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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.

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Teenage Burn Victim Denied Surgery That Would Restore His Ability To Speak

Consumers For Quality Care, December 6, 2019
A teenage boy who was the victim of a horrible burn accident cannot get his insurance to cover the surgery that would save his voice, as WXYZ in Detroit reports. The boy, Brian Adams, suffered burns on 85 percent of his body when butane hash oil his mother was using to process marijuana in a […]
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Private Equity-owned Physician Staffing Group Joins Hospitals In Pattern Of Suing Patients

Consumers For Quality Care, December 6, 2019
A private equity-owned physician staffing group has sued more than 4,800 patients since 2017 over unpaid medical bills, according to a new report by Pro Publica. The case against Brooks is one of more than 4,800 lawsuits Southeastern has filed against patients in Shelby County General Sessions Court since 2017. In the first six months […]
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Some Insurance Can Leave Consumers With Preexisting Conditions Vulnerable

Consumers For Quality Care, December 6, 2019
Although they offer lower premiums and can seem more affordable, so-called short-term limited-duration insurance plans can have devastating consequences for consumers who may not know they have a preexisting condition, according to a report in the Philadelphia Inquirer. The Inquirer’s report profiled one man, Peter LaFrance, who ended up with a huge hospital bill even […]
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Doctors At UVA Criticize Their Own Hospitals’ Billing Practices

Consumers For Quality Care, December 6, 2019
Doctors at UVA Health System are expressing outrage over the company’s aggressive debt collection practices, as Kaiser Health News reports: Prominent doctors at UVA Health System are expressing public outrage at their employer’s practices to collect unpaid medical debt from its patients. A Kaiser Health News report in September that showed UVA sued 36,000 patients over six […]
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Connecticut Hospital Leads State In Suing Patients

Consumers For Quality Care, December 4, 2019
Danbury Hospital in Connecticut is the leading hospital in the state for suing patients over unpaid medical bills, new data has shown. As Connecticut News Times reports: In what may be Connecticut’s part in a national wave of hospitals becoming America’s most aggressive debt collectors, Danbury Hospital sued 6,400 patients in small claims court in […]
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Lawsuits Against Patients Have Become A Widespread Issue In Tennessee

Consumers For Quality Care, December 4, 2019
A new report in the Columbia Daily Herald reveals the growing issue of patients being sued for medical debt in Tennessee. In the state, one in four people have medical debt, and thousands are being taken to court over it. One woman, Sharika Carpenter, was sued after dealing with multiple serious health issues. In the […]
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Surprise Medical Bills Put Tampa Bay Area Patients In Debt

Consumers For Quality Care, December 4, 2019
Like many areas of the country, consumers in the Tampa Bay area have fallen victim to surprise medical bills for a variety of treatments in recent years. As WFTS reports, medical debt is a problem that affects a huge number of residents in the area: Experts also blame surprise bills for fueling the national epidemic […]
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A Boy’s Rare Disease Demonstrates Limits Of “In-Network” Insurance Coverage

Consumers For Quality Care, November 26, 2019
A 4-year-old Illinois boy’s rare disease and the denials his family has faced trying to get him treatment highlight shortcomings of “in-network” coverage for rare diseases. The boy, Jaxtien or “Jax” Miller suffers from a very rare, deadly disease, as the Chicago Tribune reports: Jax has a rare disease called metachromatic leukodystrophy that could rob […]
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“Fake” Insurance Companies Mislead Consumers And Avoid Regulation

Consumers For Quality Care, November 26, 2019
One man’s ordeal after signing up for a non-traditional insurance company plan serves as a warning to consumers shopping for similar options. Keith Meehan had signed up for a “health care sharing ministry,” an arrangement in which people with common ethical or religious beliefs share medical expenses. Later, Meehan was shocked to find himself on […]
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Hospital Classification Systems Can Leave Consumers With Surprise Bills

Consumers For Quality Care, November 26, 2019
When patients check into a hospital emergency room, they may not realize there is an underlying and complex classification system that has huge implications for insurance coverage and potential bill responsibility. One Ohio woman found this out the hard way, as the Cleveland Plain Dealer reports: Carol Leaman had every reason to believe she had […]
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TN Women’s Clinic Owes Thousands of Dollars To New Families

Consumers For Quality Care, November 20, 2019
Timothy Jones’ son arrived on Saint Patrick’s day last year. His wife gave birth at the Tennessee Women’s Care facility, where her doctor had recently moved practices. But when they returned for a follow-up appointment, they were in for a surprise, WSMV reports. ‘One of the employees told us–you did not hear this from me, […]
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CQC Shares Personal Stories of Georgians in #HealthCareFail Series

Consumers For Quality Care, November 20, 2019
New Campaign Highlights Americans’ Frustrations with Health Care Atlanta, Georgia – Consumers for Quality Care (CQC) is highlighting the roadblocks Georgians are encountering in the health care system – from emergency room denials and surprise medical bills to difficulties at hospitals and at the pharmacy counter. Georgia resident Carrie had a mammogram done each year, […]
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OK Consumers Face Surprise Bills

Consumers For Quality Care, November 7, 2019
When Eric McDermott opened his mail to find a $7,300 bill from the Children’s Hospital at OU Medicine, he was shocked. The 2016 bill was related to his daughter’s emergency appendicitis two years earlier. McDermott was certain that the bill had been settled and covered as in-network. He had gone so far as to call […]
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NJ Mom & Cancer Patient Fights Insurance Decision

Consumers for Quality Care, November 7, 2019
Beth Galdo Desher, a mom from South Jersey, has been doing all she can to keep her metastatic breast cancer under control. Since the 42-year-old was diagnosed with stage 3 bilateral breast cancer three years ago, she has undergone a double mastectomy and months of chemotherapy, radiation and strong medications. Now, Galdo Desher is fighting […]
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Insured IL Woman Billed Over Three Times National Average For Her Mental Health Hospitalization

Consumers For Quality Care, November 7, 2019
Arline Feilen lost her husband, a veteran, to suicide in 2013. In 2016, her dad lost his fight with cancer. Then, in February 2019, her 89-year-old mother succumbed to a series of health issues, Kaiser Health News reports. Feilen, 56, remembers the first Mother’s Day without her mom and the impact it had on her […]
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EMS Services Around The Country Vulnerable

Consumers For Quality Care, November 7, 2019
Jerrid Soupir hadn’t been feeling well before he went limp and fell to the ground while playing a baseball game. What Soupir, then 46, thought was a summer cold ended in cardiac arrest, NBC News reports. Cardiac arrest can be fatal when individuals do not get timely help. Hebron, North Dakota, where Soupir collapsed, does […]
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Consumers Suffer with Private Equity Takeover of Care at Nursing Company

Consumers For Quality Care, November 7, 2019
Jennifer Alvarado and her seven-year-old daughter, Sophia, live in Kyle, Texas, outside of Austin. Sophia has actin myopathy, a rare genetic disorder, that leaves her unable to move or speak on her own. She has a breathing tube and needs her nose to be suctioned at least once an hour. The family receives assistance from […]
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CA Mother Fights Nearly $899K Medical Bill

Consumers For Quality Care, November 6, 2019
Lauren Bard’s daughter, Sadie, made a dramatic entrance when she was born in September 2018. At just 26 months, she weighed under a pound and a half. Sadie was rushed to the neonatal intensive care unit (NICU) and Bard was treated for her own severe pregnancy related issues, ProPublica reports. Three days after her daughter’s […]
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Children’s Health Coverage On The Decline

Consumers For Quality Care, November 5, 2019
Nine-month-old Elijah’s lips were turning blue as his mother, Kristin Johnson, rushed him to a Houston area emergency room. In the hospital, doctors diagnosed Elijah with a respiratory virus and Johnson learned that her son had been dropped from his Medicaid coverage, The New York Times reports. This was not the first time that Johnson […]
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Tribal Communities Lacking Quality Care Seek Improvements

Consumers For Quality Care , October 30, 2019
In 2016, Robyn Black Lance brought her 6-month-old son, James Ladeaux, to Sioux San Indian Health Service Hospital in South Dakota with what she suspected was his second upper respiratory infection in a month. Doctors at the hospital, however, assured Black Lance that it was only a cold and sent them home, The New York […]
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CO Woman Battles Insurance For Cancer Treatment

Consumers For Quality Care, October 30, 2019
Photo by Heidi de Marco/KHN As an emergency room nurse, Hollie D’Arcey is accustomed to being in hospital. Unfortunately, in July, D’Arcey’s experience changed when she was diagnosed with Stage II Non-Hodgkin’s Lymphoma. D’Arcey had been feeling tired but did not think too much of it until an MRI and biopsy confirmed she has cancer, […]
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Consumers Face Jail Time Over Medical Debt

Consumers For Quality Care, October 30, 2019
As consumers face surprise bills, insurance denials, high premiums and deductibles, medical debt continues to be a growing issue. Across the country, consumers have experienced aggressive debt collection practices for unpaid medical bills, including the use of wage garnishing and liens. In Coffeyville, Kansas, a small city of 9,000, the tactics can be even more […]
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TX Woman’s Cancer Treatments On Hold Because Of Insurance Issues

Consumers For Quality Care, October 30, 2019
Last September, Marcy Moreno’s life changed forever when she was diagnosed with breast cancer following a doctor’s appointment. Since then, Moreno has gone through a battery of exams, tests, and biopsies, The Leader Press reports. Moreno’s doctor suggested that her chemotherapy consist of three different medications to best fight the cancer. However, after the treatment […]
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Bad Information Lands MA Woman With A Surprise Bill

Consumers For Quality Care, October 30, 2019
Deborah Davis thought she was doing all that she could to assure that she would be fully covered for her ankle surgery. Davis called her insurer, Harvard Pilgrim Health Care, and confirmed that her surgeon was in network. According to The Boston Globe, when Davis asked if there was anything else she needed to know […]
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Consumers Who Should Receive Charity Care Face Medical Debt Instead

Consumers For Quality Care, October 30, 2019
Uninsured Ashley Pintos had a sharp pain in her abdomen when she arrived at the St. Joseph Medical Center’s emergency room in Tacoma, Washington. Before agreeing to treat Pintos, a hospital representative demanded a $500 deposit, according to Kaiser Health News. “She said, ‘Do you have $200?’ I said no,” recalled Pintos, who then earned […]
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Arkansas Medicaid Work Requirements Resulted In Lost Coverage, Confusion

Consumers For Quality Care, October 30, 2019
Stanley Ellis was used to being able to rely on his Medicaid coverage for care, especially care that related to a condition that causes his bone tissue to die. His coverage previously helped Ellis have two-hip replacement surgeries, The Wall Street Journal reports. So, earlier this year, when an ambulance brought him to the hospital […]
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CQC Shares Personal Stories of South Carolinians in #HealthCareFail Series

Consumers For Quality Care, October 29, 2019
New Campaign Highlights Americans’ Frustrations with Health Care Columbia, South Carolina – Consumers for Quality Care (CQC) is highlighting the roadblocks South Carolinians are encountering in the health care system – from emergency room denials and surprise medical bills to difficulties at hospitals and at the pharmacy counter. Arden – a resident of South Carolina […]
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CQC Shares Personal Stories of New Yorkers in #HealthCareFail Series

Consumers For Quality Care, October 28, 2019
New Campaign Highlights Americans’ Frustrations with Health Care Albany, New York – Consumers for Quality Care (CQC) is highlighting the roadblocks New Yorkers are encountering in the health care system – from emergency room denials and surprise medical bills to difficulties at hospitals and at the pharmacy counter. New Yorker Virginia was hit by a […]
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OH Man’s Family Fights Insurance Denial For Brain Surgery

Consumers For Quality Care, October 23, 2019
Chuck Graham was getting ready to go to work when he suddenly fell down and could not walk. His wife, Angie, rushed Graham to the emergency room. After a number of scans, the Grahams received a diagnosis that no one ever wants to receive, News 5 Cleveland reports. “She said that I had a very […]
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CQC Shares Personal Stories of Washingtonians in #HealthCareFail Series

Consumers For Quality Care, October 23, 2019
New Campaign Highlights Americans’ Frustrations with Health Care Olympia, Washington – Consumers for Quality Care (CQC) is highlighting the roadblocks Washingtonians are encountering in the health care system – from emergency room denials and surprise medical bills to difficulties at hospitals and at the pharmacy counter. Elizabeth – a Washington resident – described her struggle […]
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CQC Shares Personal Stories of Californians in #HealthCareFail Series

Consumers For Quality Care, October 22, 2019
New Campaign Highlights Americans’ Frustrations with Health Care Sacramento, California – Consumers for Quality Care (CQC) is highlighting the roadblocks Californians are encountering in the health care system – from emergency room denials and surprise medical bills to difficulties at hospitals and at the pharmacy counter. One Californian – Ashley – recalled her family’s financial […]
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CQC Shares Personal Stories of Michiganders in #HealthCareFail Series

Consumers For Quality Care, October 21, 2019
New Campaign Highlights Americans’ Frustrations with Health Care Lansing, Michigan – Consumers for Quality Care (CQC) is highlighting the roadblocks Michiganders are encountering in the health care system – from emergency room denials and surprise medical bills to difficulties at hospitals and at the pharmacy counter. One Michigander – Erika – described her frustrating post-surgery […]
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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, […]
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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 […]
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CQC Shares Personal Stories of Illinoisans in #HealthCareFail Series

Consumers For Quality Care, October 16, 2019
New Campaign Highlights Americans’ Frustrations with Health Care Springfield, Illinois – Consumers for Quality Care (CQC) is highlighting the roadblocks Illinoisans are encountering in the health care system – from emergency room denials and surprise medical bills to difficulties at hospitals and at the pharmacy counter. After a serious car accident, an Illinoisan man – […]
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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 […]
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CQC Shares Personal Stories of Ohioans in #HealthCareFail Series

Consumers For Quality Care, October 15, 2019
New Campaign Highlights Americans’ Frustrations with Health Care Columbus, Ohio – Consumers for Quality Care (CQC) is highlighting the roadblocks Ohioans are encountering in the health care system – from emergency room denials and surprise medical bills to difficulties at hospitals and at the pharmacy counter. Reid – an Ohio resident – was sent to […]
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CQC Shares Personal Stories of Floridians in #HealthCareFail Series

Consumers For Quality Care, October 15, 2019
New Campaign Highlights Americans’ Frustrations with Health Care Tallahassee, Florida – Consumers for Quality Care (CQC) is highlighting the roadblocks Floridians are encountering in the health care system – from emergency room denials and surprise medical bills to difficulties at hospitals and at the pharmacy counter. Cristina – a mother from Florida – was left […]
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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 […]
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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 […]
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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 […]
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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 […]
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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 […]
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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 […]
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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 […]
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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 […]
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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 […]
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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 […]
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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 […]
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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 […]
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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 […]
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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 […]
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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 […]
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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 […]
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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 […]
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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 […]
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CQC Shares Personal Stories of Texans in #HealthCareFail Series

Consumers For Quality Care, September 13, 2019
New Campaign Highlights Americans’ Frustrations with Health Care TEXAS – Consumers for Quality Care (CQC) is highlighting the roadblocks Texans are encountering in the health care system – from emergency room denials and surprise medical bills to difficulties at hospitals and at the pharmacy counter. One Texas consumer’s insurer suddenly stopped covering her Lupus medication. As Amber worked […]
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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 […]
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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 […]
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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 […]
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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 […]
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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 […]
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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, […]
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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 […]
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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 […]
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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.
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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.
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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 […]
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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 […]
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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.
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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 […]
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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 […]
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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 […]
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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 […]
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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 […]
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MA City of 100,000 Grapples With Closure Of Only ER

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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, […]
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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 […]
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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 […]
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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 […]
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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 […]
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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 […]
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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 […]
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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 […]
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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. […]
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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 […]
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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 […]
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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 […]
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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 […]
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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 […]
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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, […]
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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.
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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 […]
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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.
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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.”
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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.
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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.
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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.
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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 […]
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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 […]
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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 […]
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