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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 10

    This study from @zackcooperYale and @MartinSGaynor is one of the most revealing health policy studies I’ve read this year.https://www.vox.com/policy-and-politics/2018/5/9/17337134/health-care-costs-hospital-rates-insurance …

    6:23 AM - 10 May 2018
    • 127 Retweets
    • 187 Likes
    • morgan? C.H. Latin It's easier to follow the truth eric mattison John Wisniewski Max Rubinstein Phderelict Melissa Brianna Wu
    11 replies 127 retweets 187 likes
      1. New conversation
      2. Sarah Kliff‏Verified account @sarahkliff May 10

        The big thing this new study shows is that prices for really standard procedures, like MRIs, don’t just vary between hospitals. They vary a lot *with in* hospitals.https://www.vox.com/policy-and-politics/2018/5/9/17337134/health-care-costs-hospital-rates-insurance …

        3 replies 33 retweets 74 likes
        Show this thread
      3. Sarah Kliff‏Verified account @sarahkliff May 10

        You see that on this chart, which shows the prices for a lower-limb MRI at the exact same hospital. Look at the big variation between the different color dots, which are different insurerspic.twitter.com/VrUG5luvm9

        1 reply 12 retweets 17 likes
        Show this thread
      4. Sarah Kliff‏Verified account @sarahkliff May 10

        These are very likely insurers paying significantly different amounts to use the exact same MRI machine at the exact same hospital. ¯\_(ツ)_/¯

        5 replies 13 retweets 31 likes
        Show this thread
      5. Sarah Kliff‏Verified account @sarahkliff May 10

        This is something I see in my ER reporting too (and hopefully can report on when we have a bigger data set) — facility fees vary significantly depending on which insurance plan you have. Bigger plans can demand lower prices.

        10 replies 6 retweets 21 likes
        Show this thread
      6. Sarah Kliff‏Verified account @sarahkliff May 10

        Anyway, this is all to say you should read this paper! The end. http://www.healthcarepricingproject.org/sites/default/files/20180507_variationmanuscript_0.pdf …

        3 replies 3 retweets 17 likes
        Show this thread
      7. End of conversation
      1. HCCI‏Verified account @HealthCostInst May 10
        Replying to @sarahkliff @zackcooperYale @MartinSGaynor

        Pleased to see this important work powered by #HCCIData

        0 replies 1 retweet 4 likes
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      1. New conversation
      2. SpaceMan Spiff‏ @movinmeat May 10
        Replying to @sarahkliff @zackcooperYale @MartinSGaynor

        Are you just figuring this out? News flash - Medicare and Medicaid will *also* pay different prices for that same service.

        1 reply 0 retweets 4 likes
      3. SpaceMan Spiff‏ @movinmeat May 10
        Replying to @movinmeat @sarahkliff and

        And it’s not wrong but misleading to say that hospitals “keep these prices secret.” If a provider publicized their negotiated rates w carriers they open themselves to charges of collusion or price fixing.

        1 reply 0 retweets 1 like
      4. SpaceMan Spiff‏ @movinmeat May 10
        Replying to @movinmeat @sarahkliff and

        That’s “competitively sensitive data” and sharing it w your competitors is a big no-no to the Feds.

        0 replies 0 retweets 1 like
      5. End of conversation
      1. VOTE: Early or absentee if possible‏ @MartiniChip May 10
        Replying to @sarahkliff @zackcooperYale @MartinSGaynor

        We need single payer system

        0 replies 0 retweets 2 likes
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      1. New conversation
      2. sum_dude44‏ @sum_dude44 May 10
        Replying to @sarahkliff @zackcooperYale @MartinSGaynor

        That’s how insurance works-they negotiate rates w/in hospitals. If they negotiated a better price on mri, then they’ll charge more in premiums to consumer. This doesn’t show anything new

        1 reply 0 retweets 0 likes
      3. Laren‏ @LarenMR May 10
        Replying to @sum_dude44 @sarahkliff and

        Just because it’s typical, doesn’t mean it’s right.pic.twitter.com/PbohZNPjyD

        0 replies 0 retweets 2 likes
      4. End of conversation
      1. Ⓡⓤⓘ‏ @ruicarsa May 10
        Replying to @sarahkliff @zackcooperYale @MartinSGaynor

        Great argument for an European style 'catch all' insurance with a lot of purchasing power and transparent pricing. It sets the price bar for the private insurers.

        0 replies 0 retweets 1 like
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      1. Abby Jordan‏ @abbyjordan311 May 10
        Replying to @sarahkliff @zackcooperYale @MartinSGaynor

        This is why hospitals don’t like to share their prices, because the hospital price is irrelevant- insurance decides what they will pay.

        0 replies 0 retweets 1 like
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      1. Harris Meyer‏ @MHHmeyer May 10
        Replying to @sarahkliff @zackcooperYale @MartinSGaynor

        See our story yesterday.http://www.modernhealthcare.com/article/20180509/NEWS/180509912/dominant-hospitals-dictate-price-and-contract-terms …

        0 replies 0 retweets 1 like
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      1. Donna Willis, MD, MPH‏ @DonnaWillisMD May 10
        Replying to @sarahkliff @zackcooperYale @MartinSGaynor

        Yet, like #guncontrol Americans are assaulted until death by uncontrollable pricing NO OTHER filthy rich nation or poor are slaves to #BigPharma #MedicalDevices #HealthInsurance & levels of inefficiences to complement a cancerous medical system

        0 replies 0 retweets 1 like
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      1. Diane Rydrych‏ @DRydrych May 14
        Replying to @sarahkliff @zackcooperYale @MartinSGaynor

        In the same vein, here's some recent work using the #MNAPCD that shows signif price variation both across and w/in hospitals for common procedures, for commercial payers: http://www.health.state.mn.us/healthreform/allpayer/pricevariation.pdf … Next rpt in series coming soon...stay tuned.

        0 replies 0 retweets 0 likes
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      1. Sally Mudd‏ @sallymudd May 10
        Replying to @sarahkliff @zackcooperYale @MartinSGaynor

        We knew there were variations in price between hospitals but it’s pretty astounding that price varies within hospitals as well.

        0 replies 0 retweets 0 likes
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