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    • I think "never event" was chosen because it will not be reimbursed (negative compensation). But, with the law of unintended consequences, I suspect it will be used to seek tort compensation.

      10 months ago by symtym

      in » Never Events the New Class Actions? symtym

    • The "Never Event" is unfortunately named. In Australia a list of similar events are called Critical Indicators. I accept that they are preventable, but it is hard to say never in medicine...

      10 months ago by DrCris

      in » Never Events the New Class Actions? symtym

    • I wonder about the full disclosure issues. While I believe in them, I think that we are unnecessarily limiting the scope of disclosure practices to physicians. I believe that lawyers, politicians,...

      1 year ago by raja, MD, MS

      in Your Business

    • We don't already have a two-tiered medical system? One for the well-off, and one for everyone else?

      1 year ago by Chuck McKay

      in Concierge Medicine

    • This is important information, especially for an elderly person on the Medicare part d plan. They don't need any more nasty surprises like being declined for care

      1 year ago by Darwin Corby

      in MRSA: Medicare’s Superbug

symtym

...a physician meandering medicine, law and technology...
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OOPS

Started by symtym · 12 months ago

A Costly Out-of-Network Surprise | WSJ | 6.24.05
What Happens When Your Hospital Is In-Network, But the Anesthesiologist Isn’t?

When Tom DiBari and his wife took their infant son, Jackson, for heart surgery in January, they had checked that both the hospital and the surgeon were in their insurance company’s network. So how did ... Continue reading »

2 comments

  • Gimpy Mumpy

    4 years ago

    And I thought this sort of thing only happened to me!
    reply
  • Aggravated DocSurg

    4 years ago

    This is a significant issue for physicians. Insurance company "A" signs a contract with Hospital "X" as the network provider, at a reasonable rate.....then offers the physicians there an unacceptable contract. So, the physicians don't sign, and when patients show up with emergencies, they are understandably frustrated. The physician then spends 6-12 months trying to get paid, and the patient ends up often in collections. Insurance companies need to make it clear that not all physicians at a "network" facility may be network providers.
    reply
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