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Adam Sacarny
Assistant Professor . Also & . Economics, healthcare, bikes, trains, and cats.
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Adam Sacarny Feb 13
Replying to @paulgp
it is apparently an extremely effective instrument for raising survey take up. also how I came to possess a $2 bill. (i don’t think I took the survey...)
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Adam Sacarny Feb 13
“oh, you say new york state law lets you forgive the copays and coinsurance the insurer charged on your surprise out of network bill, but it would be illegal to forgive the deductible? that’s what the law says? that definitely makes sense, sounds good"
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Adam Sacarny Feb 13
being an educated patient definitely helps you figure out when something weird is happening but often that is all it’s good for 🤷‍♂️
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Adam Sacarny Feb 13
i think it’s more appropriate to send the claim to insurer first, esp if it’s complex, to make sure the patient only pays for what passes adjudication. but really, just asking respectfully would have gone a long way, as you say. i have paid my previous claims in a timely manner.
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Adam Sacarny Feb 13
Replying to @EGolberstein
oh this must be ‘subtwitter’ (i haven’t joined yet)
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Adam Sacarny Feb 13
occasionally i’m like, wow, good thing my career is studying the U.S. health care system, i would have been totally rolled without this random knowledge i get paid to collect. but more often i’m like wow, my career is studying U.S. health care and i got rolled anyway, wtf!
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Adam Sacarny Feb 13
i’ll be back in march and can try!
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Adam Sacarny Feb 13
they told me if i didn’t want to pay they’d have to discuss it with the doctor. my doctor is terrific and i don’t want to bring him into this dispute, so i just paid. prior visits, including one a few weeks ago, they wanted me to pay but relented when i asked to go thru insurance
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Adam Sacarny Feb 13
they told me the same thing. but now that’s another thing we have to keep track of...
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Adam Sacarny Feb 13
now maybe it’s all a wash in the end as the adjudication still occurs, just after i pay, and they’ll remit the difference if necessary. but i imagine it’s easier to never pay the provider than to take the $ back later.
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Adam Sacarny Feb 13
the other worrying aspect of this approach is that it cuts out the claim adjudication process. that process is there to protect me against improper billing. i just paid for an encounter that went through no review, and have no idea if i was billed appropriately.
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Adam Sacarny Feb 13
they had a bunch of printed tables with negotiated rates for the insurers they accept. they also claimed they had queried my insurer to determine i was still in my deductible phase…
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Adam Sacarny Feb 13
in prior visits they tried to get me to pay on the spot, but when i requested going through my insurer they immediately relented. so the pushback this time was unexpected and really weird. and i have had the same experience as yours at other providers.
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Adam Sacarny Feb 13
i saw a doctor this morning . in checkout, they demanded i pay the negotiated rate for the encounter on the spot. they refused my request to send the claim to my insurer first. i have no idea if i was billed appropriately, nor if they had the right to do this.
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Adam Sacarny Feb 13
we are using it too and it’s working pretty well! the tricky thing was getting it working with a collaborator in a shared library. we had to make sure it was set up on both of our computers and exported with the same citation key format.
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Adam Sacarny Feb 13
Replying to @dsebastiantello
Zotero lets you make an online account and save libraries there, which you can then share with collaborators… this is working pretty well so far, especially for MS Word docs
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Adam Sacarny Feb 10
for a moment there, i just scrolled through a PDF of a 1993 paper looking for the DOI
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Adam Sacarny retweeted
Sean J. Taylor Feb 9
One time, I had to estimate a confidence interval for a sample estimate and there was no convenient formula for analytic standard errors.
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Adam Sacarny Feb 6
this paper looks really interesting!
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Adam Sacarny Feb 6
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