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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 23

      The newest story in my ER billing series: He went to an in-network emergency room. He still ended up with a $7,924 bill. Diving into the high frequency of out-of-network billing at in-network ERs.https://www.vox.com/2018/5/23/17353284/emergency-room-doctor-out-of-network …

      27 replies 96 retweets 149 likes
    2. Jeremiah Schuur, MD‏ @JSchuurMD May 23
      Replying to @sarahkliff

      Title misses “from an out of network oral surgeon”

      3 replies 0 retweets 13 likes
    3. Kelly Doran‏ @KellyMDoran May 23
      Replying to @JSchuurMD @sarahkliff

      From the article: “surprise bills are the most common in ER visits where the patient is ultimately admitted to the hospital for further treatment...often from specialists...” So why frame as “ER” problem vs “hospital” or “specialist” problem? Headlines are important.

      1 reply 0 retweets 6 likes
    4. Sarah Kliff‏Verified account @sarahkliff May 23
      Replying to @KellyMDoran @JSchuurMD

      Morning! I think it's fair to use ER in the headline because that is the site where the patients I'm writing about are receiving care. As I note in the article, 14 percent of ER patients who remain outpatient also face out-of-network bills.

      8 replies 0 retweets 12 likes
    5. Kelly Doran‏ @KellyMDoran May 23
      Replying to @sarahkliff @JSchuurMD

      Thanks for replying! Of the 14% who were discharged from ED, do you know for what % the surprise bills came from specialist consults vs. ED docs? That would be helpful to know re: how to frame and how to best address the problem (re-replying, typo in my 1st!)

      2 replies 0 retweets 2 likes
      Sarah Kliff‏Verified account @sarahkliff May 23
      Replying to @KellyMDoran @JSchuurMD

      This is from the Garmon study I cite in the piece, which unfortunately doesn't have that level of specificity. It's here: https://www.healthaffairs.org/doi/abs/10.1377/hlthaff.2016.0970 … This separate report from TX suggests its a problem that spreads across ED docs/specialists https://forabettertexas.org/surprisebills/img/2017_HW_SurpriseMedBill.pdf …

      4:58 AM - 23 May 2018
      • 3 Likes
      • Leslie Thomasson Oliver Hulland Kelly Doran
      1 reply 0 retweets 3 likes
        1. New conversation
        2. Sarah Kliff‏Verified account @sarahkliff May 23
          Replying to @sarahkliff @KellyMDoran @JSchuurMD

          Separately, I think @zackcooperYale's research on ER staffing suggests that this is a challenge that spreads pretty widely across different types of physicians working in ERs.https://www.nytimes.com/2017/07/24/upshot/the-company-behind-many-surprise-emergency-room-bills.html …

          2 replies 1 retweet 3 likes
        3. Kelly Doran‏ @KellyMDoran May 23
          Replying to @sarahkliff @JSchuurMD @zackcooperYale

          Thanks, saw that one! Definitely some bad actors and seems like a multi-factorial problem. Here’s why I worry about ER-focused framing BTW: 1) ERs already demonized in health care, has led to misguided policy efforts & more, and...

          1 reply 1 retweet 3 likes
        4. Kelly Doran‏ @KellyMDoran May 23
          Replying to @KellyMDoran @sarahkliff and

          2) People already scared to go to ER due to $ and I would hate to see even more avoiding ER care they need (yes, we—the entire health care and political system—really need to fix it so people aren’t afraid of bankruptcy from needed medical care)

          1 reply 1 retweet 8 likes
        5. Sarah Kliff‏Verified account @sarahkliff May 23
          Replying to @KellyMDoran @JSchuurMD @zackcooperYale

          Agree with you there - but doesn’t a lot of the responsibility there sit with the people setting charges and communicating them to patients? (I’m talking about hospital CFOs here, not ER docs). My reporting suggests patients would be less scared if they knew what bills to expect.

          5 replies 0 retweets 5 likes
        6. Alison Haddock‏ @AdvocacyMD May 23
          Replying to @sarahkliff @KellyMDoran and

          Thanks so much for engaging with us ER docs, @sarahkliff ! Emergency care is so unpredictable, and insurance company behavior is so unpredictable — I have trouble imagining how hospital adminis could provide specific enough information to be useful to the pts.

          2 replies 0 retweets 7 likes
        7. Kelly Doran‏ @KellyMDoran May 23
          Replying to @AdvocacyMD @sarahkliff and

          Totally agree @AdvocacyMD! Do you think they might play a more upstream role in choosing their providers wisely? As alluded to by @JSchuurMD

          1 reply 0 retweets 0 likes
        8. Sarah Kliff‏Verified account @sarahkliff May 23
          Replying to @KellyMDoran @AdvocacyMD and

          I am happy to chat with y’all about this, but I’m afraid it will take more than 280 characters. Feel free to email me at Sarah.kliff@vox.com!

          0 replies 0 retweets 3 likes
        9. End of conversation

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