Redirect Health CEO Paul Johnson discusses the potential impact of the Republican healthcare bill, how pre-existing conditions factor into reform, and the keys for employers and consumers to overcome complexity in the system.
Here’s a great article from Market Watch that nails down the truth about American health insurance. And the author, Brett Arends, uses a stock graph similar to the one RDH has used to show how insurers are absolutely crushing the S&P by 300-400%. The traditional healthcare system looks like it’s working just fine for some… just not for the businesses and the teams that Redirect Health serves.
This recent article from Kaiser Health News details a lawsuit against pharmacies for over charging patients with job-based insurance for prescription drugs. We are starting to see more reporting on this long-term problem, which has been occurring for years. We first noticed this exact problem of huge differentials in prescription prices back in 2008 and it continues today.
Modern Healthcare reports that the US Department of Justice is suing North Carolina’s healthcare system, saying it illegally imposes contract requirements on insurers that reduce competition. Further, the DOJ claims the system also forbids insurers from offering narrow networks that include only its competitors, in violation of antitrust law.
When I moved to Arizona from Canada in 1995 I was told numerous times that, as a healthcare provider, waiving deductibles in any sort of routine way was illegal. Now as high deductible insurance becomes more prevalent, many providers are waiving deductibles in select cases because patients simply can’t afford to pay for the care.
As reported in Risk & Insurance, a new study finds more than two-thirds of treating physicians surveyed say their patients’ expectations impact their decisions on opioid prescribing. The vast majority incorrectly believe morphine and oxycodone are the most effective ways to treat pain. And, 88% say they find it difficult to refer patients to treatment for abuse of opioids.
In this recent story for NPR – That Surgery Might Cost You a Lot Less in Another Town – the reporters shine the light on cost differentials for the same procedures at various places of service across cities.
The Washington Post recently issued a report ranking the top 50 hospitals in the United States with the highest markup of prices over their actual costs. That means that they are charging out-of-network patients and the uninsured, as well as auto and workers’ compensation insurers, more than 10 times the costs allowed by Medicare.
A new study that came out from the Health Care Cost Institute finds chemotherapy costs are higher if your oncologist works for a healthcare system, rather than is her or her own practice.