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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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    Sarah Kliff‏Verified account @sarahkliff May 1

    Thread 👇 On October 16, 2016, Jessica Pell went to the ER for a deep cut in her ear. She got an ice pack and bandage but left when she learned her doctor would be out of network. Her bill? $5,751. (1/9)https://www.vox.com/2018/5/1/17261488/er-expensive-medical-bill …

    5:53 AM - 1 May 2018
    • 647 Retweets
    • 743 Likes
    • Alexander Billy Jeffrey Perlman 🔥 💀👻 Michele_sf 🕸🎃🕯 Omar A Enrica Croda Sonia Lee Weary Pirates Psychwriter1515 NunyaDB
    55 replies 647 retweets 743 likes
      1. New conversation
      2. Sarah Kliff‏Verified account @sarahkliff May 1

        This is from the newest story in my ER billing project. For the past 6 months we’ve been collecting ER bills from readers. We’re up to 1,100 from all 50 states! Having a bigger data set helps us sees trends in emergency room billing. http://erbills.vox.com  (2/9)

        5 replies 56 retweets 147 likes
        Show this thread
      3. Sarah Kliff‏Verified account @sarahkliff May 1

        That’s how I started working on this story: I saw a half-dozen bills for people who went to the ER, but never got treated. They left because the wait was long, or concerns that the bill would be too high. All were billed hundreds or thousands of dollars. (3/9)

        3 replies 28 retweets 88 likes
        Show this thread
      4. Sarah Kliff‏Verified account @sarahkliff May 1

        Do ER nurses and doctors deserve a fee for triaging those patients? Absolutely. Should it be $5,751, like Jessica was charged? Absolutely not. (4/9)

        2 replies 19 retweets 117 likes
        Show this thread
      5. Sarah Kliff‏Verified account @sarahkliff May 1

        One ER doc I talked to in Kentucky said that Medicaid typically pays $50 for this service. Medicare usually pays $129. He thought this bill was “excessive and unrealistic.” (5/9)

        1 reply 15 retweets 69 likes
        Show this thread
      6. Sarah Kliff‏Verified account @sarahkliff May 1

        Because of the ER Database, I’ve been able to write all sorts of story about ER billing. I’ve looked at the very high cost of rabies treatments (TL;DR an encounter with a bat can cost more than $10k)… (6/9)https://www.vox.com/policy-and-politics/2018/2/7/16851134/rabies-treament-expensive-emergency-room …

        3 replies 33 retweets 85 likes
        Show this thread
      7. Sarah Kliff‏Verified account @sarahkliff May 1

        ….and I've investigate insurance plans that are denying coverage for visits they say aren’t emergencies. That left one woman I talked to with a $12,000 bill. https://www.vox.com/policy-and-politics/2018/1/29/16906558/anthem-emergency-room-coverage-denials-inappropriate … (7/9)

        4 replies 29 retweets 78 likes
        Show this thread
      8. Sarah Kliff‏Verified account @sarahkliff May 1

        I want to keep writing more stories like this, and I need your help! The bigger the database we have, the more we can identify trends in medical billing. (8/9)

        3 replies 20 retweets 82 likes
        Show this thread
      9. Sarah Kliff‏Verified account @sarahkliff May 1

        Have an ER bill from the past 5 years? Share it with us at http://erbills.vox.com . Don’t have a bill? Share the project with others who might. It’s a huge help to bringing a bit more transparency to a very untransparent health care system. (9/9)

        31 replies 487 retweets 371 likes
        Show this thread
      10. End of conversation
      1. ___ 📎___‏ @ThinSkinTrump May 1
        Replying to @sarahkliff

        This is not healthcare. This is a scam. There's no other way to describe this.

        0 replies 6 retweets 41 likes
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      1. New conversation
      2. Rosamond Bovey‏ @Francophile_66 May 1
        Replying to @sarahkliff @voxdotcom

        Compare this to equivalent bills in European ER, the difference will be staggering. The difference? Private, profit oriented vs. universal with price controls.

        2 replies 6 retweets 21 likes
      3. Nils ThinLissy‏ @greycoatkitten May 1
        Replying to @Francophile_66 @sarahkliff @voxdotcom

        German here. Our hospitals are also for-profit (generally). Still, this does not happen. Odd. Fight for change. This is nuts.

        1 reply 4 retweets 18 likes
      4. Shaun Hensley‏ @ShaunHensleyCA Oct 4
        Replying to @greycoatkitten @Francophile_66 and

        Are your doctors and other healthcare providers trained at public cost?

        1 reply 0 retweets 0 likes
      5. Rosamond Bovey‏ @Francophile_66 Oct 4
        Replying to @ShaunHensleyCA @greycoatkitten and

        In US usually private pay and very onerous due to loans To pay for tuition. Privatized means fees are higher partly to repay those loans.

        0 replies 0 retweets 0 likes
      6. End of conversation
      1. New conversation
      2. DC Deciphered‏ @DCdeciphered May 1
        Replying to @sarahkliff

        This is awesome work. When I contacted NY electeds about the fact the NY offers no plans with out-of-network coverage AND no plans with out of State coverage, the response was "no worries, in an emergency, your insurance has to cover you anywhere."

        1 reply 1 retweet 2 likes
      3. DC Deciphered‏ @DCdeciphered May 1
        Replying to @DCdeciphered @sarahkliff

        That's an inadequate response to begin with, but it's especially absurd since it's impossible to know in advance what your insurance company will consider an emergency. If they disagree with you after you're treated, you're screwed

        0 replies 2 retweets 5 likes
      4. End of conversation
      1. Crom‏ @CromsCorner May 1
        Replying to @sarahkliff @riverracket

        Yeah I went to urgent care for a urine sample, didn’t see a doctor, and was charged 1200$ For profit hospitals are ridiculous and need to be regulated, as do the insurance companies they collude with

        0 replies 3 retweets 8 likes
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      1. New conversation
      2. Tacit Subhexed  🔮 ✨‏ @TSubtext May 1
        Replying to @sarahkliff

        Another facet of this absurd billing model is that patients rarely have sufficient time with their medical providers and so they don't receive adequate info about diagnosis and treatment. And only 12% of patients understand the medical info they do get. https://health.gov/communication/literacy/quickguide/factsbasic.htm …

        1 reply 1 retweet 3 likes
      3. Tacit Subhexed  🔮 ✨‏ @TSubtext May 1
        Replying to @TSubtext @sarahkliff

        Ironically, it's often the lowest paid (least formally trained) caregivers who have time to really talk with patients in detail - and so they develop extensive practical knowledge but they no authority over patient case management.

        1 reply 1 retweet 1 like
      4. Tacit Subhexed  🔮 ✨‏ @TSubtext May 1
        Replying to @TSubtext @sarahkliff

        @sarahkliff, if you'd like to interview a highly capable paramedic who has seen this dynamic occur with numerous patients, please DM me and I'll share her contact info with you.

        0 replies 1 retweet 1 like
      5. End of conversation
      1. Jamie Lancaster‏ @jamielancaster May 7
        Replying to @sarahkliff

        PLEASE keep writing these articles! I believe that YOU Sarah Kliff can make a difference & cause Congress or the President to make changes (ok it’s a long shot but so was the passage of the 27th Amendment).

        0 replies 2 retweets 5 likes
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