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Neat escape hospital android version1/16/2024 ![]() ![]() Despite her fatigue, she spent hours on the phone and took detailed notes on her conversations with various customer-service representatives. Krevat started an Excel spreadsheet to track the insurance company’s payments. But the insurer said she still owed the rest of the money. Seemingly at random, GHI would send her a check to cover some of the out-of-network expenses. “I was never in a position to preselect who can perform my heart transplant,” she wrote in a letter she shared with The Atlantic. Krevat appealed to GHI, her insurer, saying the services should have been covered because she was unconscious when she received them. This is an unfortunate part of our health system.”) “I have no idea what they bill, or why it was out of network. “We are on salary, and they bill for us,” he said. We understand that unusually high health-care costs may create a financial hardship for other patients and we try to set up payment arrangements that are within their financial means.” (Ghaly told me he was a fellow at Columbia at the time. In an emailed statement, a representative from Columbia said, “Unfortunately, when a patient’s insurance plan does not cover all of the costs involved in their care, the patient is responsible for the balance. Williams, who now works for New York University Langone Health, told me over email that decisions about billing and insurance participation were made by Columbia University Irving Medical Center, not by individual providers. A few months later, a separate invoice from Weill Cornell Physicians said she owed $22,464. Another came from a doctor named Aziz Ghaly for $17,418. One came from one of the hospital’s doctors, Mathew R. Krevat’s bills began to arrive while she was still being treated at Columbia University Irving Medical Center. They work closely with uninsured and low-income patients on their individual bills, including discussing financial-assistance options with them.” In an emailed statement, the American Hospital Association told me, “Hospitals and health systems treat all patients who come through their doors, around the clock and regardless of their ability to pay. About one in six Americans received a surprise out-of-network medical bill in 2017 after being treated in a hospital, even though they had insurance, according to Kaiser Health News. The debt typically comes from out-of-network doctors who people thought were in-network, hospital stays, or ambulance rides. About 43 million Americans have unpaid medical debt dinging their credit, and half of all overdue debt on Americans’ credit reports is from medical expenses, according to a Consumer Financial Protection Bureau study from 2014. ![]() Krevat’s bills were just a drop in the American medical-debt ocean. She remembers thinking, Is this lady stalking me or does she really think we’d be good in each other’s professional networks? “It was just more evidence that I was in this bizarro world of receiving bills I shouldn’t be responsible for,” Krevat told me. To Krevat, the LinkedIn request was almost funny, in the laugh-till-you-cry sense. (Pollack claims the request was an error.) Even bills incurred in an emergency can be sent to debt collectors or sold to debt buyers, who will attempt to collect on them however they can-including, perhaps, through America’s largest professional social network. The LinkedIn request was an extreme example of what happens when medical bills go unpaid. She estimates that if she had paid every bill that was sent to her, the total would have been about $50,000. But some of the doctors who treated her turned out to be out-of-network-a situation she couldn’t control, because she did not know when a new heart would become available. Krevat’s husband was a teacher, and Krevat had good insurance through him. For a year afterward, she wasn’t able to return to work. After seven weeks on life support, a heart became available, and she had a transplant. ![]() Instead, she was admitted to the hospital and diagnosed with giant cell myocarditis, a severe inflammatory heart disease that can lead to heart failure. In December 2009, Krevat, who was 32 at the time, thought she was coming down with the flu. Krevat’s debts, which were reviewed by The Atlantic, made up plot points in the worst kind of American health-care horror story. Karen Pollack, the head of a debt-collections practice called KP Recovery Solutions, had been trying to collect on some medical bills Krevat had recently incurred for a heart transplant. The wording was the familiar: “I’d like to add you to my professional network.” The sender was familiar, too, but not for the reason Krevat expected. On March 8, 2011, Joclyn Krevat, an occupational therapist in New York, was sitting at her computer when she received a most unusual LinkedIn request. ![]()
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