ianmclaury + costs   4

If ever you’ve found yourself wondering “why did they wait so long?!” regarding a patient with delayed presentation for an illness, consider this.

health  usa  costs 
february 2018 by ianmclaury
Inside The Times' deep dive into the factors behind the MTA's massive cost problems - Second Ave. Sagas :: Second Ave. Sagas
For years, those watching the MTA have rung the alarm on the agency’s high construction costs. I’ve written about cost concerns and the ever-increasing budgets for big-ticket MTA capital projects for years, and I’m not alone. Alon Levy has, since this post in 2011, charted the absurd costs of U.S. rail construction in detailed comparisons with international peers, and Stephen Smith, via the @MarketUrbanism twitter feed, has beaten the cost drum. When challenged, MTA officials have acknowledged that construction costs, but no one has tackled the twin issues of cost transparency and cost control. No one, that is, until last week, when The Times ran a massive front-page story charting all the reasons why NYC transit construction are so high.

As the finale in the series that started with an in-depth look at our unfolding transit crisis, Brian Rosenthal, with help from Doris Burke and Alain Delaquérière, has done what the MTA or the New York State Comptroller should have done years ago: They scrutinized MTA spending and took a deep dive into the agency’s contracting practices, staffing policies and lack of productivity in a way that lays bare just how bad the MTA is at managing big-ticket construction projects or getting a good return on its dollar. The article is, essentially, the story of how institutionalized corruption has become the norm in New York City.
nyc  transit  mta  costs  corruption 
january 2018 by ianmclaury
Tips For New Obamacare Coverage: Stay In Network, Avoid Out-Of-Pocket Costs - Kaiser Health News
Congratulations. You bought insurance through one of the online Affordable Care Act exchanges, possibly after days or weeks of trying to get the site to work.

Don't relax. Joining the plan is only the first challenge. Now you have to understand it.

Policies sold through the online portals -- to more than 3 million people so far -- cover essential benefits and put a cap on your out-of-pocket medical costs.

But you need to follow the rules. And the boilerplate explanation you got from the insurance company may be hard to understand.

What do members need to know about these plans that they probably don’t?
health  insurance  costs  obamacare  tips 
february 2014 by ianmclaury
Medicare Provider Charge Data - Centers for Medicare & Medicaid Services
The data provided here include hospital-specific charges for the more than 3,000 U.S. hospitals that receive Medicare Inpatient Prospective Payment System (IPPS) payments for the top 100 most frequently billed discharges, paid under Medicare based on a rate per discharge using the Medicare Severity Diagnosis Related Group (MS-DRG) for Fiscal Year (FY) 2011. These DRGs represent almost 7 million discharges or 60 percent of total Medicare IPPS discharges.

Hospitals determine what they will charge for items and services provided to patients and these charges are the amount the hospital bills for an item or service. The Total Payment amount includes the MS-DRG amount, bill total per diem, beneficiary primary payer claim payment amount, beneficiary Part A coinsurance amount, beneficiary deductible amount, beneficiary blood deducible amount and DRG outlier amount.

For these DRGs, average charges and average Medicare payments are calculated at the individual hospital level. Users will be able to make comparisons between the amount charged by individual hospitals within local markets, and nationwide, for services that might be furnished in connection with a particular inpatient stay.

Data are being made available in Microsoft Excel (.xlsx) format and comma separated values (.csv) format.
data  hospital  medicare  insurance  costs 
may 2013 by ianmclaury

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