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sarahkliff's profile
Sarah Kliff
Sarah Kliff
Sarah Kliff
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@sarahkliff

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Sarah KliffVerified account

@sarahkliff

Senior Policy Correspondent @voxdotcom. Running a year-long project on emergency room billing. Help out by sharing your bill!

Washington, DC
erbills.vox.com
Joined January 2009

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    1. Sarah Kliff‏Verified account @sarahkliff 16 Oct 2017

      Thread. A year ago I got an astounding health care bill: $629 for a Band Aid delivered in an emergency room. (1/11)pic.twitter.com/9zZTNyOqLl

      403 replies 4,207 retweets 5,062 likes
      Show this thread
    2. Sarah Kliff‏Verified account @sarahkliff 16 Oct 2017

      I started poking around. I learned about something called an “ER facility fee.” A base price for seeking any care in an ER setting. (2/11)

      33 replies 174 retweets 565 likes
      Show this thread
    3. Sarah Kliff‏Verified account @sarahkliff 16 Oct 2017

      In the case of the $629 Band Aid, the bill broke down to $7 for the Band Aid and $622 for the facility fee. (3/11)https://www.vox.com/2016/5/13/11606760/emergency-facility-fees-american-health-care …

      33 replies 403 retweets 752 likes
      Show this thread
      Sarah Kliff‏Verified account @sarahkliff 16 Oct 2017

      I’ve been obsessed with facility fees since. Hospitals keep them secret. How much are facility fees? Do they vary? How are they set? (4/11)

      7:41 AM - 16 Oct 2017
      • 206 Retweets
      • 735 Likes
      • Angela Kohtz Zack Cooper adgomez This American Adam Buffy's Blog (already scary, duh) (((Olivia Kinnear))) Kirsten BOO’Nell Estarianne, Head Witch, Chief of Hexes 😈 MAKE THE DEMS WHIGS.🖕
      15 replies 206 retweets 735 likes
        1. New conversation
        2. Sarah Kliff‏Verified account @sarahkliff 16 Oct 2017

          Today, I’m launching a big project to answer these questions. We are crowdsourcing a database of facility fees using YOUR bills. (5/11)

          13 replies 245 retweets 907 likes
          Show this thread
        3. Sarah Kliff‏Verified account @sarahkliff 16 Oct 2017

          Facility fees are a small window into the biggest problem in American health care: our outlandish prices. (6/11)

          11 replies 261 retweets 958 likes
          Show this thread
        4. Sarah Kliff‏Verified account @sarahkliff 16 Oct 2017

          Today, I wrote a story about a $25,000 bill for an MRI. That only happens in America. (7/11) https://www.vox.com/policy-and-politics/2017/10/16/16357790/health-care-prices-problem …pic.twitter.com/cJ8iEoSyk9

          116 replies 1,003 retweets 1,723 likes
          Show this thread
        5. Sarah Kliff‏Verified account @sarahkliff 16 Oct 2017

          We need help. Because these fees are secret, we need you to share your ER bills through our secure website: http://erbills.vox.com  (8/11)

          68 replies 1,159 retweets 1,634 likes
          Show this thread
        6. Sarah Kliff‏Verified account @sarahkliff 16 Oct 2017

          I’ll use this data for a year long project on health care billing. We’ll bring transparency to one corner of American health care. (9/11)

          13 replies 231 retweets 983 likes
          Show this thread
        7. Sarah Kliff‏Verified account @sarahkliff 16 Oct 2017

          Thank you, thank you, thank you so much in advance! So thrilled to see where this story goes (10/11)

          22 replies 99 retweets 638 likes
          Show this thread
        8. Sarah Kliff‏Verified account @sarahkliff 16 Oct 2017

          And if you want to learn more about that $629 Band Aid, check out the first episode of The Impact! (11/11)https://www.vox.com/the-impact/2017/10/16/16387298/band-aid-er-bill-truth-american-health-care …

          69 replies 285 retweets 896 likes
          Show this thread
        9. End of conversation
        1. New conversation
        2. Andrew Johnson‏ @DrewFromCleve 17 Oct 2017
          Replying to @sarahkliff

          Facility fees are the charges from a hospital not directly related to professional expertise of a physician, not a big secret...

          1 reply 0 retweets 1 like
        3. Andrew Johnson‏ @DrewFromCleve 17 Oct 2017
          Replying to @DrewFromCleve @sarahkliff

          Also people, please don't go to the ER unless it is really an emergency, this REALLY is a significant problem with our health system

          0 replies 0 retweets 1 like
        4. End of conversation
        1. Kat Macfarlane‏ @KatAMacfarlane 16 Oct 2017
          Replying to @sarahkliff

          Infusion center fees are similar. All I need is a BP monitor and an IV drip and all of a sudden it's a 1K surcharge.

          0 replies 0 retweets 1 like
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        1. Rcrats‏ @Cratsrc 16 Oct 2017
          Replying to @sarahkliff

          In WA some off-campus provider-based clinics charge facility fee too https://www.doh.wa.gov/DataandStatisticalReports/HealthcareinWashington/HospitalandPatientData/HospitalFinancialData/HospitalFacilityFees …

          0 replies 0 retweets 1 like
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        1. Bearcat MPH‏ @Bearcat_MPH 17 Oct 2017
          Replying to @sarahkliff

          Not much of a secret, people aren't walking around hospitals whispering about facility fees, actually pretty standard stuff.

          0 replies 0 retweets 1 like
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        1. New conversation
        2. Tarak Trivedi, MD‏ @TarakTrivedi 16 Oct 2017
          Replying to @sarahkliff

          California has taken some steps towards transparency, by requiring public chargemaster data.https://www.oshpd.ca.gov/chargemaster/ 

          1 reply 1 retweet 0 likes
        3. Paul‏ @PaulRRobichaux 18 Oct 2017
          Replying to @TarakTrivedi @sarahkliff

          Chargemaster tells u nothing unless you’re a cash patient. U need negotiated rate transparency

          1 reply 0 retweets 0 likes
        4. Tarak Trivedi, MD‏ @TarakTrivedi 18 Oct 2017
          Replying to @PaulRRobichaux @sarahkliff

          I think it matters a bit more in the world of balance billing...

          1 reply 0 retweets 0 likes
        5. 1 more reply
        1. Frank‏ @Frank85737878 16 Oct 2017
          Replying to @sarahkliff @justin_fenton

          Even just for a doctor visit

          0 replies 0 retweets 0 likes
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        1. Paul‏ @PaulRRobichaux 18 Oct 2017
          Replying to @sarahkliff

          Nope, not usually hidden in my experience. They are actually separate codes/modifiers. Talk with a Coder, they’ll know more

          0 replies 0 retweets 0 likes
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        1. Peggy Kopp‏ @peggy_kopp 18 Oct 2017
          Replying to @sarahkliff

          Facility fees are the charges for nurses. That intelligent and kind person who checked your health, held your hand, applied the bandaid.

          0 replies 0 retweets 0 likes
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        1. Jon P‏ @jp_in_nj 16 Oct 2017
          Replying to @sarahkliff

          I'm having a minor outpatient surgery this week. The facility fee is just about as much as the surgeon's fee - around $2500.

          0 replies 0 retweets 0 likes
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