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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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    1. 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 …

      11 replies 127 retweets 187 likes
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    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
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    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
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    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
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      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.

      6:32 AM - 10 May 2018
      • 6 Retweets
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      10 replies 6 retweets 21 likes
        1. 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
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        1. Black John Cusack‏ @JerryWyCo May 10
          Replying to @sarahkliff

          Is there a compilation of hospitals' facility fees that exists? Turns out that several physicians I have asked about their hospital had no idea what that actual amount is.

          0 replies 0 retweets 1 like
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        2. (A)Manda Goltz‏ @agoltz May 10
          Replying to @sarahkliff

          And bigger hospitals can demand higher prices. It's a two-way negotiation. Brand name hospitals basically tell insurers how much they should be paid, because a payer can't offer a network without the academic medical centers in it.

          1 reply 0 retweets 0 likes
        3. rebeccastob‏ @rebeccastob May 10
          Replying to @agoltz @sarahkliff

          Children's hospitals are the worst!

          0 replies 0 retweets 1 like
        4. End of conversation
        1. New conversation
        2. Shannon Brownlee‏ @ShannonBrownlee May 10
          Replying to @sarahkliff

          Which of course is why hospitals want to consolidate, so they can demand higher prices.

          1 reply 0 retweets 1 like
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        1. Juliana Reno‏ @julianaesq May 10
          Replying to @sarahkliff

          It's not a plan-by-plan issue as much as an insurer-by-insurer issue. An insurer with big market share in a particular geographic area will have have better leverage over a local hospital than an insurer with little market share, and will get lower rates.

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        1. Cedric Dark, MD, MPH‏ @RealCedricDark May 10
          Replying to @sarahkliff

          If that's true, then why does the higher volume plan (blue circles) pay higher prices? 🤔

          0 replies 0 retweets 0 likes
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        1. Jeff V‏ @JMVenz May 10
          Replying to @sarahkliff

          It is interesting to consider that I might be getting the LOW price....

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        1. Adam Davis‏ @arahnd May 10
          Replying to @sarahkliff

          Ahh, got to differentiate between charges and collections here. Are they charged the same?

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