a room change.

What is worse is that while she continues to be negligent and reckless in her acceptances, much to the chagrin of the facility’s therapy, mds coordinators, and the entirety of the nursing staff, she has been spending fewer time in office, forcing the entirety of my department, as well as others, to attempt to clean up her messes. However, my director does not seem to be affected so long as she fills beds, even when presented with genuine concerns brought upon by other departments surrounding the negative health outcomes and risks she is bringing around. Her motivation for keeping the facility full has been leading into overall inefficiencies within my whole facility, even deaths, meanwhile she is rewarded with bonuses, as administration sees only the numbers and not the liabilities.

What can I even do in this situation? I am not just some disgruntled employee annoyed at increasing responsibilities at my job, I just feel as though laws are being broken and I can’t stand around and watch.



https://ift.tt/D05ulL3 Submitted May 22, 2023 at 02:59AM by ravenhairedblonde https://ift.tt/WPdvzco

Chủ Nhật, 21 tháng 5, 2023

NPR News: A South African choir sang for Queen Victoria. They had great highs — and awful lows

A South African choir sang for Queen Victoria. They had great highs — and awful lows
The singers traveled to England for a tour to raise money to build a technical college. Their story is receiving renewed attention because of a new dance performance based on the concert tour.

Read more on NPR

RVU Calculators

Hi!

I am trying to understand the role of RVU calculators in the healthcare community. I am aware that basically an RVU calculator can calculate RVUs based on procedure codes. But I am interested in their day to day applications.

If you are using an RVU calculator, what are you using it to accomplish? How often do you need it?

Thanks for sharing :)



https://ift.tt/cuU34dS Submitted May 21, 2023 at 05:38PM by ksk385 https://ift.tt/IUvkM67

Hi all I’m a provider and I live in Puerto Rico, here HMOs pay providers below the standard required by Medicare as opposed to the states

Here is the scam: Medicare pays local HMOs the Medicare fee but then the HMOs pay the provider way below the Medicare fee and pocket the difference. Is this legal? Can CMS Intervene? Thanks



https://ift.tt/cuU34dS Submitted May 21, 2023 at 04:12PM by GlomerulaRican https://ift.tt/TsH0ZMD

Is a MPA or a MHA better for working in healthcare administration?

I'm considering getting a MPA (specializing in health policy) and I read that it's a lot better for getting a job in health administration than a MHA. But a MHA would logically make more sense. I was just wondering what you guys think.



https://ift.tt/cuU34dS Submitted May 21, 2023 at 06:00AM by omnipotentsandwich https://ift.tt/tvFSsLh

Thứ Bảy, 20 tháng 5, 2023

NPR News: More than half of the world's largest lakes are shrinking. Here's why that matters.

More than half of the world's largest lakes are shrinking. Here's why that matters.
Human actions have caused "significant declines" in the amount of water stored in 53% of the planet's largest lakes and reservoirs. Climate change and overconsumption are the primary drivers.

Read more on NPR

I need help picking dental insurance

Okay so there are two insurance in looking at one has a 5k annual maximum and the other one has 6k annual maximum but I don’t know which one to choose, I was also wondering if it was a good idea to buy a dental membership plan on top of that?



https://ift.tt/d3EumXe Submitted May 20, 2023 at 02:12PM by Adventurous-Boss-882 https://ift.tt/saAJWvn

Thứ Sáu, 19 tháng 5, 2023

What is standard for DEA reimbursement in FQHCs?

I’ve been working for 5 years in a FQHC in which the offer letter listed reimbursement of the DEA registration fee as one of the benefits. I received full reimbursement in 2020 without issue. They do not pay registration costs that you have already payed for before signing on, nor do they plan to.

After submitting my request for reimbursement this year, I was informed that they have decided to only reimburse 1/3 of the cost annually since DEA registration is valid for 3 years. They allege that paying the full amount would be covering “future expenses”. This sounds absurd to me and I informed them of the flaws in their argument, but they are not budging and issued a check for 1/3 of the amount.

I’m preparing to argue this further with support of both the union and medical director, and I want to know how other employers handle DEA and other license/registration costs that occur in cycles of more than one year.



https://ift.tt/d3EumXe Submitted May 19, 2023 at 07:24PM by TheSingingSea_ https://ift.tt/OyNjoX1

Anyone use “collective health” third party solution?

Joined a new company and they are using this service - for the life of me I have no idea why…every health, dental or vision insurance question I have I am required to call Collective Health…they put me on hold and call the respective companies - with the same number available to me!!!

Why?!?! This is adding a third party between me and my providers - like playing telephone tag - then the EOBs come back completely vague- no breakdown of what was covered or not - just totals!!!

What are they charging my company for this ridiculous service!!!



https://ift.tt/X9FR1OM Submitted May 19, 2023 at 04:59AM by Ok-Distribution4057 https://ift.tt/QBLNWUG

NPR News: Conservationists rush to vaccinate California condors as avian flu strikes

Conservationists rush to vaccinate California condors as avian flu strikes
Conservationists are rushing to vaccinate critically endangered California condors against deadly avian flu. Ashleigh Blackford of the U.S. Fish and Wildlife Service is overseeing the effort.

Read more on NPR

Thứ Năm, 18 tháng 5, 2023

Inefficiencies in Primary Care

Hello r/healthcare community!

I am currently researching the challenges faced by primary care providers in their administrative tasks and exploring potential solutions to improve revenue generation. I would greatly appreciate your insights and experiences on the following:

  1. Administrative Problems: What are the most common administrative problems that primary care providers face in their day-to-day operations? This could include issues related to documentation, billing, insurance, appointment scheduling, or any other administrative tasks that you have observed or experienced.
  2. Revenue Generation Opportunities: In your opinion, what are the key areas where solving administrative issues can lead to more revenue generation for primary care providers? Are there any specific problems that, if addressed, can positively impact their financial performance?

Thank you for your time and contribution!



https://ift.tt/X9FR1OM Submitted May 18, 2023 at 09:47AM by LazurusTheFallen https://ift.tt/IQkq1aX

Out of Network Procedure

Recently was notified that a colonoscopy and some other gastrointerology procedures were denied by insurance after going on my insurance claims portal. Though the claim show up on my insurance eob I have not gotten a bill for any of the prpcedure. The coverage was denied due to the provider being out of network which i didnt not know of or was not notified of. Services were rendered over a year ago. Should I expect to see those bills or were they tossed out due to the "No Surprise Act" that went into effect january of last year.

Side Note: I called the providers office and they said I had a zero balance but honestly I don't trust them because some shady stuff has recently come out about their business practices

Side side note: Would I be paranoid to do a hippo request to get copies of the billing statement saying that I owe zero?



https://ift.tt/X9FR1OM Submitted May 18, 2023 at 07:56AM by brotheralbania https://ift.tt/EOqp8Cb

Do hospital billing departments typically negotiate with patients about medical bills?

Very long story (which I will tell if the details are necessary to answering my question), but a hospital really mishandled the bills for some MRIS scans I got a year ago. I've been trying to figure out what happened for a year and keep getting the runaround. Finally my doctor reached out to the hospital admin on my behalf and convinced them to offer me a cash rate, significantly cheaper than the $8k they wanted me to pay.

First, the billing department offered $1200 only if I paid by the end of the day THAT DAY.

Then they offered $1750 if I paid with an installation agreement over time. My big issue is they will not modify the bill and send me a new bill until I pay what they're asking for. So I could pay $1750 and then they could change their minds? The entire situation feels shady.

Posting here to either put my mind at ease if this is standard practice, or perhaps to be validated in my anxiety that I'm being scammed.



https://ift.tt/HJN5a3M Submitted May 18, 2023 at 04:45AM by filmandtv1000 https://ift.tt/uBPKz5g

Thứ Tư, 17 tháng 5, 2023

Covered CA- how to apply for Medi-Cal when off parent's insurance?

I turned 26 last year but only went to apply now. An agent on the phone helped me out and told me to put Public Health Emergency as the reason, and today's date. Not sure how accurate this is. What should be put here?

Also, I read that if I had medical expenses up to 60 days, I believe, before getting Medi-Cal, I can apply for reimbursement retroactively. I did indeed have a large outlay recently and would like to do this, but if I list PHE as the reason and today's date, would they even accept something retroactive?

Thanks!



https://ift.tt/HJN5a3M Submitted May 17, 2023 at 06:01PM by BigBrother700 https://ift.tt/TGMd5uK

It’s been 7+ years since I had a regular doctor’s appointment… where do I even start?

I haven’t had a normal Dr’s exam since I was 18 or 19. I turn 26 next month… My husband and I want to start trying for a baby…. I’ve never even had a Pap smear.

Long story short, I have need/reason to seek out a OB-GYN, and ENT, but haven’t even seen a PCP since I was 19. I’ve had a couple urgent care visits and one ER trip, but nothing else, and I don’t even know where to begin.

Do I just google search PCP’s in my area and pick one? Or what? I have no clue how this works. My parents were the type that when I broke my collarbone they told me to “sleep on it to see if it feels better in the morning” so they aren’t much help.



https://ift.tt/HJN5a3M Submitted May 17, 2023 at 12:41PM by Virtual-Junket4551 https://ift.tt/tVYdi9Z

The ultimate betrayal by the Australian health care system

Hello, everyone! Today, I want to share a deeply personal journey through the Australian health system that has left me feeling utterly broken. I hope my story can resonate with you and shed light on the challenges many of us face.

Imagine feeling emotionally shattered when the system forcefully takes you in and administers medication without your consent. The feeling of helplessness and violation is overwhelming. Instead of finding the understanding and support you desperately need, you find yourself pushed further into despair.

After going through the arduous process of seeking professional help, I found myself in the hands of the system. But instead of being treated with compassion and dignity, I felt like a mere cog in a heartless machine.

They whisked me away, disregarding my concerns and fears, and forced me into treatment without any say in the matter. The medication they prescribed felt like an intrusion upon my very soul, leaving me feeling like a puppet with no control over my own body and mind.

But the torment didn't end there. Throughout my time within the system, I witnessed a cold, detached approach that made me question the very essence of humanity. The hurried consultations, the impersonal interactions, and the lack of genuine empathy only served to deepen my wounds.

These experiences have left me with a profound distrust in the Australian health system. It's disheartening to feel let down by a system that should be there to provide compassionate care and help us heal.

But I want to make it clear that I don't disregard the importance of healthcare professionals and the valuable services they provide. I know many dedicated individuals work tirelessly to support those in need. However, my personal encounters have left me disillusioned and searching for alternative avenues of support.

This is where communities like Reddit come into play. They offer a space where I can express my struggles, find solace in shared experiences, and receive the empathy and understanding I long for. Within these virtual walls, I've discovered a supportive network that acknowledges the pain I've endured.

However, it's crucial to remember that while alternative support networks can be a lifeline, they can't replace a system that genuinely listens to our voices and respects our autonomy. It's high time we speak up and demand change. We all deserve a healthcare system that recognizes our pain, provides comprehensive care, and treats us as human beings rather than just statistics.

If any of you have encountered similar challenges within the Australian health system, I want you to know that you're not alone. I stand with you in solidarity. Let's raise our collective voice and advocate for improvements that ensure no one else has to endure the emotional turmoil we've experienced.

I want to express my gratitude to each and every one of you for being part of this community and for your ongoing support. Together, we can make a difference and fight for a healthcare system that truly meets our needs.

If you've had any similar experiences or know of resources that could provide better support within the Australian health system, I would greatly appreciate your insights and recommendations.

Thank you for taking the time to read my story. Let's continue supporting one another as we navigate these challenges.

God bless, Ethan



https://ift.tt/HJN5a3M Submitted May 17, 2023 at 10:45AM by willfar2 https://ift.tt/lsmqK4o

Charged for sitting in waiting room?

I’ve posted a few times in this subreddit within the past couple of weeks regarding the multiple bills I’ve received for an immediate care visit for a UTI.

I got another bill in the mail yesterday from the physician for $559. The bill says it is for a “45 to 60 minute” visit. I was like wtf?! All I did was go in and pee in a cup. How the hell would that ever take an HOUR? I was in the exam room for maybe ten minutes. As oon as the nurse brought me to my room I peed in a cup, handed off to the nurse through that little stainless steel window, and waited. That was it, no vitals were taken, nothing done. I had already filled out all of my information, symptoms, allergies, history, etc online. The doctor came in, said the dip test was positive for a uti, asked if I had reoccurring infections, I said only every couple of years, she prescribed me antibiotics and left. This transaction was probably less than two minutes long. The nurse came in again, took down my RX pickup location and walked me back to the front. That’s it. Like literally not complex, run of the mill uti, nothing was done, and most of my time was spent waiting per usual.

I called to dispute the bill today and I was told that the time is charged based on when I check in until I leave. She straight up told me I was “being charged to sit in the waiting room”. Like what the hell?! Why am I being charged for fucking waiting?! Is this accurate, can they seriously do that? And if they can and this is totally legal, why is everyone in this country okay with that?! Why are there not riots! Like this is INSANE. This is genuinely the most ridiculous thing I’ve ever heard!!!!



https://ift.tt/HJN5a3M Submitted May 17, 2023 at 06:33AM by T-midwest https://ift.tt/kb9gFas

Thứ Ba, 16 tháng 5, 2023

Insurance coverage for particular medicine

How do I go about looking for insurance coverage that covers my needed meds . I had CVS Caremark, but recently received a letter from them stating my particular medicine will no longer be covered come July . Any help to go about this would be appreciated . What can I do ?



https://ift.tt/yS2WzOI Submitted May 16, 2023 at 05:46AM by daschyforever https://ift.tt/i8eAcdh

I don’t understand how insurance can choose what they will and will not cover??

I think I have a fundamental lack of understanding of health insurance.

I’m a British citizen and I just tried to use my health insurance in the US for the first time. I read all the insurance papers I got and there was no mention that certain medical conditions aren’t covered. It said that a Dr visit is a $25 copay. Then they denied it and I got a $200 bill. Called insurance and they said what I went to the Dr for isn’t covered… WHAT?! 😂😂

How can they decide what you can and can’t get medical care for? It’s a mental health condition (ADHD) that I was diagnosed with when I was 7 years old. The plan says it covers mental health, but apparently somewhere in the fine print it doesn’t cover ADHD. But they did cover the meds. And how can they be prejudice against certain medical conditions? I thought that was illegal??

I just genuinely don’t understand this system. I’ve already had to forego dental care and other healthcare services because health/dental insurance ‘doesn’t cover it’ and it’s so freaking expensive!!

How are people living? What am I supposed to do? Like literally I’m just supposed to suffer and die?? America, wtf? I got the insurance like I’m supposed to and then it doesn’t cover anything… people say it’s a scam but it can’t literally be a scam right? I just genuinely don’t understand how or why or what I’m supposed to do in this situation.



https://ift.tt/yS2WzOI Submitted May 16, 2023 at 03:27AM by mia_melon https://ift.tt/63nw2mK

Pros & Cons of No-Code/Low-Code Platforms for Healthcare Organizations - Analysis

The following guide explains how your healthcare organization can leverage low-code/no-code tools to create applications and workflows without spending hours on intricate, repetitive and time-consuming manual coding processes and ways to leverage low-code/no-code technology to create a whitelabel solution for your healthcare organization: Top 5 Benefits of No-Code/Low-Code for Healthcare Organizations

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https://ift.tt/yS2WzOI Submitted May 16, 2023 at 12:29AM by thumbsdrivesmecrazy https://ift.tt/3n0rokm