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In today’s episode, we dive deep into prior authorization, a process often seen as a bureaucratic hurdle but one that can significantly impact patient care. Backed by alarming statistics from the American Medical Association—where 24% of surveyed physicians reported prior authorization led to adverse patient events—we uncover the hidden challenges of this system. Join us as we define prior authorization, explore why it exists, and discuss its consequences, from treatment delays to financial s...
In this episode of Avoid Staying Sick and Going Broke, we take a deep dive into what healthcare changes might be on the horizon following the 2024 election and the return of a Trump administration alongside a GOP Congress. From potential adjustments to Medicare and Medicaid to shifts in the Affordable Care Act (ACA), Bobbi and Cass provide a thoughtful, non-political breakdown of what’s likely to happen—and what might stay the same. We explore topics like: Medicare Changes: Will the age for M...
*Trigger Warning: Mention of DNC and miscarriage.* Navigating health insurance can be tricky, as our co-hosts, Bobbi Buell and Cass Lewis will share today. Focusing on the pitfalls of temporary plans and how to navigate open enrollment, they discuss why temporary plans might not cover pre-existing conditions, how coverage caps can leave you unprotected for costly treatments, and why these plans don’t follow ACA guidelines. The episode offers practical advice on setting a healt...
In this episode of the Avoid Staying Sick and Going Broke podcast, hosts Bobbi Buell and Cass Lewis take a deep dive into the complexities of Medicare Advantage, or as they sometimes call it, “Medicare Disadvantage.” With humor, personal anecdotes, and decades of experience in healthcare billing and patient advocacy, Cass and Bobbi explore how Medicare Advantage differs from traditional Medicare and what this means for patients—especially our elderly loved ones. Bobbi highlights the advantage...
Welcome to Avoid Staying Sick and Going Broke, the show that takes the headache out of healthcare and brings you a humorous guide to navigating the confusing world of medical jargon, insurance bills, and everything in between. Whether you’re mystified by your latest hospital bill, unsure what a deductible even is, or just curious about how the healthcare system works, you’ve come to the right place. On this show we break down the complex healthcare landscape into bite-sized, easy-to-understan...
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Welcome to Avoid Staying Sick and Going Broke, the show that takes the headache out of healthcare and brings you a humorous guide to navigating the confusing world of medical jargon, insurance bills, and everything in between. Whether you’re mystified by your latest hospital bill, unsure what a deductible even is, or just curious about how the healthcare system works, you’ve come to the right place.On this show we break down the complex healthcare landscape into bite-sized, easy-to-understand pieces. No need to feel overwhelmed—we’ll help you decode the terminology and share tips on becoming your own best healthcare advocate. You’ll also learn how to avoid the financial pitfalls of medical care (aka “financial toxicity”) and leave feeling empowered, informed, and maybe even entertained.Plus, healthcare professionals can tune in for insights on how to better explain medical details to their patients with clarity an
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