Primary File Info
It Costs How Much?
Michael H. Kennedy
May 1, 2015
Strategy & General Management, Accounting & Finance
healthcare finance, price reansparency, informed consent, recollections, Benefits
Journal of Case Studies
Patrick Kelly’s receipt of the Explanation of Benefits for his colonoscopy served as the catalyst for recollections of his interactions with providers and staff members in preparation for and after his procedure. Some of these recollections raised legitimate concerns about informed consent and price transparency. A review of the Explanation of Benefits reminded the Patrick that even an attempt to explain prices for procedures and services after they have been billed may be difficult to understand. Determining the true cost was further complicated when coordination of benefits was necessary because of coverage by a second insurer.