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Advocare Medical Claim Advocates · 3W ago

Patients admitted for observation can face steep drug bills

This USA Today/Money article, highlights what can happen if you go to the hospital but are not actually admitted as an inpatient to the hospital but rather held in an observation status.  As a patient, you might not even be able to tell the difference.  Read the full article for ...
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Advocare Medical Claim Advocates · 4W ago

Insurers Alter Cost Formula, and Patients Pay More

On Febuary 13, 2012 we posted an article from Kaiser Heatlh News that discussed the changing formula for insurers to pay out-of-network benefits. Read this NY Times article titled, "Insurers Alter Cost Formula, and Patients Pay More".  As consumers, we need to be informed about what w...
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Advocare Medical Claim Advocates · 1M ago

The ABC’s of the Health Care Law and Its Future

Review this NY Times article "The ABC’s of the Health Care Law and Its Future".  The interview is with Jonathan Oberlander, author of “The Political Life of Medicare” and professor of social medicine and health policy and management at the University of North Carolina, Chapel Hill.
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Advocare Medical Claim Advocates · 2M ago

Medicare overhauls patient claims statements

This American Medical News article explains how Medicare has attempted to revamp the summary notices making them easier for beneficiaries to understand. They have attempted to make the medical services easier to understand, made the fonts larger, included lists of medical professionals seen for...
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Advocare Medical Claim Advocates · 3M ago

Out-of-network costs up as insurers tie payment to Medicare

Read this important article from Kaiser Health News on tips for knowing exactly what your out-of-pocket costs will be if you choose to go out-of-network.  Many insurers are moving away from "Usual and Customary" to a percentage of what Medicare pays. This could mean a significantly greater...
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Advocare Medical Claim Advocates · 3M ago

HHS Unveils Requirements For Consumer Insurance Labels

This Kaiser Health News article reviews the final regulations from the Obama administration detailing the new health insurance summaries. The federal health law requires plans to provide these summaries to consumers to help them make informed coverage choices. 
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Advocare Medical Claim Advocates · 4M ago

'Tiered' Insurance Confounds Consumers, Docs In Mass.

This Kaiser Health News article describes how one physician sat down to figure out what insurance plan would be the most cost effective for her family.  Because of the confusion associated with "tiered" plans, she found this a challenging task and states; "I could not figure it out".
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Advocare Medical Claim Advocates · 4M ago

Doctors Going Broke

This CNN Money article illustrates the financial challenges facing our physicians today. "This quiet reality, which is spreading nationwide, is claiming a wide range of casualties, including family physicians, cardiologists and oncologists." Read on for greater insight.
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Advocare Medical Claim Advocates · 5M ago

When Is Preventative Care Free And When Do You Pay

WBUR, Boston's NPR news station posted an article about how preventative medicine visits can potentially become diagnostic if problems are found during the visit.  These preventative visits, that should be free of co-pays and deductibles, may in fact end up costing you money.  Read the art...
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Advocare Medical Claim Advocates · 5M ago

Final Rules Set for Insurers on Spending Ratios

This NY Times article discusses how much of our medical insurance premiums must be spent on medical care. Review the article for details and an understanding of potential rebates to subscribers if insurance companies do not meet the requirements.
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