When is a hospital admission not an admission?
Answer: When, for Medicare patients, it’s coded as “observation” status only.
Before the days of discharging patients ASAP (or not admitting them at all), doctors used to frequently admit patients “for observation.” It signified that a patient was not critically ill, but his or her condition warranted careful watching, i.e. observation.
Unfortunately for the last decade or so, that term has come … read on
Five years ago, I didn’t think our health care system could get any more complicated. Well, I was wrong.
I have watched it become increasingly tortuous as Obamacare’s rules, regulations and mandates have brought about a seemingly endless stream of unintended consequences.
The major benefit, I think, of Obamacare was to take away the pre-existing coverage clause in insurance policies. The idea was to provide health coverage for … read on
Another drug we can’t afford
A few weeks ago I posted about the recent slew of commercials to “increase public awareness” of the chronic sleep disorder Non-24.
As Non-24 (formerly known as circadian rhythm disorder) affects totally blind people and is rare otherwise, it wasn’t clear to me why we needed increased awareness until I realized a new drug was coming to market.
When I wrote that post, this new … read on
We knew they were coming
Yesterday I looked on the website of my state’s (Washington) Office of the Insurance Commissioner (OIC). Health insurance companies are required to submit requests for 2015 premium increases in May. The OIC then posts these requests and the public is allowed to comment.
Insurers also have to file any benefit changes to existing plans, and details of any new plans they will offer in 2015. … read on
Health tourism—traveling to another country for more affordable health care—has been an interest of mine for some time. I haven’t done it (yet), but many others have.
Last week I read an article in The Atlantic about the trend for Americans living near the Mexican border to seek dental care in Mexico. The story highlights one dentist, Dr. Jessica Nitardy, who lives in El Paso, TX, and commutes … read on
A few months ago I posted about health-sharing ministries as an affordable alternative to Obamacare’s marketplace.
And recently I read that these groups are enjoying a surge in enrollment.
Since the launch of HealthCare.gov on Oct. 1, membership at each of the ministries has exploded, with nearly 30,000 new enrollees — more than the number of people who selected a plan through ObamaCare in 24 states.
Anyone participating in … read on
I read a really sad and infuriating article in the New York Times the other day: “The Policy Lapsed, but No One Knew”.
The “policy” referred to an elderly couple’s long-term care insurance, which they had purchased over a decade ago. Even at that time, in their late 50s and early 60s, they knew health care costs for the aged could be exorbitant, and there was no accurate way … read on
A friend emailed me a link to a recent article about a patient’s experience with the health care system in France.
The writer’s father, a French citizen living in New York, was diagnosed with pancreatic cancer and chose to forego treatment at one of America’s top-notch hospitals and return to his native country for chemotherapy.
The writer was understandably worried for her father: How could a public … read on
Losing a job or gaining an opportunity?
I feel compelled to give my perspective on the latest round of Obamacare news (OK, not really the latest, since it seems to be changing every day).
And I’ll give my bottom line here at the beginning, just in case you aren’t interested in the following health care-political gymnastics: Don’t retire early if you’re getting good health insurance at your job!
Last week… read on
A terrific resource
Recently, I was delighted to receive a copy of “The Self-Pay Patient” by Sean Parnell.
He has a blog of the same name, and he asked me to read his recently-published book and give him some feedback. (Full disclosure—the book was gratis.) I was happy to oblige; what he didn’t know was that I had been following his blog for several months and was eager … read on