2016 Postmortem
Related: About this forumSo - Seattle Children's Hospital is upset that it is being dropped by some insurance companies -
Left off many networks, Seattle Childrens sues
People buying insurance through the exchange may not realize that the pediatric hospital is not in the health plans network of providers, Childrens officials say.
http://seattletimes.com/html/localnews/2021968776_acachildrenssuitxml.html
Maybe this has something to do with it:
Revenues Compensation
SEATTLE CHILDREN'S HOSPITAL WA $707,928,519 Thomas Hansen - CEO $1,209,562 $1,209,562
http://www.kaiserhealthnews.org/Stories/2011/September/28/Chart-CEO-Pay-Packages.aspx
marlakay
(11,424 posts)She retired well paid, and is a total screaming against obamacare republican.
hedgehog
(36,286 posts)manager, not total managerial pay.
hedgehog
(36,286 posts)even with the high executive pay, the hospital is making a profit of 5.6% a year!
ShadowLiberal
(2,237 posts)I don't know about that hospital, since I live on the east coast far from it, but the local children's hospital where I live engages in shall we say 'creative billing' of insurance companies frequently. Or, by the correct name, insurance fraud.
Most people without medical knowledge probably wouldn't catch it, but boy did my mother, who's a nurse, catch quite a bit of it when my older brother had cancer and went there for treatment for several years, including having multiple hospital stays in that time.
They did things like bill for blood transfusions he didn't have, but what should have really given it away as insurance fraud to anyone with medical knowledge is they didn't bill them for testing what his blood type was, even though that's required every single time you give someone blood. I've also seen them bill visits to a Nurse Practitioner to our health insurance under the name of a doctor we never saw (because nurse practitioner visits pay less then doctor visits).
The people that the health insurance companies hire often have no medical knowledge once so ever, and no motivation to catch insurance fraud (no incentive pay or bonuses for it). When my mother reported some of the tests/etc they were billing the health insurance company for that my brother didn't have their people on the phones would say stuff like "oh no he had that test, you must not have known what it was when they did it", even though my mother with all her medical training knew exactly what the tests are they were billing the insurance company for. Yet after much effort of getting them to call the hospital to check on the validity of those stuff the hospital would always go "oh that one was a mistake, get rid of that bill".
ChazII
(6,200 posts)have to say about this situation.