The Big Healthcare Analytics Challenge

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Re: Persistance and mysteries in medical billing
  • 5/19/2017 10:36:34 AM
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@Michelle and it happens quite a lot because of the lack of transparency over pricing from the care providers, the insurance company contract amounts, and the fact that you are led to believe that you are using all in-network people when some practices deliberately assign some people out of network to be able to bill at the higher rate out of network rate from the insurance company. That's how you can get stuck with massive bills even with full insurance coverage and doing all the right things. Been there, done that, and spent many hours on the phone trying to untangle things.

Re: Persistance and mysteries in medical billing
  • 5/18/2017 10:58:06 PM
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..

Michelle writes

A bill of mine was once sent to collections because the med group sent it to the wrong address. They confirmed the correct address while I was in the hospital, yet sent the bill to an outdated address that still lingered in the system.

This kind of "disconnect" within supposedly "wired" modern medical facilities and instituions actually is evident in virtually evry major instituion and business entity – banks, credit card companies, telecome companies, national retail chains, government offices and services, you name it. The problem is everywhere.

Which leads me to a kind of Big Picture zoomout. If today's major commercial and governmental activites can't establish elemental connectivty within their data/information systems with today's high-tech hardware and analytics, how is this visionary "total automation" of society going to succeed? How are totally autonomous vehicles going to take over U.S. streets, how are cities going to be converted through complete automation into "Smart Cities"?

If individual major high-tech institutions with amazing high technology cannot solve their own internal data connectivity needs (and in a lot of cases don't even recognize them), how is such connectivty going to be implemented for society as a whole?

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HealthCare Analytics: The Fight Over Focus
  • 5/18/2017 7:23:12 PM

Interesting cartoon.  Exposes a number of issues with the use of Analytics in Health Care.  What is most important to the patient ?    Knowing future complication ?  Or the cost of it all.

Re: Persistance and mysteries in medical billing
  • 5/17/2017 11:11:51 AM
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Michelle-It is and it usually happens when someone is at their most vulnerable! The thing that really bothers me is when you call the bills magically disappear I wonder if its a game of numbers they bet that at any given time a certain number will not dispute!

Re: Persistance and mysteries in medical billing
  • 5/6/2017 4:09:49 PM

As I told an admin person at my doctor's office recently, "I have the insurance where you pay and pay and pay." 

If only it were just nickel and diming us.

Re: Persistance and mysteries in medical billing
  • 5/6/2017 4:08:27 PM
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Except that I can survive without my car for a few weeks. My vital organs, not so much.

Re: Persistance and mysteries in medical billing
  • 5/5/2017 11:08:27 AM
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And in the idea of predictability, why can't we know what costs in hospital will be before we're treated? And a way to comparison shop between medical facilities? It's almost at times like buying a new car, you have no idea what you'll pay for a particular model and make until about the moment you're ready to leave the dealership after signing all the papers.

Re: Persistance and mysteries in medical billing
  • 4/30/2017 7:55:19 PM
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It feels so wrong to get those overage bills. You see the total owed, what insurance paid, then a giant sum for yourself. You already pay monthly premiums and now this too... 

Re: Persistance and mysteries in medical billing
  • 4/30/2017 7:53:34 PM
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"Data integrity" comes to mind with your story -- A bill of mine was once sent to collections because the med group sent it to the wrong address. They confirmed the correct address while I was in the hospital, yet sent the bill to an outdated address that still lingered in the system.

Re: Persistance and mysteries in medical billing
  • 4/29/2017 6:37:09 PM
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@T Sweeney: Or *mischarged*, as I've -- unfortunately -- experienced, having to go down to administrator's offices waving receipts in their faces after having their collectors wrongfully hassling me.

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