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Search resuls for: "Chris Hamby"


4 mentions found


☆ Collusion in Health Care Pricing? Regulators Are Asked to Investigate
  + stars: | 2024-05-01 | by ( Chris Hamby | More About Chris Hamby | ) www.nytimes.com   time to read: +1 min
Recent revelations about a data analytics firm’s role in determining medical payments have heightened concerns about possible price fixing in health care and led to a call for a federal investigation. In a letter this week, Senator Amy Klobuchar asked federal regulators to examine whether algorithms used by the firm, MultiPlan, have helped major health insurers conspire to cut payments to doctors and leave patients with large bills. She cited a New York Times investigation last month into MultiPlan’s dominance of the lucrative business of pricing out-of-network medical claims. When patients see a medical provider outside their plan’s network, insurers often send their claims to MultiPlan, which uses proprietary algorithms to recommend how much to pay. By driving down payments to providers, MultiPlan and the insurers can collect higher fees for themselves, The Times reported, but this can lead to higher bills for patients, who may get charged the unpaid balance.
Persons: Amy Klobuchar, ” Ms, Klobuchar Organizations: New York Times, Federal Trade Commission, Times
☆ Opinion | Maximizing Profits at the Patients’ Expense
  + stars: | 2024-04-28 | by ( ) www.nytimes.com   time to read: +1 min
To the Editor:Re “Patients Hit With Big Bills While Insurers Reap Fees” (front page, April 7):Chris Hamby’s investigation uncovers the hard truth for patients who receive care from providers outside their insurance network. While most of us try to save out-of-pocket costs by using in-network health professionals and hospitals, it’s not always possible. Health price transparency is improving, but it’s outrageous that even two years after the No Surprises Act passed, everyone except the patient knows the price of a procedure or doctor’s visit in advance, leaving patients unpleasantly surprised. The writer is senior director of Health Care Campaigns for U.S. PIRG. To the Editor:This is just the latest example of the schemes deployed by insurers to maximize profits by cutting reimbursements to physicians and shifting medically necessary health care costs onto patients.
Persons: Chris Hamby’s, it’s, unpleasantly, Patricia Kelmar Alexandria Organizations: Bills, Health, U.S Locations: Va
☆ Taking Account of Rising Health Care Costs
  + stars: | 2024-04-18 | by ( Josh Ocampo | ) www.nytimes.com   time to read: +1 min
Navigating the health care system in the United States can often feel like being lost in a maze. For that reason, Chris Hamby, an investigative reporter, has devoted much of his five-year career at The New York Times to guiding readers through such dizzying questions. His latest article, which was published online this month, explored the complex subject of insurance bills. Last year, Mr. Hamby began investigating MultiPlan, a data firm that works with several major health insurance companies, including UnitedHealthcare, Cigna and Aetna. After a patient sees an out-of-network medical provider, the insurer often uses MultiPlan to recommend how much to reimburse the provider.
Persons: Chris Hamby, Hamby, MultiPlan Organizations: The New York Times, Times Locations: United States, Cigna, Aetna
☆ U.S. to Limit Deadly Mining Dust as Black Lung Resurges
  + stars: | 2024-04-16 | by ( Chris Hamby | ) www.nytimes.com   time to read: +1 min
Federal regulators on Tuesday will issue new protections for miners against a type of dust long known to cause deadly lung ailments — changes recommended by government researchers a half-century ago. Mining companies will have to limit concentrations of airborne silica, a mineral commonly found in rock that can be lethal when ground up and inhaled. The new requirements will affect more than 250,000 miners extracting coal, a variety of metals, and minerals used in products like cement and smartphones. Tuesday’s announcement is the culmination of a tortuous regulatory process that has spanned four presidential administrations. As progress on the rule stalled, government researchers documented with growing alarm a resurgence of severe black lung afflicting younger coal miners, and studies implicated poorly controlled silica as the likely cause.
Persons: ”, Chris Williamson, “ Organizations: Miners, Health Administration
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