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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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    1. Sarah Kliff‏Verified account @sarahkliff May 23

      Thread time! 👇 On January 28, Scott Kohan was violently attacked and left unconscious in downtown Austin. He woke up in the ER with his jaw broken in two places. (1/10)pic.twitter.com/Jcqf9aDC9G

      12 replies 134 retweets 147 likes
      Show this thread
    2. Sarah Kliff‏Verified account @sarahkliff May 23

      Scott wakes up at Dell Seton Memorial Hospital in Austin. He’s worried about his jaw. But he’s worried about his bill. So he immediately gets on his iPhone and starts trying to figure out if this hospital is in-network. (2/10)

      2 replies 6 retweets 20 likes
      Show this thread
      Sarah Kliff‏Verified account @sarahkliff May 23

      Good news it is! Except, it kind of sort of isn’t: turns out that the oral surgeon who sees Scott in the ER is out of network. He doesn’t accept any medical insurance. But Scott doesn’t know this at the time. He assumes, in-network hospital means in-network docs. (3/10)

      6:18 AM - 23 May 2018
      • 10 Retweets
      • 25 Likes
      • Hannah Yoon 👻 👖 DHCooper MarkBMadsen Ilana Panich-Linsman 💙BlueTexas💙8645 Qusea Saif Dave A.F. Patrick Thornton
      6 replies 10 retweets 25 likes
        1. New conversation
        2. Sarah Kliff‏Verified account @sarahkliff May 23

          This is how he ends up with a $7,924 bill from the oral surgeon that his insurance denies. I wrote about his story today: https://www.vox.com/2018/5/23/17353284/emergency-room-doctor-out-of-network … (4/10)

          5 replies 16 retweets 37 likes
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        3. Sarah Kliff‏Verified account @sarahkliff May 23

          This type of billing happens pretty frequently, especially where Scott lives in Texas. One study estimates that for his insurance, a staggering number of ER’s in Texas have *zero* in-network doctors: https://forabettertexas.org/surprisebills/img/2017_HW_SurpriseMedBill.pdf5 … (5/10)

          3 replies 15 retweets 45 likes
          Show this thread
        4. Sarah Kliff‏Verified account @sarahkliff May 23

          After I called the oral surgeon’s office, Scott found out they planned to reverse the bill entirely. Which is great for him - but still leaves this really big problem of out-of-network providers at in-network facilities for a whole bunch of other patients. (6/10)

          5 replies 7 retweets 60 likes
          Show this thread
        5. Sarah Kliff‏Verified account @sarahkliff May 23

          Sarah Kliff Retweeted Zack Cooper

          This is actually an area where the policy solutions are actually really clear and decently easy! Like this one from @zackcooperYale: https://twitter.com/zackcooperYale/status/999266641639862272 … (7/10)

          Sarah Kliff added,

          Zack Cooper @zackcooperYale
          The amazing part of surprise billing is that it doesn’t need to happen. There are simple policy changes that could eliminate it entirely, like hospitals requiring their physicians have networks that match the networks of the hospital where they work https://twitter.com/sarahkliff/status/999246268626034688 …
          6 replies 9 retweets 40 likes
          Show this thread
        6. Sarah Kliff‏Verified account @sarahkliff May 23

          Or this one from @LorenAdler and co. At Brookings: https://www.brookings.edu/research/solving-surprise-medical-bills/ … There are so many really hard to fix problems in health care. This just isn’t one of them. (8/10)

          2 replies 6 retweets 29 likes
          Show this thread
        7. Sarah Kliff‏Verified account @sarahkliff May 23

          This is another story from Vox’s ER billing database. We’ve received bills from over 1,300 patients at this point who live in all 50 states. (9/10)pic.twitter.com/vl08mW07dk

          4 replies 11 retweets 26 likes
          Show this thread
        8. Sarah Kliff‏Verified account @sarahkliff May 23

          Want to help us further this reporting? Submit your bill. Or share the database with someone you know who has been to the ER recently. It would be a big help. http://erbills.vox.com  (10/10)

          4 replies 30 retweets 30 likes
          Show this thread
        9. Sarah Kliff‏Verified account @sarahkliff May 23

          Screwed up my first tweet! Should have been a photo credit there for @ilanaPL, who took the fantastic photos for this story! (11/10)

          2 replies 2 retweets 17 likes
          Show this thread
        10. End of conversation
        1. Zb‏ @yemble May 23
          Replying to @sarahkliff

          how the f*** can a specialist who doesn't accept ANY insurance be operating in a public hospital without explicit patient consent?! Just going to work and throwing $8k grenades every day.

          0 replies 0 retweets 2 likes
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        1. Susan‏ @sooozala May 23
          Replying to @sarahkliff

          Two different issues - one, how can a hospital assign a doc who does not take ANY insurance in emergency? Second, out-of-network docs are assigned all the time. My dad got billed, I fought it and won, but it took a lot.

          0 replies 0 retweets 0 likes
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        1. yams the yampire  🧛‍♀️‏ @yayayamie May 23
          Replying to @sarahkliff

          yams the yampire  🧛‍♀️ Retweeted yams the yampire  🧛‍♀️

          been therehttps://twitter.com/yayayamie/status/999283376141012992 …

          yams the yampire  🧛‍♀️ added,

          yams the yampire  🧛‍♀️ @yayayamie
          after going a week with untreated scarlet fever, I ended up in the ER with a 104° fever, hardly able to breathe and severely dehydrated. before i even left the house i checked to see if the ER was in-network (it was), but the doc who treated me wasn’t. paid over $2k for fluids. https://twitter.com/AnnieLowrey/status/999252076893913088 …
          0 replies 0 retweets 0 likes
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        1. Sharon Hillman‏ @hillmansl May 23
          Replying to @sarahkliff

          “Health Insurance” should be just that- peace of mind that you are covered when you need it and least able to jump thru bureaucratic hoops. In Healthcare, as in War, Prisons, Education and Net Neutrality, #ProfitCorruptsOutcome.

          0 replies 0 retweets 0 likes
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        1. Larry Keene‏ @lkeene34 May 23
          Replying to @sarahkliff

          This can happen with labs and imaging too. The units may be in the hospital building, but may not be in your medical plan. We have run into this but we had the time check into before services were rendered. Most people wouldn't even check.

          0 replies 0 retweets 0 likes
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