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sarahkliff's profile
Sarah Kliff
Sarah Kliff
Sarah Kliff
Verified account
@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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    Sarah Kliff‏Verified account @sarahkliff 4 Dec 2017

    Why is spending on ER fees rising by billions — even when visits hold steady? My latest @voxdotcom piece explores that question. https://www.vox.com/health-care/2017/12/4/16679686/emergency-room-facility-fee-monopolies …pic.twitter.com/pVCfu9EVMF

    8:43 AM - 4 Dec 2017
    • 82 Retweets
    • 105 Likes
    • Jess Adrian Alvarez Jenner scott jamesawagner ((( Russian Bad Boy Bot ))) Sasha Stewart Mrs. Bennet Washington Week
    10 replies 82 retweets 105 likes
      1. New conversation
      2. Zach Kiker‏ @zpkiker 4 Dec 2017
        Replying to @sarahkliff @voxdotcom

        Need explainer on this graph? Is this whole US? 9.4 million ED visits annually? There’s roughly 140 million ED visits per year in US

        1 reply 0 retweets 1 like
      3. Adam Whisler‏ @WhislerA 4 Dec 2017
        Replying to @zpkiker @sarahkliff @voxdotcom

        Yeah, that's odd. In the article it even says 'There are 141 million visits to the emergency room each year'

        1 reply 0 retweets 0 likes
      4. Tim‏ @OpinionatedTim 4 Dec 2017
        Replying to @WhislerA @zpkiker and

        They said level 4 and 5 charges, whatever that means. I guess certain CPT codes. This chart is a little sloppy.

        1 reply 0 retweets 1 like
      5. Sarah Kliff‏Verified account @sarahkliff 4 Dec 2017
        Replying to @OpinionatedTim @WhislerA and

        Hey sorry the chart isn’t clear - there are 9.4 million visits in the HCCI dataset, which is cited in the source line. But going to see if we can create a new version that is more clear.

        2 replies 0 retweets 1 like
      6. Zach Kiker‏ @zpkiker 4 Dec 2017
        Replying to @sarahkliff @OpinionatedTim and

        Zach Kiker Retweeted Ed Gaines

        Have some concerns about this data. See ->https://twitter.com/edgainesiii/status/937786880086691841 …

        Zach Kiker added,

        Ed Gaines @EdGainesIII
        Article cites #HCCI as an objective sources of data--look at the IRS 990 non-profit tax return--millions of $ paid in capital by 3-4 #healthplans & Optum (owned by #UHC) is the back end platform--doesn't that show the bias? https://www.vox.com/health-care/2017/12/4/16679686/emergency-room-facility-fee-monopolies?utm_campaign=vox&utm_content=entry&utm_medium=social&utm_source=twitter … via @voxdotcom
        2 replies 0 retweets 1 like
      7. Tim‏ @OpinionatedTim 4 Dec 2017
        Replying to @zpkiker @sarahkliff and

        I reported CA ER numbers, but I don't know the costs or charges.

        1 reply 0 retweets 0 likes
      8. Abhi Mehrotra,MD,MBA‏ @Abhi_MD 4 Dec 2017
        Replying to @OpinionatedTim @zpkiker and

        So the number of visits captured in the data set went down - why is that? A central question while the national number of visits to EDs continues to increase.

        1 reply 1 retweet 3 likes
      9. Tim‏ @OpinionatedTim 4 Dec 2017
        Replying to @Abhi_MD @zpkiker and

        Based on the article, this report covers specific types of visits. It is possible that ACA is preventing more serious ER visits in favor if IP care, since more people have insurance.

        0 replies 0 retweets 0 likes
      10. End of conversation
      1. Cedric Dark, MD, MPH‏ @RealCedricDark 4 Dec 2017
        Replying to @sarahkliff @voxdotcom

        Because visits aren’t actually flat, maybe. After some serious thought, and with respect to a great health reporter, this is the one graphic that sums up your article.pic.twitter.com/QbLGnLarpd

        0 replies 0 retweets 3 likes
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      1. Sebastian Peitsch‏ @SPeitsch 4 Dec 2017
        Replying to @sarahkliff

        I despise graphs where y doesn't start at zero. It exaggerates changes

        0 replies 0 retweets 3 likes
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      1. annamariechang‏ @annamariechang 4 Dec 2017
        Replying to @sarahkliff @voxdotcom

        While your article is useful, I would say hospitals and not emergency rooms charge the facility fee. The headline seems to blame us when I, as a physician, cannot tell you what my hospital charges for facility fees.

        0 replies 0 retweets 1 like
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      1. Ryan O'Halloran‏ @rto3 5 Dec 2017
        Replying to @sarahkliff @voxdotcom

        This is an irresponsible and naive analysis of both the policy and medicine regarding ED usage, moral hazard, and the cost of same.

        0 replies 0 retweets 0 likes
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      1. Stephanie Morain‏ @SMorain 4 Dec 2017
        Replying to @sarahkliff @voxdotcom

        fantastic reporting on this--thank you! #NotFakeNews

        0 replies 0 retweets 0 likes
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      1. Melanie T‏ @MelanieTaylor05 4 Dec 2017
        Replying to @sarahkliff @voxdotcom

        I’m curious if there is a way to compare the numbers between states that allow freestanding ERs (i.e. not attached to a hospital) vs. states that don’t? Does competition from non-hospitals reduce costs across board, or does everyone just charge huge facility fees in those states?

        0 replies 0 retweets 0 likes
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      1. Sean McCabe‏ @darthstar99 4 Dec 2017
        Replying to @sarahkliff @voxdotcom

        After the GOP budget axes part of Obamacare, expect ER visits to increase again.

        0 replies 0 retweets 0 likes
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      1. phrase monster‏ @thisisphogan 4 Dec 2017
        Replying to @sarahkliff @voxdotcom

        whole cottage industry of consultants who "optimize" billing: "ED Coding Initiative Boosts Revenue by 20 Percent" http://www.hfma.org/Content.aspx?id=20671 … http://www.mckesson.com/bps/services/revenue-cycle-management-services-for-physicians/revenue-cycle-services-for-emergency-medicine/ … http://360medicalbillingservices.com/medical-billing-consultants/ …

        0 replies 0 retweets 0 likes
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      1. Haytham Matthews‏ @HaythamMatthews 4 Dec 2017
        Replying to @sarahkliff @voxdotcom

        Nice work. It is only by getting into this kind of detail that we can avoid being mislead by erroneous "common-sense" arguments.

        0 replies 0 retweets 0 likes
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