Coverage Denied: Medicaid Patients Suffer As Layers Of Private Companies Profit
Managed-care plans, which reap billions in taxpayer dollars to coordinate care for low-income Americans on Medicaid, outsource crucial treatment decisions to subcontractors that aren’t directly accountable to the government. In California, health officials say one firm improperly withheld or delayed care for hundreds of people.
Billions In ‘Questionable Payments’ Went To California’s Medicaid Insurers And Providers
The money was paid on behalf of more than 400,000 people who may have been ineligible for the public program, a state audit found. One had been dead for four years before payments stopped.
As Billions In Tax Dollars Flow To Private Medicaid Plans, Who’s Minding The Store?
Insurance companies profit from government contracts but are subject to little oversight of how they spend the money or care for patients. The expansion of Medicaid under the Affordable Care Act has only exacerbated the problem.
Paper Jam: California’s Medicaid Program Hits ‘Print’ When The Feds Need Info
Amid the buzz over apps and electronic medical records rescuing modern medicine, California’s Medicaid program still clings to 1970s-era technology. A reboot may cost half a billion dollars.
As California Hospitals Sweep Up Physician Practices, Patients See Higher Bills
A Health Affairs study quantifies the financial effects of such mergers on consumers and their insurers. The hospital industry and doctor practices say the consolidation leads to better coordination of care.
Hospital baja cuenta de $109,000 a $332… ¿qué pasa con las facturas sorpresa?
El hospital St. David’s Medical Center, en Austin, Texas, bajó una cuenta médica drásticamente. ¿Por qué fue tan alta en principio? ¿Qué pasa con las cuentas sorpresa?
The $109K Heart Attack Bill Is Down To $332. What About Other Surprise Bills?
“I don’t feel any consumer should have to go through this,” says Drew Calver, who faced a life-changing surprise bill from an Austin hospital after a heart attack last year. After attention as a “Bill of the Month” patient, he paid the hospital $332. But he worries about other patients with surprise bills.
¡Puñalada! Tienes seguro, pero igual debes pagar $109 mil por un ataque al corazón
Un maestro de Austin, Texas, quien sufrió un ataque cardíaco, tuvo que vivir una odisea cuando recibió una cuenta astronómica.
A Jolt To The Jugular! You’re Insured But Still Owe $109K For Your Heart Attack
A Texas teacher, 44, faces a “balance bill” of almost twice his annual salary for a heart attack he never expected to have.
A Black Eye For Blue Shield: Consumers Lash Out Over Coverage Lapses
The state’s third-largest insurer faces anger from customers in the individual market who unexpectedly lost their insurance despite paying premiums faithfully. In its recently filed lawsuit, the company blamed a contractor for “egregious” billing problems.