All


Consumers in All and across the country face too many challenges when it comes to accessing the care they need. Find All #HealthCareFail stories here.

Select a State Below:

Minnesota Waiver Process Brings Anxiety, Frustration For Families

Consumers For Quality Care, October 16, 2019
The lives of Minnesota families who apply for the state’s Medicaid waivers are often stressful to begin with. But to receive the coveted benefit known as a waiver, they go through the “agonizing, high-stakes ritual, known as a comprehensive needs assessment,” Star Tribune reports. County employees come into consumers’ homes and ask hundreds of questions, […]
Read More...

Out-of-Network Doctor Results In Surprise Bill For VA Woman

Consumers For Quality Care, October 16, 2019
Virginia resident Lynette Jackson went to the emergency room after having persistent abdominal pain. Trying to follow her insurer’s guidelines, Jackson went to Henrico Doctors Hospital, which was listed as in-network for her Anthem plan. At the hospital, everything seemed to go well, WTVR reports. Then, roughly two months after the emergency room visit, Jackson […]
Read More...

WA Residents Struggle To Get Support For Developmental Disabilities

Consumers For Quality Care, October 15, 2019
When Lindsey Topping-Schuetz’s son, Owen, was born three years ago, complications began immediately. Owen was born six weeks early and with two rare chromosomal abnormalities, one of which is Cri-du-chat syndrome, also known as “cat’s cry” syndrome. Before Owen was allowed to go home, he spent more than 100 days in the neonatal intensive care […]
Read More...

CO Consumers Report Concerns About Cost & Quality of Care

Consumers For Quality Care, October 7, 2019
A recent survey from the Colorado Health Institute (CHI) is highlighting consumers’ concerns with the affordability and quality of their health care, reports The Colorado Independent. The survey found that while the overall percentage of consumers with insurance coverage has remained stable, concerns about care remain. While the state’s population of uninsured individuals has remained […]
Read More...

Despite Precautions, AZ Couple Winds Up With Surprise Bill

Consumers For Quality Care, October 7, 2019
Eva Lovegrove thought that she had done everything she could to protect her family from a surprise medical bill. When her husband needed emergency surgery, she confirmed that both the hospital and his surgeon were in their insurance network, she told Phoenix’s KGUN 9. “We thought we were good to go,” Lovegrove said. But, months […]
Read More...

NY Woman’s Scheduled Biopsy Results In Broken Teeth, Jaw

Consumers For Quality Care, October 7, 2019
When Lorraine Evans’ voice grew hoarse in late 2014, she had no idea what might be behind it. Evans had not been sick recently and had never been a smoker. After weeks of doctors’ appointments, she was referred to a voice disorder specialist at New York-Presbyterian Hospital. The City reports that the specialist told the […]
Read More...

11,000 Miles, 3 Counties, And Only 1 Physician For Texans

Consumers For Quality Care, October 7, 2019
When Ed Garner, 68, wakes up in his Van Horen, Texas rental home to the sound of sirens, he changes into his medical scrubs and walks to his truck. Driving towards the emergency room at Culberson Hospital, he calls to see what information he can get about the incoming patient. Even if hospital staff do […]
Read More...

Teenage VA Consumer Faces $1K Bill

Consumers For Quality Care, October 7, 2019
Sixteen-year-old Ty Logan brought himself to a Patient First urgent care center in Richmond, VA after coming down with a bad sore throat.  At the center, Logan handed over his insurance cards, provided through Medicaid. He owed nothing at the time of the visit, WTVR reports. Logan expected that the visited would be fully paid […]
Read More...

TN Hospital Reverses Medical Debt For 6,500

Consumers For Quality Care, October 1, 2019
Just months after Tennessee’s Methodist Le Bonheur Healthcare came under scrutiny for its aggressive debt collection practices, the nonprofit hospital system is forgiving the unpaid debts of more than 6,500 consumers it had sued. Consumers for Quality Care has previously highlighted the system’s aggressive debt collection practices. Now, the hospital is wiping away consumers’ debts […]
Read More...

Nevada Consumers Struggle To Get Mental Health Care They Need

Consumers For Quality Care, October 1, 2019
Despite federal laws in place to ensure Americans have access to mental health care, many face obstacles when trying to access therapists and other psychiatric services. According to the 2008 Mental Health Parity and Addiction Equality Act and provisions in the Affordable Care, it should be no more difficult for consumers to visit a mental […]
Read More...

TN Health System Sues Consumers For Unpaid Bills

Consumers For Quality Care, September 27, 2019
Danielle Sparrow had employer-sponsored health insurance when she visited Holston Valley Medical Center’s emergency room in 2017 for chest pains. Still, the visit resulted in a $1,300 bill. Sparrow had been working on paying off the bill, but when she quit her job to take care of her young children, she stopped making payments, Modern […]
Read More...

Bachelor Party Hangover Results In $12K Surprise Bill For CO Man

Consumers For Quality Care, September 26, 2019
Cameron Fischer woke up the day before his wedding with an intense hangover. Fischer had spent the night before celebrating his bachelor party. As the day went on, the hangover persisted. Fischer’s fiancé urged him to leave their rehearsal dinner and go to the emergency room to get fluids, NPR reports. “I couldn’t keep anything […]
Read More...

Hospitalization Results In $2K Surprise Bill For TX Man

Consumers For Quality Care, September 25, 2019
Last December, Darrel Riley went to the emergency room at Texas’ North Central Baptist Hospital when he was having trouble breathing, News 4 San Antonio reports. After a few days at North Central Baptist, Riley was well enough to go home. In all, the bill for his hospitalization came out to $122,000. The contract between […]
Read More...

Short-Term Health Plan Leaves AZ Family With $224K Bill

Consumers For Quality Care, September 25, 2019
Two years ago, David Diaz woke up his wife, Marisia, saying he didn’t feel right. Their son called 911 and Marisia followed the ambulance to Banner-University Medical Center Phoenix. According to Bloomberg Businessweek, David had suffered a massive heart attack. After a double-bypass surgery and two weeks in the hospital, David was able to return […]
Read More...

VA Woman Fights Insurer For Autoimmune Disease Treatment

Consumers For Quality Care, September 25, 2019
Photo by Heidi de Marco/KHN Two years ago, Sarah Lillard began the fight of her life. As WUSA 9 reports, Lillard was diagnosed with a rare autoimmune disease that, without treatment, would leave her unable to walk, talk, or take care of her four children. The disease is so crippling that Lillard would wake up […]
Read More...

Billing Error Results In $9K Bill For TN Consumer

Consumers For Quality Care, September 18, 2019
In March, Tennessean Mary Lynn Claridy had so much pain in her chest that she feared she might be having a heart attack. Claridy’s daughter rushed her to Sumner County Regional Medical Center’s emergency room. News Channel 5 reports that Claridy was admitted in to the hospital and physicians began performing tests to find out […]
Read More...

CA Health Giant Faces Class Action Suit

Consumers For Quality Care, September 18, 2019
As physician groups and hospitals continue to consolidate across the country, consumer advocates have cautioned what these deals could mean for consumers and their pocketbooks. Consumers for Quality Care has highlighted how hospital consolidation can lead to higher costs and worse health outcomes for consumers. Northern California’s Sutter Health, a leader in large scale hospital […]
Read More...

Telemedicine Increases Care Access For IN Consumers

Consumers For Quality Care, September 18, 2019
Photo by Heidi de Marco/KHN Despite mandates in the Affordable Care Act, mental health care parity has continued to be a challenge. Consumers, especially those in rural areas, have struggled to access the mental health care that they need. Now, Indiana’s Meridian Health Services is using telepsychiatry to provide consumers greater access to care, NPR […]
Read More...

A Backyard Trip Results In Sling With A 900% Markup For CA Woman

Consumers For Quality Care, September 18, 2019
After tripping over a hose in her backyard, Cathy Birker-Hake made her way to Providence St. Joseph Medical Center in Burbank, CA. The fall dislocated Birker-Hake’s shoulder. Emergency room physicians reset it and gave her a sling to keep her arm in place while it healed, according to the Los Angeles Times. “It was one […]
Read More...

Coding Error Results In Surprise Bill For CA Family

Consumers For Quality Care, September 18, 2019
When Jobbie Spillane took her 17-year-old son to a Northern California Kaiser medical facility to have Botox injected into his salivary glands, she thought she knew how the visit would go. The procedure helps her son, who has a breathing condition, ward off pneumonia and other complications, Healthline reports. He had been getting the injections […]
Read More...

As Employer Costs Are Expected To Increase, GA University System Changes Policy For Spouses

Consumers For Quality Care, September 18, 2019
Consumers and employers alike are beginning to look towards what their coverage options may look like for 2020. Some of this news, like a recent survey which found that fewer employers will offer high-deductible plans as their only insurance options, has been encouraging for consumers. But a new study suggesting that the cost of employer-sponsored […]
Read More...

NYT & Washington Post Spotlight How Hospitals Flourish While Consumers Struggle

Consumers For Quality Care, September 11, 2019
While hospitals have largely escaped the scrutiny of other health care players in recent years, they are “arguably a primary culprit behind runaway medical inflation,” writes Elisabeth Rosenthal, the editor in chief of Kaiser Health News, in a New York Times op-ed published earlier this month: Data shows that hospitals are by far the biggest […]
Read More...

Utah Consumers At High Risk Of Surprise Bills

Consumers For Quality Care, September 11, 2019
When William Potter’s daughter was hurt in horseback riding accident, her family had no choice in which hospital she went to. She was airlifted, while unconscious, to an emergency room for treatment. The facility was out of network for the Potters’ insurance, resulting in a massive surprise bill for the family, KUTV reports: Potter, who […]
Read More...

Bill For CT Consumer’s Hernia Repair More Than 50% Higher Than Estimate

Consumers For Quality Care, September 11, 2019
Wolfgang Balzer did what experts recommend for effectively shopping for health care services. Balzer, who works as an engineer in Connecticut, had known for a number of years that he would need surgery to repair a hernia. In February 2018, his wife, Farren, gave birth to their second child. With the family having met their […]
Read More...

Consumers Feel The Impact Of Medical Debt

Consumers For Quality Care, September 11, 2019
Joclyn Krevat was sitting at her computer in 2011 when she received a new LinkedIn request. Krevat recognized the name but was nonetheless baffled by the request. The woman who had sent it, Karen Pollack, was the head of the debt-collection practice KP Recovery Solutions and had been trying to collect from Krevat, The Atlantic […]
Read More...

Consumer Right To Appeal Turns 20 In Ohio

Consumers For Quality Care, August 28, 2019
When consumers receive a bill from a hospital or doctor visit that they do not understand or disagree with, they have a right to appeal the charges. While the Affordable Care Act codified this right into federal law, it has been Ohio law since 1999, The Columbus Dispatch explains. “The consumer receives a denial or […]
Read More...

Rural MT Facilities Struggle To Maintain Staff, Provide Care

Consumers For Quality Care, August 28, 2019
Since it opened in 2002, the mental health unit in eastern Montana’s Glendive Medical Center unit has been empty much of the time. Even though the town has a small population of around 5,000, there’s no lack of need for mental health care as Montana has the highest suicide rate in the country. The region, […]
Read More...

Farah From Georgia Describes Her Frustration Over Having To Fight Her Insurance For Coverage

Consumers For Quality Care, August 28, 2019
Farah from Georgia shares her frustration about becoming the go-between for the insurer and doctors. When her husband needed surgery and they were trying to make sure it would be covered, she spent several days figuring out the paperwork and on the phone. Farah from Georgia needed to quickly become an expert in medical coding […]
Read More...

Virginia From New York Shares Her Experience Fighting Hospital Bills

Consumers For Quality Care , August 27, 2019
Virginia from New York was hit by a car while biking and went to the hospital to get treatment. The experience left her frustrated and fighting thousands of dollars in medical bills. After her biking accident landed her in the hospital, Virginia from New York was left fighting thousands of dollars in medical bills. She […]
Read More...

Therese From California Describes Treatment Delays Caused By Her Insurer

Consumers For Quality Care, August 27, 2019
After Therese from California fractured both of her feet, she was eager to recover as soon as possible but her insurer’s requirements for coverage delayed the process.
Read More...

Monica From Texas Shares Her Family’s Experience Receiving A Surprise Bill

Consumers For Quality Care, August 26, 2019
Monica from Texas described her family’s experience in getting surprise bills for a treatment for her husband’s autoimmune disease they were told was covered by their insurance.
Read More...

Melinda From Illinois Describes Her Experience With Surprise Bills

Consumers For Quality Care, August 26, 2019
Melinda from Illinois was diagnosed with breast cancer, and what was sure to be a stressful time for her and her loved ones was made even more stressful as she received high surprise bills as a result of out-of-network providers. As she was undergoing diagnosis and treatments for breast cancer, Melinda from Illinois made sure […]
Read More...

Jane From Illinois Shares Her Frustration Over Surprise Bills

Consumers For Quality Care, August 26, 2019
When her 18-year-old son went to the ER, Jane from Illinois knew she might get a medical bill, but she was stunned when her insurance denied coverage for the entire visit. She has been on the phone with the company to provide them with the required documents but feels like she’s getting the runaround. As […]
Read More...

Hellen From Illinois Shares Her Frustration Over Her Insurance’s Outdated Directory

Consumers For Quality Care, August 26, 2019
Hellen from Illinois was experiencing foot pain and wanted to see a doctor to get a diagnosis. But when she tried to find a provider in her network, it took her a long time and many phone calls because of an outdated online directory.
Read More...

Aundria From Texas Describes Her Frustration With Insurance’s Slow Approval Process

Consumers For Quality Care, August 26, 2019
After her father was diagnosed with cancer, Aundria from Texas had him move in with her, her husband and their young daughters. She has been taking care of him, juggling multiple doctor appointments, treatments and calls with insurers. Her biggest frustrations are the lack of clear communication between the insurer and physicians and the time […]
Read More...

Rural MO Consumers, Hospital Fight To Stay Afloat

Consumers For Quality Care, August 26, 2019
Like other hospitals around the country, Poplar Bluff Regional Medical Center in Missouri has been aggressively suing consumers over unpaid bills. This year alone, the medical center has filed more than 1,100 lawsuits in rural Missouri. Cases over unpaid bills have become so common that patients have started referring to the court appearances as “follow-up […]
Read More...

NJ Actor Fights Insurer For Coverage

Consumers For Quality Care, August 26, 2019
Despite finding success as an actor, 28 year-old Steve Way is in a position all too familiar for many consumers. He is battling his insurance company after a string of denials. Way has a type of musical dystrophy so rare that he is the only documented case in the world. He needs around-the-clock assistance and […]
Read More...

CT Woman Receives Surprise Bill From Hospital She Did Not Visit

Consumers For Quality Care, August 22, 2019
Ashley Stearns has a family history of multiple sclerosis (MS), so when she started suffering from leg weakness, muscle spasms, and vision issues her doctor suggested she get an MRI. Stearns’ doctor booked the imaging test at Evergreen Imaging in South Windsor, CT, WFSB reports. Initially, she had wanted to go to a less expensive […]
Read More...

Centene Under Fire For Medicaid Practices

Consumers For Quality Care, August 22, 2019
Senator Bob Casey (D-PA) has criticized insurance giant Centene, calling it callous, The Dallas Morning News reports. The comments come after Casey met with Centene CEO Michael Neidorff to discuss the insurer’s handling of its Medicaid business. The Dallas Morning News previously reported that Centene’s Texas subsidiary denied life-sustaining care to sick and disabled children […]
Read More...

MA City of 100,000 Grapples With Closure Of Only ER

,
Katie Stanton has become well acquainted with her local emergency room in Quincy, MA. Stanton, who is epileptic and cannot drive, relies on the proximity of Quincy Medical Center’s ER from her house, just 2 miles away, The Patriot Ledger reports. “It’s a vital resource for me,” she said. “If I have a medical emergency, […]
Read More...

CT Scrutinizing Hospitals’ Activation Fees

Consumers For Quality Care, August 21, 2019
Consumers in Connecticut may be charged a “trauma activation fee” if they arrive by ambulance at one of the twelve hospitals in the state. These charges can amount to thousands of dollars. The fees, which are charged by hospitals, are currently unregulated and mostly hidden from the public, according to The Middletown Press. These fees […]
Read More...

VA Woman Reacts To Balance Bill

Consumers For Quality Care, August 21, 2019
Sallie Smith was in the midst of her summer routine, packing snacks and the swim bag for her kids, when an unexpected e-mail popped up in her inbox. The Virginia mom assumed that it was something from a doctor’s visit for one of her kids, NBC 12 reports. The last time Smith herself had been […]
Read More...

Community Rallies Behind OH Teen With Rare Disease

Consumers For Quality Care, August 14, 2019
Photo by Heidi de Marco/KHN In January 2018, 14 year-old Ella Golden was diagnosed with the rare autoimmune disorder PANDAS. The disease causes physical and behavioral symptoms and has caused Golden to suffer from severe anxiety, OCD and agoraphobia, according to WYTV. Golden’s symptoms have become so severe that she hasn’t left the house in […]
Read More...

CO Woman’s New Insurance Plan Comes With Narrow Network

Consumers For Quality Care, August 14, 2019
When Colorado resident Mary Bonser retired, she knew she needed an insurance policy to fill the gap between her employer-sponsored insurance and Medicare. So, she turned to the state’s ACA marketplace to select a plan, KOAA reports. Having worked in human resources, Bonser knew that she needed to be diligent about selecting the plan she […]
Read More...

Insurer Denies IL Woman’s MS Treatment

Consumers For Quality Care, August 14, 2019
For a while, Ivy Marcucci was able to rationalize her sporadic symptoms. Her vision blurred and doubled as she sat in a movie theater with her parents. Her father, Jared, an emergency room physician, noticed his daughter squinting and realized that her eyes were not moving in tandem, The Chicago Tribune reports. He took Ivy […]
Read More...

CA Boy Denied Lifesaving Heart Surgery

Consumers For Quality Care , August 14, 2019
Noah Connally was born with a rare heart condition, and by the time he turned one, he had already undergone three separate heart surgeries. Now at 3 years old, he needs another lifesaving heart surgery, KTLA reports. Niccole and Sean Connally scheduled their son’s surgery at Boston Children’s Hospital. They were set to fly to […]
Read More...

MI Mom Battles Insurer For Her Daughter’s Heart Surgery

Consumers For Quality Care, August 14, 2019
Jessica Fitzsimmons is desperate to get her 12-year-old daughter, Aiden, the heart surgery she needs. But she says that her insurer, Total Health Care, will not cover the surgery, WXYZ reports. Aiden was born with a heart defect. She had her first surgery when she was 2, but now she needs a second. Jessica says […]
Read More...

NY Hospital Sending Increased Number Of Unpaid Bills To Court

Consumers For Quality Care, August 8, 2019
Glens Falls Hospital in New York is the latest to receive scrutiny over its legal actions against patients. The hospital is suing dozens of former patients in civil court over unpaid medical bills, The Post Star reports. The report comes after similar practices by hospitals in Maryland, Tennessee, and Virginia have been called into question. […]
Read More...

CA Woman’s Ultrasounds Prices Highlights Lack Of Transparency In Health Costs

Consumers For Quality Care, August 8, 2019
When Mika Moore’s doctor thought she might have internal bleeding, she went to an Orange County medical center for a pair of ultrasounds, The Los Angeles Times reports. Mika and her wife, Jennifer, have insurance with Cigna and she went to an in-network facility. A few weeks after the tests, the couple received a bill […]
Read More...

GA Woman’s Cancer Care Caught Between Doctor’s Plans, Insurer Approvals

Consumers For Quality Care, August 8, 2019
Photo by Heidi de Marco/KHN When Georgia resident Kim Lauerman, 57, was diagnosed with ovarian cancer, her physicians started her on chemotherapy and wanted her to begin taking Neuogen. The drug prevents infections and fever during chemotherapy. Lauerman’s insurance, Anthem Blue Cross, denied the medication, Associated Press reports. Physicians say insurance denials for consumers like […]
Read More...

PBM Denies CA Woman’s Cancer Treatment

Consumers For Quality Care, August 8, 2019
When Norma Smith found out that she had stage-three multiple myeloma, which had spread extensively and attacked her bone marrow, she wanted to start treatments immediately. Smith and her husband, Rodney, are both retired. The couple considered their $500 a month Anthem policy to be “very expensive” but “the best” coverage, according to the The […]
Read More...

Consumers Feel Relief From NH Medicaid Work Requirement Decision

Consumers For Quality Care , August 7, 2019
Sixty-three year old Diane Roberts has worked for decades hauling trash in Merrimack County, New Hampshire. She would wake up before the sun, driving her 1988 Chevy dump truck across the county. One day in 2015, Roberts fell out of the truck in a work accident, hitting her head on the cement below, Concord Monitor […]
Read More...

MD Hospital Criticized For Debt Collection Practices

Consumers For Quality Care, August 6, 2019
John Hopkins Hospital has found itself under fire over its treatment of low-income patients after accusations that the hospital targets them for lawsuits to recoup unpaid medical debt, WAMU reports. The controversy comes shortly after similar reports about Methodist University Hospital in Memphis and Virginia’s Mary Washington Hospital. [M]edical workers and labor organizations rallied outside […]
Read More...

Fed Up With Medical Denials, MN Employer Switches Insurance Coverage

Consumers For Quality Care , August 6, 2019
Real estate developer Kelly Doran, along with his company’s 250 employees, were covered by Blue Cross and Blue Shield of Minnesota, when the insurer denied a routine scan his doctor had ordered. Doran, a lung cancer survivor, soon learned that he was not the only person at his company to have issues with the insurer, […]
Read More...

Carrie From Georgia Discusses Receiving Surprise Bill After A Mammogram

Consumers For Quality Care, August 5, 2019
Carrie from Georgia had a mammogram done every year and it was covered by her insurance. She recently needed to get a diagnostic mammogram as a follow up to the annual exam, and was left frustrated after she received a $400 surprise bill.
Read More...

Cristina From Florida Discusses Dealing With Medical Billing Errors

Consumers For Quality Care, August 5, 2019
Cristina from Florida was left frustrated after her son’s visit to the emergency room for breathing problems ended with a medical billing error, multiple bills, and a back and forth between the hospital administrator and her insurer to have the visit covered Cristina from Florida described the long process of getting the medical billing error […]
Read More...

Elizabeth From Washington Discusses Her Struggle To Find An In-Network Doctor

Consumers For Quality Care, August 5, 2019
Elizabeth from Washington described her struggle to find a doctor in her insurance network to get treatment for an eating disorder. She talked about her disappointment when she thought she found a provider and went in for an appointment only to have it turn out they also did not accept her insurance.
Read More...

Ashley From California Describes Her Family’s Struggles To Pay Mounting Medical Bills

Consumers For Quality Care, August 5, 2019
Ashley from California described her family’s financial struggles with managing mounting medical bills as her mother’s health has deteriorated. With her mother’s many hospital stays and difficulty getting insurance to cover procedures, including amputations and kidney failure, Ashley says “it just feels like insurance doesn’t care about you.”
Read More...

Ashishkumar From Illinois Describes Insurance Denying MRIs

Consumers For Quality Care, August 5, 2019
Following a serious car accident, Ashishkumar from Illinois underwent multiple surgeries and needed regular MRIs to track his recovery. In the years since his accident, he has needed to go through multiple rounds of appeals with his insurer to get these tests covered.
Read More...

Arden From South Carolina Describes Receiving A Surprise Bill

Consumers For Quality Care, August 5, 2019
Arden from South Carolina described her confusion after she received a surprise bill following a hospital visit. She spent time looking for other hospitals in the area that may be more affordable, but worries she may receive another surprise bill in the future.
Read More...

Amber From Texas Discusses When Her Insurance Stopped Covering Her Medication

Consumers For Quality Care, August 5, 2019
Amber in Texas talked about her frustrating experience when her insurer stopped covering her Lupus medication. As she worked alongside her doctor to appeal her insurer’s decision, her disease flared up and she still feels the effects a year later.
Read More...

Tara From Texas Discusses Her Surprise Bill

Consumers For Quality Care, August 5, 2019
Tara in Texas confirmed that the facility and provider were in-network with her insurance when she went in to have a post-miscarriage procedure. She shared her frustrating story of then receiving a $3,000 surprise bill because the anesthesiologist was out-of-network and how dealing with this unexpected financial hardship made the healing process that much harder […]
Read More...

Erika From Michigan Discusses Having Medical Bills Coded Incorrectly

Consumers For Quality Care, August 5, 2019
Erika in Michigan described her frustrating experience after her gallbladder surgery was coded incorrectly. It took her months of going back and forth between the insurer and hospital, including collections agency involvement, to get it resolved. Erika also expresses her frustration with the lack of clarity when it comes to the prices of services and […]
Read More...

CO Family Fights For Coverage Of Daughter’s Fatal Disease

Consumers For Quality Care, August 5, 2019
Nineteen-month-old Maisie Green has Type 1 Spinal Muscular Atrophy, a progressive terminal disease that attacks the body’s muscles. Ciji Green, Maisie’s mother, says that 95 percent of babies with the disease die from breathing complications before their second birthday, KJCT 8 reports. Maisie is currently being treated with Spinraza, a medication that slows the progression […]
Read More...

FL Woman Fights $343K Hospital Bill

Consumers For Quality Care, August 5, 2019
Jennifer Talavea from Florida received a shocking bill after her twins spent time in the neonatal intensive care unit. Her insurance company said she would be required to pay $343,000 out-of-pocket, according to NBC 6. Talavera says that she was baffled how she would be able to both pay the bill and continue to prepare […]
Read More...

Poll Finds That Middle-class Consumers Feeling The Squeeze Of Health Costs

Consumers For Quality Care, August 5, 2019
As high deductible insurance plans have become increasingly common and Americans grapple with surprise medical bills and insurance denials, middle-class consumers are feeling the squeeze. According to a new analysis from The Los Angeles Times, financial pressure has increased consumers’ anger and resentment towards their health care. Brenda Bartlett has about $2,500 in medical debt […]
Read More...

TN Family Fights Insurance To Transfer Son To Children’s Hospital

Consumers For Quality Care, August 5, 2019
Ellie and Josh Ingle’s son, Crew, was born with Down syndrome and a respiratory condition that has left him connected to breathing tubes and under 24-hour care. Crew hasn’t been able to leave the hospital since he was born roughly 5 months ago. While his parents want to be able to bring Crew home, they […]
Read More...

Walk-in Clinic Refuses To See OH Girl Over Outstanding Balance

Consumers For Quality Care, August 5, 2019
When Jessica Vance’s 8-year-old daughter fell sick with a cough and fever, she knew that a trip to the emergency room would result in a costly bill. Instead, the Deer Park, Ohio mother opted to take her daughter to The Little Clinic walk-in clinic inside a local Kroger grocery store, FOX 6 reports. When they […]
Read More...

NH Woman Sues Insurer Over Denial

Consumers For Quality Care, August 5, 2019
In 2017, Lancaster resident Carolyn Daigle was helping an elderly relative get out of the shower when she fell. After the accident, Daigle went to see her primary care physician, thinking that she had hyperextended her back, according to the Union Leader. At her doctor’s direction, Daigle took over the counter pain medication and started […]
Read More...

Dialysis Treatment Results In $540K Bill For MT Couple

Consumers For Quality Care, August 5, 2019
When Sovereign Valentine finally made it to the hospital in Plains, Montana, he had been feeling run down for months. Valentine, who works as a personal trainer, had tried to change his workout and diet but continued to feel worse. On the day he went to the hospital, he couldn’t stop throwing up, NPR reports. […]
Read More...

MA Families Struggle To Pay For Cost Of Treatment

Consumers For Quality Care, July 31, 2019
Photo by Heidi de Marco/KHN Tiffany Uttam’s son was nine years old when he suddenly fell ill. He was anxious and paranoid, unable to sleep without one of his parents, and too sick to go school. He developed verbal and physical tics. Uttam took her son to the emergency room, afraid that he was having […]
Read More...

MN and CA Consumers See Medical Debt Erased

Consumers For Quality Care, July 31, 2019
American consumers increasingly face significant amounts of medical debt. A recent report from West Health and Gallup found that American consumers borrowed $88 billion to pay towards the $3.7 trillion in national health care spending in 2017. As more and more consumers struggle with surprise bills and insurance denials, the significant, long-term financial hardships that […]
Read More...

Survey Finds VA Consumers Worry About Health Costs Despite Medicaid Expansion

Consumers For Quality Care, July 24, 2019
According to the Virginia Consumer Healthcare Experience State Survey conducted by Altarum, Virginia residents remain concerned with the cost of health care despite Medicaid expansion in the commonwealth. The survey found that more than half of Virginians had been burdened by the price of health care in the past year, the Richmond Times-Dispatch reports. Of […]
Read More...

Bills, Collections Calls Unwelcome Reminder For IL Sexual Assault Survivor

Consumers For Quality Care, July 24, 2019
Erin was a recent graduate working three jobs and adjusting to her new life. One night, six years ago, she went out for a drink in Chicago’s Bucktown neighborhood, NPR reports. Erin talked with a man at the bar that night and woke up the next morning at home, her body aching and covered in […]
Read More...

WA Couple Faces Surprise Bill After Husband’s Back Surgery

Consumers For Quality Care, July 17, 2019
Monte and Kristy Jones thought they were being diligent when Monte needed back surgery for a bulging disk. Before scheduling the surgery, they talked to their insurance company to get prior approval and confirm they would not have any expenses beyond their co-pay, KREM 2 reports. “They said, ‘You’re approved, go ahead and schedule it,’ and that’s what […]
Read More...

NE Teen Fights Rare Cancer, Insurance Denial

Consumers For Quality Care, July 17, 2019
Braydon Yardley was at the end of his football season during his senior year of high school when he complained of stomach pains. Braydon had loved sports since he could walk and his mother, Renee Yardley, didn’t want him to miss his last game. After the season ended, Renee took Braydon to the doctor to […]
Read More...

OH Family Receives $900 Surprise Bill

Consumers For Quality Care, July 12, 2019
Jodi Creasap Gee and her family were getting settled after their move to the Cleveland area when her daughter came into the kitchen screaming with a cut on her foot, WOSU reports. “There was just a trail of blood behind her. Her foot’s all bloody and I’m going, ‘oh no.’ I don’t even know where […]
Read More...

Painful Shoulder Leads To $256 Surprise Bill For PA Woman

Consumers For Quality Care, July 12, 2019
When 80-year-old “bowling queen” Kathleen DeRosa went to her doctor’s office, she was in the middle of her season with the Guys & Dolls League and her throwing shoulder was hurting her. She had seen her physician previously for a bowling injury and received a cortisone shot that cost a $10-copay, The Philadelphia Inquirer writes. […]
Read More...

Rural Consumers in Kansas and Across US Face Less Access To Care After Hospital Closures

Consumers For Quality Care, July 12, 2019
As rural hospitals across the country close, patients have had to find an alternative plan for their treatments, Kaiser Health News reports. Karen Endicott-Coyan, a 65 year-old woman with multiple myeloma, has to drive an hour from her home in Kansas to seek treatment. In 2018, Mercy Hospital Fort Scott faced possible closure and the […]
Read More...

TN Hospital Scrutinized For Lawsuits, Wage Garnishing

Consumers For Quality Care, July 8, 2019
When Carrie Barrett arrived at the emergency room at Memphis’ Methodist University Hospital in 2007, she had a shortness of breath, tightness in her chest, swelling in her leg, and her toes were turning black. Barrett had a family history of high blood pressure and had been recently diagnosed with congestive heart failure. Doctors performed […]
Read More...

VA Hospital Under Scrutiny For Suing, Garnishing Wages Of Consumers

Consumers For Quality Care, July 8, 2019
Daisha Smith, a 24-year-old night shift worker at a home for the elderly, was sued by Mary Washington hospital, where she was hospitalized for two weeks in 2017 while uninsured, NPR reports. Smith says she was not even aware she had an unpaid medical bill until the hospital began garnishing her wages. Smith was not […]
Read More...

PA Newspaper Helps Consumers Navigate Prior Authorization Process

Consumers For Quality Care, July 8, 2019
Consumers often need to receive prior  authorization before receiving medical care. The process, however, can be confusing and cumbersome. While the practice has been criticized, including by the American Medical Association, it is still required for many consumers. In a new article, The Philadelphia Inquirer helps consumers navigate the prior authorization process in order for […]
Read More...

Arkansas Medicaid Work Requirements Hurt Consumers

Consumers For Quality Care, July 8, 2019
Photo by Heidi de Marco/KHN As more states have adopted Medicaid work requirements, CQC and other consumer advocates have warned about the potential harmful consequences for some of the nation’s most vulnerable populations. A new study highlights the program’s shortcomings in Arkansas, which was the first state in the nation to implement such requirements, Kaiser […]
Read More...

Program Aims To Provide Help, Health Education To WY Residents

Consumers For Quality Care, July 8, 2019
Photo by Heidi de Marco/KHN Gary and Celeste Havener spend much of their time growing vegetables and horseback riding on their land in southeast Wyoming, 40 miles outside of Laramie. When Celeste recently fell off her horse, she lay on the ground trying to assess how hurt she was. At the same time, she was […]
Read More...

CA Warns Insurers About Discriminatory HIV Prevention Denials

Consumers For Quality Care, July 8, 2019
California’s Department of Insurance recently issued a warning to insurance companies that have denied policies to consumers taking HIV-preventative medication, The Los Angeles Times reports. The warning comes after an investigation, which started in early 2018. The investigation found that a number of insurance companies had “denied, limited or charged higher rates for life, disability […]
Read More...

NJ Twins Need New Hearts And Lots Of Generosity

Consumers For Quality Care, July 2, 2019
24-year-old twins Edwin and Edward Roman each need a new heart and a lot of generosity. The Romans have already had surgeries costing more than $2 million. The twins have cardiomyopathy, a condition that causes the muscles in the heart to enlarge and harden, which restricts its ability to pump blood through the body. The […]
Read More...

Small Error Leads To Surprise Bill For TX Woman

Consumers For Quality Care, July 2, 2019
Earlier this year, severe stomach pain sent Dawn Roberts to the hospital. Roberts says she was careful to make sure she went to an in-network facility, so she chose Baptist Hospital. The hospital kept Roberts overnight and gave her a CT scan, according to News 4 San Antonio. Roberts said she thought she would be […]
Read More...

CA Man Wrestles With Billing “Misinformation” Given At Hospital

Consumers For Quality Care, July 2, 2019
When Joe Garber went to a Los Angeles area emergency room, he didn’t know how much it would cost but he knew it had the potential to be very expensive. Not wanting to take too many chances, Garber asked the ER staff what his tests would cost, he recounts in HuffPost. He couldn’t get any […]
Read More...

Horrific Accident, Son’s Injuries Spark TX Dad’s Efforts To Help Other Consumer In Need

Consumers For Quality Care, July 2, 2019
Tim Allen was driving his 7-year-old son Will home after his little league practice when another car collided head-on with their truck. Tim pulled himself out of the vehicle and collapsed. When he saw Will still trapped in the truck, he thought he had lost his son, HuffPost reports as part of its “Life and […]
Read More...

PA Consumers Face Unexpected Medical Bills

Consumers For Quality Care, July 2, 2019
Emily Christian-Michaels was 20 weeks pregnant when she went to UPMC Magee-Womens Hospital in Pittsburgh for a routine scan. Unbeknownst to Christian-Michaels, the hospital instead performed an extensive scan. It was not covered by her insurance and resulted in an unexpected $1,900 bill, according to Trib Live. Christian-Michaels appealed the bill twice and was denied […]
Read More...

Nile From Florida Discusses Cancellation of Her Daughter’s Insurance

Consumers For Quality Care, June 27, 2019
Nile took her six-month-old daughter to get her routine shots at the hospital. When she got there, she was surprised to learn her insurer had canceled her daughter’s insurance without any prior notice. Watch the video below to hear her story.
Read More...

Michelle From Florida Discusses Her Attempt to Get Insurance Pre-Authorization for Prescribed Medication

Consumers For Quality Care, June 27, 2019
Michelle is a Floridian who had to fight with her insurer to get approval for a medication that her doctor prescribed. She tells her story in this video. Michelle from Florida shared her frustration over having to fight with her insurer to get her doctor-prescribed medication covered.
Read More...

Lisa From Florida Discusses Her Surprise Bill

Consumers For Quality Care, June 27, 2019
Lisa from Florida received a confusing, surprise bill from the hospital after receiving emergency surgery. Hear her story, told in her own words.
Read More...

Back Surgery Leads To $94K Bill For TX Woman

Consumers For Quality Care, June 26, 2019
For as long as 26-year-old Liv Cannon can remember, she has dealt with pain. Chronic pain in her back and legs have limited what she can do and imposed what she came to accept as her new normal, Kaiser Health News reports. No doctor had even been able to explain the cause of her pain. […]
Read More...

CO Woman Fights $11K Bill

Consumers For Quality Care, June 26, 2019
The morning she was due to fly home after a Las Vegas work convention, Colorado resident Cristina Ford began to experience contractions, The Denver Channel reports. “When I called the doctor, what was alarming was that the contractions were very consistent, they were not Braxton Hicks,” she said. “She said, ‘Absolutely do not get on […]
Read More...

One in Six Women Mistreated During Child Birth

Consumers For Quality Care, June 26, 2019
Tanefer Camara had every intention of giving birth in the hospital. When she went into labor at 38 weeks, she called her midwife, who told Camara to wait a while longer at home even though Camara thought it was time to go to the hospital, Vox reports. Camara’s labor progressed quickly. Sprawled out on her […]
Read More...

Utah Family Fights for Son’s Care After Insurance Denial

Consumers For Quality Care, June 26, 2019
Last August, the police showed up at Leah’s home in Utah. Her son had texted his friends that he was going to take his own life, so they had used the Safe Utah app to notify the police, KUTV reports. Leah took her son to his longtime doctor. The doctor told Leah that he should […]
Read More...

OH & KS Consumers Sue Insurance Company Over Flimsy Plans

Consumers For Quality Care, June 26, 2019
After her divorce in 2016, Ohioan Elizabeth Belin shopped around for an ACA plan. Belin says she spoke to a broker who told her he would find a plan that fit her budget. Belin was not told, however, that the plan she purchased was actually a plan with limited coverage, The New York Times reports. […]
Read More...

Debt Collector Targets PA Woman For Already Paid Bills

Consumers For Quality Care, June 19, 2019
In 2017, Judy Politzer went to Crozer-Keystone Health System to have a colonoscopy. When she received her bill from the hospital it included a charge for anesthesia, which Politzer had not received. She spent months trying to resolve the billing issue to no avail. During that period, the bill was sent to collections. Finally, she […]
Read More...

Family Of CO Boy Finds Success Crowdsourcing To Pay For Medical Care, But More Is Needed

Consumers For Quality Care, June 19, 2019
Maxwell Freed, a 2-year-old, has a genetic disorder so rare that it is only known by the name of the gene it affects, SLC6A1. Maxwell, who lives in Denver, is among 50 people known to have the disease globally, HuffPost reports. SLC6A1 could leave Maxwell “with permanent, severe intellectual and developmental disabilities, and a form […]
Read More...