A recent article by @chrissyfarr has thrust my story into the spotlight - a doctor struggling with nearly $40,000 of medical debt after surviving a spinal cord injury. The attention has opened a rabbit hole into the underbelly of our healthcare system.
@mwetschler@chrissyfarr Be grateful you live in a state where the practice of balance billing is illegal as that gives you some power as a consumer; for those of us in states where the practice is legal, there's much less recourse (except public shaming, of course!)
Greater awareness of legal protection and more robust laws limiting the extent to which hospitals and doctors can overcharge for services rendered as out-of-network (some states cap at 125% of Medicare rate) would be a good step. @CNBC#healthcare
If you enter the hospital through the ER, the is a 20% chance you will get a surprise out-of-network bill. Additionally, state laws don’t apply to employees whose companies self-insure - the way 60% of Americans get coverage. There is yet to be federal regulation.
I have, like many Americans, fallen prey to the practice of “balance billing”. Out-of-network hospitals and doctors charge excessively high prices and when insurance companies only pay a “usual and customary” price, they stick the patient with the remaining balance.
@mwetschler@chrissyfarr@OscarHealth Could a reporter find out how many other (inflated) bills this hospital issued around the same time (for tax reasons)? No, because of HIPAA (purportedly).
To continue the story by @chrissyfarr with my struggle with @OscarHealth for timely payment of emergent out-of-network care. I learned today that I have 41 separate accounts with balances due submitted to a debt collector by @UCSFHospitals! What ludicrous complexity.
Thank you @chrissyfarr of CNBC for reporting my ongoing struggle with @OscarHealth to make sure the remaining $27,000+ in bills for my emergent surgery are covered. Im a doctor with a masters degree, if its a struggle for me, what about everyone else?
https://t.co/KsCu7dOyZq