Sasha
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Let’s stop pretending this is complicated. If you’ve ever picked up a prescription and felt like you were being mugged at the pharmacy counter, you were. Welcome to American healthcare, where the same exact medication costs three times more than it does in Canada, and the only explanation you’ll get is a shrug and a…
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Let’s talk about how Big Pharma keeps making billions off something your cousin’s knockoff bag business also does: slap a new label on the same product and sell it for double. Welcome to the shady world of “me-too” drugs, where pharmaceutical companies slightly tweak a chemical formula just enough to get a brand-new patent, jack…
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Payment posting is treated like clerical work. Something routine. Something anyone can do if they click fast enough. That way of thinking is exactly how revenue slips away unnoticed. Most medical offices think money gets lost at the claim denial stage. It does not. Denials are obvious. They show up on reports. They get attention.…
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The Problem With Patient Responsibility No One Admits… Everyone loves to complain about patients not paying their balances. Here is the uncomfortable truth. Most of those balances should never have been the patient’s responsibility. Patient responsibility is not a collections issue. It is a workflow failure wearing a fake label. I see this constantly. An…
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Let’s be honest. The Affordable Care Act came from a good place. It made it possible for people with preexisting conditions to finally get coverage. It expanded Medicaid. It gave young adults a break by letting them stay on their parents’ insurance until age 26. It opened the door for lower-income folks to access health…
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There is a widespread myth in healthcare that only front-desk staff and revenue cycle teams deal with insurance nonsense. The thinking goes: when things get really bad, that’s when the physician steps in, calls the insurance plan directly, and everything magically gets handled. But here’s the truth nobody wants to admit: Even physicians get treated…
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Back in the Day, Insurance Reps Were Human. Now They’re Scripted Robots in Disguise. There was a time, not even that long ago, when calling an insurance company didn’t make you want to throw your phone across the room. Hold times were maybe five minutes. The person who answered was actually in the United States,…
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Everyone’s favorite villain in healthcare is the insurance company. Greedy premiums, endless denials, a customer service line that feels like purgatory. You get it. You know the villains of that particular story. But let’s take a detour for a minute. Let’s talk about Medicaid. The so-called hero of the working poor, the elderly, and the…
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Once upon a time, in 1974, a little company called Charter Med was born in Minnesota. Picture it: medical providers and hospitals trying to organize better care and save money. It looked noble. By 1977, they had renamed themselves UnitedHealthcare Corporation and introduced something called utilization review. On paper, it was a safeguard to make…
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” Hi, everyone! I’m 6 months pregnant with twins and homeschooling a toddler, baking sourdough bread, and my husband works 70 hours a week. I’ve always felt a calling from God to be in healthcare, healing others through the revenue cycle. Can someone train me for free so I can start working remotely?” If Laura…