The patients in these stories seem well-intentioned and well-prepared. They double check that their doctors are in-network. They triple-check what charges they should expect. But there's always a gotcha. There's always some hidden, between-the-lines reason hospitals come up with to charge you, and insurance won't cover. In one story, the surgeon invited an out-of-network surgical assistant into the surgery, without notice. In another [2], the labor and delivery department was classified as an ER, for a completely routine delivery.
When these charges are dismissed, it's always because NPR reached out for comment, and the hospital backs down, presumably because of the bad PR.
The unpredictably and seemingly arbitrary nature of medical charges makes me feel... queasy. And scared to seek medical help, which I know is what insurance companies want. Even with great insurance, which I'm lucky to have, it feels like there's nothing I can do to prevent medium-to-insane charges. The only way I can think of to try and combat medical billing is to retain a lawyer.
[1] https://www.npr.org/series/651784144/bill-of-the-month
[2] https://www.npr.org/sections/health-shots/2020/07/22/8919096...
[3] https://www.npr.org/sections/health-shots/2021/10/27/1049138...
> Martand received almost no medical service. A nurse practitioner looked over the toddler, listened to his heart and stomach, and looked in his nose, mouth and ears, according to provider notes prepared by the hospital and shared with KHN by Bhatt.
> The nurse didn't change the dressing on the wound or order any testing.
> Emergency visits are usually classified for billing on a scale from 1 to 5. Level 1 is minor and routine; Level 5 requires complex care for life-threatening conditions. [...] Despite the lack of severity of Martand's wound and the absence of medical care, his visit was classified as Level 3, a moderate severity problem.
> In an email, Zoller Mueller said the charges were "appropriate" based on the "acuity of condition, discharge instructions, vital sign monitoring, traumatic wound care [and] numerous assessments."
> She added: "A patient does not have to receive additional treatment — procedure, labs, x-rays, etc. — to validate an ED [emergency department] level charge."
The patients in these stories seem well-intentioned and well-prepared. They double check that their doctors are in-network. They triple-check what charges they should expect. But there's always a gotcha. There's always some hidden, between-the-lines reason hospitals come up with to charge you, and insurance won't cover. In one story, the surgeon invited an out-of-network surgical assistant into the surgery, without notice. In another [2], the labor and delivery department was classified as an ER, for a completely routine delivery.
When these charges are dismissed, it's always because NPR reached out for comment, and the hospital backs down, presumably because of the bad PR.
The unpredictably and seemingly arbitrary nature of medical charges makes me feel... queasy. And scared to seek medical help, which I know is what insurance companies want. Even with great insurance, which I'm lucky to have, it feels like there's nothing I can do to prevent medium-to-insane charges. The only way I can think of to try and combat medical billing is to retain a lawyer.
[1] https://www.npr.org/series/651784144/bill-of-the-month
[2] https://www.npr.org/sections/health-shots/2020/07/22/8919096...
[3] https://www.npr.org/sections/health-shots/2021/10/27/1049138...
0 - Including paying the founders a reasonable salary
> Simply put, we’re giving the company money now but at terms you’ll negotiate with future investors.
I agree that being wordy can be a waste of time! And I agree that many business books blow up small ideas into large books. I also think that sometimes expanding on an impactful insight can help you teach it better.
[1] https://twitter.com/JamesClear/status/1477686252333903877
A book that does this terribly is the "The Checklist Manifesto." ~250 pages of filler when the original article was 20 pages, the exact same information but distilled down to its essence:
https://www.newyorker.com/magazine/2007/12/10/the-checklist
I haven't read Atomic Habits, but I did get the audio book but after reading this summary (which is very good, and much appreciated) I probably won't give it a listen.
I'm curious if people feel the same way about other books?
I've definitely read books that were way too long and full of filler content. But I've also scrolled through tweet-sized brilliant insights that I forgot the next minute.
In my opinion, Atomic Habits was not a filler book (I also listened to it on audiobook), but as always, YMMV.
I'm getting a bit tired of these anti-US healthcare posts day after day. Sure, there are some issues, but this is starting to feel like reformist propaganda. I, for one, am very happy with the current system and don't understand why anti-government activists want to hand the government the keys to run the healthcare system.
The ER visit ultimately cost $38.92, after:
1. He tried to negotiate the bill: "Dhaval Bhatt made numerous attempts to get the hospital to reduce the charges. He also appealed to UnitedHealthcare to review the charges."
2. The hospital refused: "His efforts failed....the hospital would not adjust the bill."
3. The hospital sent his bill to collections: "While Bhatt was trying to reach the patient advocate by phone, his bill was sent to Medicredit, a collection agency, which began sending him notices and calling him."
4. The hospital forgave the bill due to bad PR: "After KHN [Kaiser Health News] contacted SSM Health, Bhatt received a call from someone who worked on "patient financial experience" issues at the hospital. The hospital agreed to forgive the $820 facility fee."
> The system worked out exactly as it should have.
Could you clarify?