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Taking surprise medical bills to court

December 20th, 2018 | Posted in Advocacy 101, Consumer Focus, Insurance Coverage

By Julie Appleby | Kaiser Health News Joaquin Lopez had emergency gallbladder surgery after rushing to an ER last year. He has been haggling with Baptist Memorial Hospital in Memphis over what he owes ever since. The 37-year-old college professor was hit with a nearly $8,000 bill from the out-of-network hospital — that was after theRead More

Medicare Advantage riding high as new insurers flock to sell to seniors

October 17th, 2018 | Posted in Consumer Focus, Insurance Coverage

By Phil Galewitz | Kaiser Health News Health care experts widely expected the Affordable Care Act to hobble Medicare Advantage, the government-funded private health plans that millions of seniors have chosen as an alternative to original Medicare. To pay for expanding coverage to the uninsured, the 2010 law cut billions of dollars in federal payments toRead More

New Medicare Advantage Tool To Lower Drug Prices Puts Crimp In Patients’ Choices

September 18th, 2018 | Posted in Consumer Focus, Insurance Coverage, Prescription Drug Coverage

By Susan Jaffe | Kaiser Health News Starting next year, Medicare Advantage plans will be able to add restrictions on expensive, injectable drugs administered by doctors to treat cancer, rheumatoid arthritis, macular degeneration and other serious diseases. Under the new rules, these private Medicare insurance plans could require patients to try cheaper drugs first. If those are not effective,Read More

Outrageous or overblown? HHS Announces Another Round Of ACA Navigator Funding Cuts

July 19th, 2018 | Posted in Consumer Focus, Insurance Coverage

By Phil Galewitz  | Kaiser Health News The Trump administration’s decision July 10 to slash funding to nonprofit groups that help Americans buy individual health insurance coverage sparked outrage from advocates of the Affordable Care Act. Using words like “immoral” and “cold-hearted,” they saw it as the Republicans’ latest act of sabotage against the sweeping health law.Read More

Medical coding in today’s world: A beginner’s primer to what Patient Advocates need to know

March 21st, 2018 | Posted in Advocacy 101, Insurance Coverage, Professional Skills

By Connie L. Zeller, BA, CPC, CCS-P, DecisionHealth Director of Education The value of an advocate is to help patients understand the intricacies of healthcare.  Medical claims can be as confusing to patients as considering many treatment options.  Just as a patient advocate would navigate and explain the course of treatment for their patient, understandingRead More