Katy Talento

The FAIR PRICE PLAYBOOK: Don’t Pay an Unfair Price You Never Agreed to In Advance

Hospitals send you bills with demands to pay their rates as if you entered into a contract. If you never signed a form prior to treatment agreeing to pay whatever your insurance does not cover, then you did NOT enter into a contract. However, most of us DO sign those forms. Hospitals count on using […]

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KABOOM! Biden HHS Proposes Smack-Down on Price-Hiding Hospitals

Today, the Biden Centers for Medicare and Medicaid Services (CMS) proposed a series of tough measures to crack down on hospitals that are brazenly flouting rules, in effect since January 1, requiring posting of previously secret negotiated and cash prices for every item and service they provide to patients. As part of the proposed annual

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AllBetter Health Releases Report Debunking Arguments Against Price Transparency in Health Care

With the recent Biden Executive Order doubling down on Trump-era price transparency requirements on hospitals and insurers, you might think that the Swampian special interests trying to keep hiding prices from patients and other purchasers of care would finally be silenced. But we know that the Swamp never sleeps. Even after the hospitals were absolutely

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President Biden Doubles Down on Trump Price Transparency Rules in Sweeping Executive Order

Today, the Biden White House issued a wide-ranging Executive Order ordering his agencies to prioritize economic competition in a number of industries, including health care. In particular, the order directs HHS Secretary Becerra to “support existing price transparency initiatives for hospitals, other providers, and insurers along with any new price transparency initiatives or changes made

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AllBetter Health Releases Devastating Compilation: The Human Cost of the Sick Care Status Quo

For self-funded health plan fiduciaries such as employers and their officers, and for policy-makers bombarded with demands to protect the gravy train from the special interests in the health care supply chain, this list is for you. This list is also for patients and their loved ones, so that they know that they’re not alone

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Court Ruling Against Aetna and Optum in “Dummy” Billing Codes Case Should Be a Wake-up Call For Self-funded Group Health Plans

The Fourth Circuit U.S. Court of Appeals ruled recently that a class action case could proceed against Aetna and Optum for using so-called “dummy” billing codes whereby Aetna told Optum-owned providers to “bury” charges for these miscellaneous billing codes into the billed charges for the self-funded health plan operated by Mars Inc. The plaintiff, Sandra

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