Bitter Pill
Scheme
Introduction
General Facts and Figures
Analysis
Structure of Analysis
Case Analysis In-detail
Findings
Conclusion
Way Forward
2 million people Filing bankruptcies due to health care
bills
One in four families experienced financial burdens of medical
care
United States spend more on health care Japan, Germany, France,
China, the U.K., Italy, Canada, Brazil, Spain and Australia
combined
Bitter Pill ??
Is it so bad?
To find out more let us analyze the case of 6 patients
Sean Recchi
Janice S.
Emilia Gilbert
Steve H.
Steven D.
Rebecca and Scott S
Alan A.
Structure of Analysis
Terms and definitions
Medicare: Medical cover provided by Govt.
Medical Insurance: Insurance cover opted/paid the individual
Charge Master: Standard rate list for services, treatments and
tablets/pills offered by the hospitals
Introduction
Medical Condition
Medical Bills
Analysis
Explanation
by Hospitals
Cost of Treatment
Mr. Sean Recchi
42 Years Old
No Comprehensive Medical Insurance
Non-Hodgkins lymphoma
Type of Blood Cancer
$83,900 ($35K in advance)
Treatment/Service/TabletsHospital($)Medicare($)% Mark UPCHEST, PA
AND LAT 71020(Simple X-Ray)$283.00$20.44ROUTINE VENIPUNCTURE and
other Blood Tests$15,000~ Few Hundreds1 RITUXIMAB INJ 660
MG$13,702$4,000ALCOHOL PREP PAD$7$1.91
The issues related to health care finance are complex for
patients, health care providers, payers and government entities
alike MD Andersons clinical billing and collection practices are
similar to those of other major hospitals and academic medical
centers
