How Much Is That X-Ray? Still Hard To Say, Even In Massachusetts

Today's post was shared by Kaiser Health News and comes from www.kaiserhealthnews.org

Finding out how much an X-ray costs sounds like a simple question. But it is actually very difficult to get an answer. In Massachusetts, a new state law requires insurers to be able to tell members how much a test, treatment or surgery will cost. But while the new law pulls back the curtain on prices of health procedures to some degree, the burden is still on the patient to ask for information. And, as a recent test drive of the new law showed, there are quite a few hoops for patients to jump through. I threw out my back in September playing squash and went to the doctor. She sent me down the hall for X-rays. I may need more. I'm curious about what my costs will be, so I call my insurer, Blue Cross. The recorded menu option doesn't mention health care prices, so I press zero, for all other inquiries. Eventually, I connect with Jamie D. (customer service reps at Blue Cross don’t give their last names). I explain that I'd like to compare the price of lower back X-rays at a few facilities. She starts in with the questions: What's the doctor's name? What's the facility where I want to have the X-ray? I have the doctor's name and facility, but I’m stuck on the next question. Blue Cross wants the procedure codes for each X-ray I may need, my doctor's national ID number and the name, address and ID number for my hospital or lab, so it can consolidate all the charges into one estimate. Jamie directs me to a form online. I call my doctor and get the info. If I...

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Johns Hopkins medical unit rarely finds black lung, helping coal industry defeat miners' claims

Today's post was shared by FairWarning and comes from www.publicintegrity.org

There is an unmistakable pattern in Wheeler’s readings. The Center identified more than 1,500 cases decided since 2000 in which Wheeler read at least one X-ray; in all, he interpreted more than 3,400 films during this time. The numbers show his opinions consistently have benefited coal companies: Wheeler rated at least one X-ray as positive in less than 4 percent of cases. Subtracting the cases in which he ultimately concluded another disease was more likely, this number drops to about 2 percent. In 80 percent of the X-rays he read as positive, Wheeler saw only the earliest stage of the disease. He never once found advanced or complicated black lung. Other readers, looking at the same images, saw these severe forms of the disease on more than 750 films. Where other doctors saw black lung, Wheeler saw tuberculosis, histoplasmosis or a similar disease on about 34 percent of X-rays. This number shoots up in cases in which others saw complicated black lung, which is so severe it triggers automatic compensation. In such cases, Wheeler attributed the masses in miners’ lungs to these other diseases on two-thirds of X-rays. Asked if he stood by this record, Wheeler said, “Absolutely.”