The Big Lie in My Healthcare Bill

Episode Highlight:

Most people don’t understand their healthcare bill the same way that most healthcare providers don’t truly understand the contracts that they sign with insurance companies.

Do people really understand their healthcare bill?

I talk about this all the time on the show, but healthcare is one of the only areas of the economy where the distribution of information is extremely one-sided. What do I mean? I mean that, for the most part, patients receiving care may have a general idea about how much their care will cost, but very few actually have a specific dollar figure upon which to base their decisions. On top of that, unless they are healthcare-trained professionals, they also lack a complete understanding of the treatment options, potential outcomes, and the like. The same holds true for their healthcare bill.

For the most part, people have a general idea of what they need to pay for healthcare services. The problems start to appear when insurance denies claims or treatments require preauthorizations or the like. The resulting bill often comes as a surprise, and can in many cases be rather large. In fact, surprise medical bills have become such a large issue, that the No Surprises Act of 2022 was enacted to try and counter the trend.

This week, I sit down with Frank Lobb, author of The Big Lie in my Healthcare Bill: Why I Don’t Owe What My Insurer Fails to Pay”. In this book, Frank tackles the topic of insurance denials leading to surprise medical bills.

What we cover in this Episode:

• Who actually pays in healthcare
• How healthcare bills result in true financial burden for patients across the country
• How Insurers structure contracts with providers
• The challenges that come from big healthcare & the push for efficiency
• The Value that Insurers State that they Bring to the Market
• Frank’s story of Insurance Denials and Being Unable to Pay out of Pocket for Treatment
• How an Engineer Came to Write a Book About Healthcare Bills

The Better Outcomes Show is a Strata Studios podcast that explores the possibilities of a new healthcare system. Guests range from clinicians trying new techniques and treatments to executives and entrepreneurs exploring new service delivery methods, business models, and organizational structures.

Be sure to check out all of our resources and subscribe to our newsletter!

If you’d like to learn more about Strata EMR & Billing and achieving a 99.99% reimbursement rate for your PT, OT or SLP Clinic head over to stratapt.com and speak to an expert!  

If you have any questions, comments, or ideas, reach out at hello@stratapt.com

Full episode note: https://rehabupracticesolutions.com/better-outcomes-150

Learn More: https://rehabupracticesolutions.com
Podcast: https://www.betteroutcomes.show
Get the Book: https://amzn.to/3M2UZ6x
Book a call with me: https://calendly.com/rehabu/discovery
Connect with Me: https://www.rafisalazar.com