Never miss a story

Get subscribed to our newsletter


×
FILE - A doctor speaks to a patient in an emergency room at Northside Hospital in Cumming, Georgia, Jan. 29, 2018. VOA

President Donald Trump will begin a push Thursday to fight health care sticker shock by limiting “surprise medical bills,” the unexpected charges faced by insured patients when a member of a health care team that treated them is not in their insurer’s network.

Senior administration officials told The Associated Press the Republican president will outline principles he can support as part of legislation to limit such billing practices. Republican and Democratic lawmakers have been trying to make progress on the topic for months, and White House support improves chances that something will get done.


Patients being treated for medical emergencies often are in no position to check into whether their insurers have contracted with their surgeons or anesthesiologists to provide medical care. Trump wants to make it clear that patients who receive emergency care should not be hit with charges that exceed the amount paid to in-network providers.


Trump wants to make it clear that patients who receive emergency care should not be hit with charges that exceed the amount paid to in-network providers. VOA

“Surprise” bills amounting to tens of thousands of dollars can hit patients and their families when they are most vulnerable — after a medical emergency or following a complex surgical procedure. Often patients are able to negotiate lower charges by working with their insurers and the medical provider. But the process usually takes months, adding stress and anxiety.

The officials said the legislation also should protect patients seeking elective care by ensuring that they are fully informed before scheduling their care about which providers will be considered out of network and what extra costs that will generate.

The officials spoke on the condition of anonymity because they were not authorized to speak publicly on the matter before Trump’s announcement. The White House effort is part of a broader push by the Trump administration to increase transparency in the health care system. On Wednesday, the administration finalized regulations requiring drug companies to disclose list prices of medications costing more than $35 for a month’s supply.


Patients being treated for medical emergencies often are in no position to check into whether their insurers have contracted with their surgeons or anesthesiologists to provide medical care. VOA

The president also will make the case that legislation should not lead to additional costs for taxpayers. Insurers form networks of doctors and hospitals, in part, to gain some leverage for negotiating reimbursements. Usually patients pay a bigger share of the bill for any care sought outside those networks.

But sometimes, patients don’t know they got care outside of their network until they get their bill. A House panel held a hearing on surprise medical bills last month. Trump also participated in a January meeting with health care advocates and victims of surprise billing. The officials said Trump made clear following the meeting that he wanted his administration to work on finding a fix.

States also have been working to protect consumers from surprise medical bills. A survey of states by Georgetown University found that about half the states have acted to protect consumers, but some, such as California, Connecticut, Florida and a handful of others, have the most comprehensive protections. But states don’t have jurisdiction over most health plans sponsored by large employers, which cover about 100 million people and operate under the umbrella of a federal law.


“Surprise” bills amounting to tens of thousands of dollars can hit patients and their families when they are most vulnerable — after a medical emergency or following a complex surgical procedure. Pixabay

A coalition that includes major insurers, business groups, and consumer organizations has been pressing Congress for federal legislation. The basic elements would include informing patients when a doctor or service provider is out-of-network, setting a federal standard for what out-of-network clinicians can charge, and guaranteeing that the changes do not lead to premium increases.

ALSO READ: British Royals Launch Messaging Service to Help People Suffering from Mental Health Crisis

But a major hang-up has been agreeing on payment rates for out-of-network services that are mutually acceptable to medical specialists, hospitals and insurers, who have conflicting interests.

Jack Hoadley, a research professor emeritus at Georgetown, told lawmakers last month that unexpected medical bills are a major concern for consumers, with two-thirds of Americans saying they are “very worried” or “somewhat worried” that they or someone in their family will receive a surprise bill. He said programs like Medicare, Medicaid and veterans care protect consumers from out-of-network bills. But the same protections do not exist for most private insurance. (VOA)


Popular

Photo by Jonathan Borba on Unsplash

With the baby keeping you busy all day and night, your skincare takes a backseat.

When you become a mother, you tend to forget about your own needs because you are so focused on your child. With the baby keeping you busy all day and night, your skincare takes a backseat. It's not always changes in skin texture and looks post-pregnancy are a bad thing, but not taking care of your skin may lead to acne, melasma, stretch marks, puffy eyes, and even dark circles. Syed Nazim, Dermatologist, Aesthetic and Hair Transplant Surgeon, Royal Lush Skin Clinic Saket, New Delhi, shares simple and easy tips for you to follow, to get a glowing post-pregnancy.

* Cleansing: As you sleep, your skin goes through a renewal cycle, by dispensing toxins and debris. So you only need a light-textured cleanser to wash your face with a face wash that is suitable for your skin type.

* Steam: Take steam for 2-3 days a week, it will help you to open up your clogged pores.

* Scrub & face pack: Use a face scrub, to remove the dead skin cells, scrub your face for like 5 minutes and wash it with normal tap water. It will help you to make your skin softer and radiant, leave the mask until it dries off.

* Toner & moisturizer: Apply toner to your face, look for clarifying toners that rebalance your pH to maintain the pH value of your skin. In the end, you only have to moisturize your face, to give hydration.

* Steal baby products: Baby products are always mild in nature so that the baby's sensitive skin doesn't have to compromise. They are created to lock moisture in babies skin. So, you can also use them. Whether it's a body oil, lotion or cream, apply some on your skin every time you're applying them on your baby. If you do this, you can flaunt your skin, this way, you don't have to dedicate a specific time every day for your skincare.

Keep Reading Show less
Photo by Valeriia Kogan on Unsplash

Colorless chemicals were developed and mixed in varying ratios to dye hair.

A couple of years ago, finding a strand of grey hair meant visiting the parlor to cover it up. Women and men refused to admit their age, and refused to let it show. Be it moustache, eyebrows, or hair on the head, it was dyed a luscious black, or reddish-brown for those who wanted to go natural. Today, the trend of coloring hair has nothing to do with age. Young boys and girls sport bright colors and hairstyles, which is now a marker of how modern one can be.

This notion of modernity associated with neon streaks and an almost gothic look originates from the ancient Egyptian civilization, where it was considered fashionable to look different from the natural features one was born with. Kohl, lipstick, perfume, and makeup were the inventions of those who hoped to live even after death. Likewise, they were the first people to discover hair dye. Initially, they dyed their hair black, to cover the grey. They used compounds that were extracted from plants, but some of them were lethal. So, they took to extracting the color from fermented leeches.

Keep Reading Show less
Photo by Wikimedia Commons

One of the bookshop at Daryaganj, Chandni Chowk, Delhi.

The history of Daryaganj goes back to the era of Mughal dynasty, and so its history is as old as the old city of Shahjahanabad, now Chandni Chowk. Interestingly, this market was known as Faiz Bazaar in the Mughal era and was considered as an important commercial place.

In fact, at that time this area was very posh, and had beautiful houses on both sides of a stream from a hauz (meaning, water storage tank) flowing down the centre. Not only this, trees were lined up for shade and it looked like a marvellous garden had been turned into a market.

Keep reading... Show less