scholarly journals Invisible economics of nursing: analysis of a hospital bill through a Foucauldian perspective

2013 ◽  
Vol 15 (3) ◽  
pp. 221-224 ◽  
Author(s):  
Karen B. Lasater
Keyword(s):  
Hospital Bill

The Hospital Bill That Medicare Won't Pay

JAMA ◽  
1975 ◽  
Vol 233 (2) ◽  
pp. 179
Author(s):  
Donald J. Dalessio
Keyword(s):  
Hospital Bill

The hospital bill that Medicare won't pay

JAMA ◽  
1975 ◽  
Vol 233 (2) ◽  
pp. 179-181
Author(s):  
D. J. Dalessio
Keyword(s):  
Hospital Bill

scholarly journals Financial burden experienced by patients undergoing treatment for malignant gliomas

2014 ◽  
Vol 1 (2) ◽  
pp. 71-76 ◽  
Author(s):  
Priya Kumthekar ◽  
Becky V. Stell ◽  
Daniel I. Jacobs ◽  
Irene B. Helenowski ◽  
Alfred W. Rademaker ◽  
...  
Keyword(s):  
Financial Support ◽  
Tumor Recurrence ◽  
Financial Burden ◽  
Insurance Coverage ◽  
Malignant Gliomas ◽  
Indirect Costs ◽  
Medical Costs ◽  
Health Insurance Coverage ◽  
Preferred Provider Organizations ◽  
Hospital Bill

Abstract Background Patients undergoing treatment for malignant gliomas (MGs) can encounter medical costs beyond what their insurance covers. The magnitude and type of costs experienced by patients are unknown. The purpose of this study was to have patients or their families report on the medical costs incurred during the patients MG treatment. Methods Patients with MG were eligible if they were within 6 months of diagnosis or tumor recurrence. Patients had to be ≥18 years of age, fluent in English, and not aphasic. Weekly logbooks were issued to patients for recording associated costs for ∼6 months or until tumor progression. “Out-of-pocket” (OOP) costs included medical and nonmedical expenses that were not reimbursed by insurance. Direct medical costs included hospital and physician bills. Direct nonmedical costs included transportation, parking, and other related items. Indirect medical costs included lost wages. Costs were analyzed to provide mean and medians with range of expenses. Results Forty-three patients provided cost data for a median of 12 weeks. There were 25 men and 18 women with a median age of 57 years (range, 24y–73y); 79% were married, and 49% reported annual income >$75 000. Health insurance coverage was preferred provider organizations for 58% of patients, and median deductible was $1 500. Median monthly OOP cost was $1 342 (mean, $2 451; range, $333.41–$17 267.16). The highest OOP median costs were medication copayments ($710; range, $0–13 611.20), transportation ($327; range, $0–$1 927), and hospital bill copayments ($403; range, $0–$4 000). Median lost wages were $7 500, and median lost days of work were 12.8. Conclusions OOP costs for MG patients can be significant and comprise direct and indirect costs across several areas. Informing patients about expected costs could limit additional duress and allow financial support systems to be implemented.

ETHICAL CASE ANALYSIS USING A HOSPITAL BILL

1991 ◽  
Vol 16 (4) ◽  
pp. 20-23 ◽  
Author(s):  
Donna L. Thompson
Keyword(s):  
Case Analysis ◽  
Hospital Bill

scholarly journals Evaluating the Strategies for Orthopedic and Spine Surgeries during COVID-19 Pandemic in India- a Retrospective Analysis of 24 Patients in a Multispecialty Hospital- Are We Heading to a New Normal?

2020 ◽  
Author(s):  
Hitesh N. Modi ◽  
Utsab Shrestha ◽  
Yatin J. Desai ◽  
Rukesh Patel ◽  
Vipul Kuvad ◽  
...  
Keyword(s):  
Hospital Stay ◽  
Multidisciplinary Approach ◽  
Healthcare Providers ◽  
Average Hospital ◽  
New Normal ◽  
Admission Time ◽  
Screening Protocol ◽  
Precautionary Measures ◽  
Hospital Bill

Abstract Study Design: Retrospective study.Purpose: To present precautionary measures for the orthopedic and spine surgery patients, operating them as per the protocol and analyze findings that can be implemented in non-urgent surgeries during Covid-19 pandemic. Other aim was to analyze the role of multidisciplinary approach, average hospital stay, additional cost behind investigations and hospital bill to guide the patients.Overview of Literature: The literature mentioned to postpone or delay all non-urgent surgeries related to orthopedic and spine conditions till Covid-19 pandemic continues. However, it is not predicted when will this end. No study focusing to conduct essential but non-urgent orthopedic and spine surgeries during this pandemic. Methods: Between March 11, 2020 and May 8, 2020, information on 24 operated orthopedic and spine surgeries were prospectively collected at our institution. Patients were examined in either designated Flu Clinic or out patient department (OPD) after completing screening protocol for Covid-19. Flu clinic team examined all patients and blood investigations, x-ray chest and additional high resolution CT scan were ordered before admission. Patients with symptoms were investigated with RT-PCR for Covid-19. Standardized protocols using multidisciplinary approach were followed for outpatient clinic, admission, surgery and hospital stay regarding Covid-19. Analysis of patients’ hospital stay, hospital bill, admission time and their results of surgeries were performed.Results: 24 patients were operated for orthopedic and spine surgeries with triage as urgent surgeries. 8 and 16 patients were admitted through flu clinic and OPD, respectively; which caused average admission time 179.4+/-138.5 minutes from presentation to admission. All patients managed orthopedic and spine surgeries with improved VAS from average 8.5+/-0.6 preoperatively to 2.7+/-1.0 postoperatively. There was average increase of 5.4+/-2.4% in the overall cost compared to final bill pertaining to Covid-19 precautionary measures. There was no patient or healthcare worker who developed symptoms related to Covid-19.Conclusions: Surgeries should be conducted during Covid-19 pandemics according to their need either to save lives or to provide improved quality of life. Multidisciplinary approach following strict precautionary measures can make it a new-normal norm for the healthcare providers.

CONFUSION AND ERROR ARE RIFE IN HOSPITAL BILLING PRACTICES

PEDIATRICS ◽  
1994 ◽  
Vol 94 (1) ◽  
pp. A35-A35
Author(s):  
J. F. L.
Keyword(s):  
Health Care ◽  
Health Economics ◽  
World Health ◽  
Major Surgery ◽  
American Hospital ◽  
Princeton University ◽  
Health Economist ◽  
The World ◽  
Community People ◽  
Hospital Bill

At a time when the General Accounting Office has estimated that 99 percent of hospital bills contain overcharges, these bills have become so complicated and so lengthy that no mere mortal patient can read them or spot mistakes. Itemized bills for even brief hospitalizations run several pages and those for major surgery, like a heart bypass, can be dozens of pages. If mistakes go unnoticed, the patient or insurer can end up paying too much. In addition, health-care experts say the complicated bills make it virtually impossible for patients to compare costs at hospitals. In both ways, these bills can contribute to worsening inflation in health care. "You have these incomprehensible bills with millions of little items and for each a price," said Dr. Uwe Reinhardt, a health economist at Princeton University. "The American hospital bill is a source of great humor in the world health economics community; people just laugh."

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