The SelfPay Sentinel

Health Insurers are trying to get out of paying for anesthesia. 🤦 On November 1, Blue Cross Blue Shield (specifically Anthem Blue Cross Blue Shield Plans representing Conneticut, New York, and Missouri) announced a policy revision that is set to take effect on February 1, 2025. The change will impact anesthesia claims under CPT codes 00100 through 01999. "Under the new policy, Anthem BCBS will use CMS physician work time values to determine the allowable time for anesthesia services. Claims exceeding the predetermined time limits will be denied." Connecticut state senator Dr. Jeff Gordon stated that as a medical doctor, he can provide many real-world examples that demonstrate how predetermined time limits for anesthesiology coverage are unreasonable. "This policy is contrary to providing good and safe medical care for people in Connecticut and other states. It could result in avoidable adverse events or unnecessary poor outcomes. Why would Anthem BCBS pursue such a policy?" (Dr. Jeff Gordon) What are insurance companies here for if not to take care of patients? Do they even care about the patient? #healthcare #healthinsurance #selfpayhealthcare

As a patient, understanding the process involved in Medical Billing can help you make more informed decisions about your healthcare coverage and how you interact with the healthcare system. Whether it’s choosing a plan during open enrollment or negotiating a medical bill, being aware of how hospitals and insurance companies work together can empower you to take control of your healthcare experience. #healthcare #healthinsurance #selfpayhealthcare

During our workshops we help people with putting together a self-pay healthcare plan of action. One of the most common questions we get during theses workshops is, 'is it even possible to switch to self-pay with my chronic condition?' People with chronic conditions often feel like they're stuck in a stalemate. They're dependent on a system that is crippling their financial position, leaving them feeling stressed and anxious about their condition. Our answer is usually yes, depending on the circumstances. But, what we've learned is that people are often surprised by the amount of online resources and support they can get when they start doing in-depth research on their condition.

UnitedHealthcare is not a payor Medicare is not a payor Medicaid is not a payor Aetna is not a payor Cigna is not a payor BCBS is not a payor It's not health insurers' money It's your money Taxes Premiums Deductible Co-insurance Out-of-pocket Wage stagnation Health insurers process Health insurers gate-keep Health insurers adjudicate Health insurers profit But they don't pay We do P.S. Are you a doctor ready to opt-out of the insurance game and practice on your terms? Got something for you: https://buff.ly/48pPCJQ See you out there!

Health Insurance Premiums continue to rise year after year and it doesn't seem like that trend is going away anytime soon! #healthcare #healthinsurance #selfpayhealthcare

Our healthcare system is a wild success For all these folks: Private equity firms Insurance companies Mega health systems Hedge fund managers Medical device companies Pharmaceutical companies Traditional insurance brokers Pharmacy benefits managers Clearing houses and processors Medtech and healthtech companies Contractors building new surgery towers But what about everyone else? Physician assistants Nurse practitioners Physical therapists Pharmacists Physicians Patients Nurses And everything else? Quality Access Outcomes Affordability Healthcare is a smashing financial success But at what cost? P.S. If you want to see what's fueling the financial success of the healthcare system, you'll be very interested to know that it's all we talk about at The Healthcare Breakdown (plus the hot button pop culture topics you care about most - that's right... Taylor and Travs) Check it out here: https://buff.ly/47NeASx See you out there!

Healthcare providers know that it's more beneficial to work directly with patients instead of having to deal with insurance companies. That's why we're seeing more and more providers introducing Direct Primary Care options! #healthcare #healthinsurance #selfpayhealthcare

As the healthcare landscape continues to evolve, telemedicine has emerged as a viable alternative tool for providing healthcare services to patients all over the U.S. #healthcare #telemedicine #healthinsurance #selfpayhealthcare

You'll never have to worry about navigating self-pay alone!

Discover How Indemnity Insurance Can Provide Extra Peace of Mind and Financial Flexibility for Those Managing Healthcare Costs Independently! #healthcare #healthinsurance #selfpayhealthcare