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Julie Kliger

Senior Managing Director at FTI Consulting, Healthcare Solutions Enterprise Technology and Digital Transformation Co-Leader

127377 followers 500+ connections
Buyer Beware: Importance of Comprehensive Health Insurance When it comes to health coverage, more is better—especially when something like neurological monitoring in the OR can cost you $94,000 for 4 hours...as is the case for this 26 year old woman who thought she had good insurance... New Government laws are allowing the sale of ‘skinny’ health plans that can turn away people with pre-existing medical conditions or don’t cover all expenses. With insurance, it is understanding which doctors and services are part of your plan—or what’s called ‘contracted providers or covered services.’ If a doctor or service is not ‘in network’ (as is the case in this story about neurological monitoring in the OR—which might or might not actually provide any value—), you can bet your bottom dollar all your dollars are going to go towards paying a hefty bill! Selected Excerpt: "Unfortunately, non-contracted providers can expose our members to significantly greater out-of-pocket costs. These charges often have no connection to underlying market prices, costs or quality...” Meaning, you are on your own for paying what we charge you whether the service had any value and regardless of whether it was any good...Finally we have some honesty... …see more

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