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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 Jan 23

    The madness of American medical billing, in one woman’s tweets. https://www.vox.com/policy-and-politics/2018/1/23/16920768/medical-billing-prepay-surgery …pic.twitter.com/CaiCrdJ6pf

    6:03 AM - 23 Jan 2018
    • 670 Retweets
    • 978 Likes
    • Scala PLOW krisgopal oneissuegirl🌹 Yazmin Pefnic Paul J Roane Ann Hoff Jen 🌈 Lenorafc
    89 replies 670 retweets 978 likes
      1. New conversation
      2. David Whelan‏ @WhelanHealth Jan 23
        Replying to @sarahkliff

        Kind of curious to see reactions to this one. Are you saying patients shouldn’t pay for elective surgery?

        34 replies 0 retweets 8 likes
      3. Sarah Kliff‏Verified account @sarahkliff Jan 23
        Replying to @WhelanHealth

        Not at all - but that billing them the entire bill deductible 18 hours before surgery (and suggesting they can't get the surgery without making a lump sum payment) seems like a bad system!

        5 replies 0 retweets 75 likes
      4. d@r6y‏ @DarbyKathleen Jan 23
        Replying to @sarahkliff @WhelanHealth

        And "elective" doesn't always mean unneeded. My dad had "elective" cancer treatment that saved his life. Insurance wouldn't cover it - it was new &more expensive than traditional chemo. Now it's the standard chemo treatment. Parents are 70 & still working cause it bankrupted them

        0 replies 9 retweets 42 likes
      5. End of conversation
      1. New conversation
      2. qazstan‏ @Qazstan Jan 23
        Replying to @sarahkliff @dinabass

        Last time I was in the ER, there was a roving finance person who would go from room to room checking on insurance status, and getting credit cards to pay for copays and deductibles.

        3 replies 3 retweets 22 likes
      3. qazstan‏ @Qazstan Jan 23
        Replying to @Qazstan @sarahkliff @dinabass

        Which felt very exploitative since for many people, myself included, they had already started patients on pain medicine, and if not, the patient may have been in pain. They already had got all my info at check in; this was solely a collection rate improvement effort.

        4 replies 2 retweets 18 likes
      4. qazstan‏ @Qazstan Jan 23
        Replying to @Qazstan @sarahkliff @dinabass

        The woman was very nice and even helped me get my credit card from my bag/wallet, which I couldn't do myself since my arm was literally hanging out of its socket.

        1 reply 1 retweet 11 likes
      5. qazstan‏ @Qazstan Jan 23
        Replying to @Qazstan @sarahkliff @dinabass

        I understand they want to get paid, but getting credit card info from patients pre-treatment at ER is unseemly. Just send a bill.

        2 replies 1 retweet 28 likes
      6. Heather Blackett‏ @HeatherBlacket1 Jan 23
        Replying to @Qazstan @sarahkliff @dinabass

        I can't begin to explain how absurd and obscene this sounds to a non-American. It's hard to understand why this is acceptable to people, why they don't riot or throw out their representatives and get a normal healthcare system. It sounds so cruel.

        2 replies 8 retweets 34 likes
      7. Carol Davies Wigley‏ @pinkbassist Jan 23
        Replying to @HeatherBlacket1 @Qazstan and

        Most people don’t realize until it happens to them, or a member of their family. Until then, denial works or they just don’t even think about it. What then?You should have to pay for catastrophic healthcare bills by a GoFundMe page or community fundraisers? #Universal #Healthcare

        0 replies 1 retweet 19 likes
      8. End of conversation
      1. New conversation
      2. End Israel‏ @Krankier Jan 23
        Replying to @sarahkliff

        Had ankle surgery last Monday. They started calling me three days before harassing me for money. I paid 1/2. Morning of surgery 1st conversation is where is the rest of their $. Without insurance I would still be limping, getting worse. Pre-negotiated cost; $94,000.

        2 replies 13 retweets 40 likes
      3. End Israel‏ @Krankier Jan 23
        Replying to @Krankier @sarahkliff

        And our politicians think a person could afford that by not buying an iPhone.

        1 reply 10 retweets 105 likes
      4. PissedOffCitizen‏ @MaggieF59 Jan 23
        Replying to @Krankier @sarahkliff

        Remember how much our dear @POTUS thinks insurance costs:pic.twitter.com/aJWRfJKjz3

        This media may contain sensitive material. Learn more
        1 reply 6 retweets 25 likes
      5. 1 more reply
      1. New conversation
      2. Matt Tremblay‏ @daddymatt08 Jan 23
        Replying to @sarahkliff @voxdotcom

        Anyone else have a $6000 deductible? Is that just normal and acceptable now?

        8 replies 1 retweet 20 likes
      3. Judy Brandt‏ @judywbrandt Jan 23
        Replying to @daddymatt08 @sarahkliff @voxdotcom

        I pay $1000/mo premium with a $7000 deductible.

        13 replies 1 retweet 26 likes
      4. 1 more reply
      1. Nurse Ratched‏ @veggie64_leslie Jan 23
        Replying to @sarahkliff

        I was laying in the ER, writhing in terrible pain from a kidney stone so large it had to be removed surgically and a rep came in and demanded my ER $50 deductible upfront I’ve worked at that hospital for 25 years

        0 replies 14 retweets 22 likes
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      1. New conversation
      2. Autumn Yatabe‏ @SciRocker Jan 23
        Replying to @sarahkliff

        When I was an undergrad I had a surgery approved by my insurance company. 3 days AFTER I got home from hospital the company sent a letter saying they had changed their minds and would cover none of it. I was stuck with a 6K bill. My doc waived his fee in protest. Good doc.

        2 replies 2 retweets 18 likes
      3. Autumn Yatabe‏ @SciRocker Jan 23
        Replying to @SciRocker @sarahkliff

        I worked part time and was a full time student. I paid for my own insurance, living expenses and school. I had to payoff that bill off in tiny installments for years. Wound up taking out school loans to help pay it off.

        0 replies 1 retweet 6 likes
      4. End of conversation
      1. New conversation
      2. Kathy Kassab‏ @GatewayGoddess Jan 23
        Replying to @sarahkliff

        My husband had cancer last year. We had to pay for everything up front til our deductible was met. Or no tests, no chemo. We could do it but it was still shocking. Pay up as you register, no prior notice. What happens to people who aren’t expecting this? Go home and die?

        7 replies 4 retweets 23 likes
      3. Camalita Lee Daniels‏ @Camie2007 Jan 23
        Replying to @GatewayGoddess @sarahkliff

        Yes. That's how my mother died of treatable breast cancer.

        1 reply 1 retweet 1 like
      4. Kathy Kassab‏ @GatewayGoddess Jan 23
        Replying to @Camie2007 @sarahkliff

        So sorry to hear. And yes--that was sadly a rhetorical question.

        0 replies 0 retweets 4 likes
      5. End of conversation

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