Mark Christensen figured his hospital bill was a mistake.
The document from Allina Health arrived in February, stating the 61-year-old Woodbury resident owed the hospital a staggering sum — $155,493.
It made no sense, Christensen said. He had coverage through his employer from a reputable health insurer. And the need for the care was undeniable; Christensen was hospitalized for about a month for treatment of a rare and deadly blood cancer.
But his insurer, Empire BlueCross BlueShield, refused to pay because Allina hadn't obtained authorization for Christensen's transfer to a new hospital, which happened about halfway through his inpatient stay.
The company has a policy stipulating that when interfacility transfers aren't approved, all claims for care at the second hospital can be deemed not medically necessary.
This decision left Christensen responsible for the bill.
At tremendous cost to taxpayers and people with Medicare, the government has overpaid Medicare Advantage plans tens of billions of dollars for more than a decade and is projected to overpay them more than $1 trillion in the next decade. Just as the government recoups overpayments to individuals it should be recouping Medicare Advantage overpayments, not rewarding them with greater revenues. In addition to driving up costs for everyone with Medicare, it is eroding the Medicare Trust Fund. I urge you to reduce MA rates to a level commensurate with Traditional Medicare and recoup all overpayments. Thanks!
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Broker Change Leads to Better Results
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May 26, 1962 - In the White House Rose Garden today, President Kennedy spoke to members of the National Council of Senior Citizens about health insurance for the aged through Social Security.
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