Bram Sable-Smith

Author's posts

The Hospital Bills Didn’t Find Her, but a Lawsuit Did — Plus Interest

Recovering from emergency gallbladder surgery, a Tennessee woman said she spent months without a permanent mailing address and never got a bill. She was sued by the health system two years later.

Can a Fetus Be an Employee? States Are Testing the Boundaries of Personhood After ‘Dobbs’

Laws granting rights to unborn children have spread in the decades since the U.S. and Missouri supreme courts allowed Missouri’s definition of life as beginning at conception to stand. Now, a wrongful death lawsuit involving a workplace accident shows how sprawling those laws — often intended to curb abortion — have become.

Temp Nurses Cost Hospitals Big During Pandemic. Lawmakers Are Now Mulling Limits.

Missouri is considering making it a felony to jack up temporary health care staffing prices during a statewide or national emergency. It’s one of at least 14 states looking to reel in travel nurse costs, after many hospitals struggled to pay for needed staffers earlier in the covid pandemic.

Armed With Hashtags, These Activists Made Insulin Prices a Presidential Talking Point

Twitter has been a hotbed for the burgeoning insulin access movement and activism surrounding other medical conditions. For people with diabetes, the platform has helped propel concern about insulin prices into policy. Can it continue to win with hashtags?

A $30 Million Gift to Build an Addiction Treatment Center. Then Staffers Had to Run It.

Howard Buffett, son of billionaire investor Warren Buffett and chairman of his own charitable foundation, gave $30 million to build an addiction treatment center in the central Illinois community where he farms. But the money was a one-time gift for infrastructure, so the clinic is on its own to keep it running.

A ‘medical cost-sharing’ plan left this minister to pay most of his $160,000 bill

Instead of health insurance, the Rev. Jeff King had signed up for an alternative that left members of the plan to share the costs of health care. That meant lower premiums, but a huge hospital bill.

A Medical Cost-Sharing Plan Left Pastor With Most Of The Cost

Jeff and Kareen King joined a medical cost-sharing plan advertised as a “refreshing non-insurance approach” to paying for health care. It had a big proviso: Preexisting conditions like Jeff’s heart condition were not fully covered for the first two years. He needed heart surgery after just 16 months.

This Open Enrollment Season, Look Out for Health Insurance That Seems Too Good to Be True

Complaints about misleading health insurance marketing are soaring. State insurance commissioners are taking notice. They’ve created a shared internal database to monitor questionable business practices, and, in the future, they hope to provide a public-facing resource for consumers. In the meantime, consumers should shop wisely as open enrollment season begins.

A Billing Expert Saved Big After Finding an Incorrect Charge in Her Husband’s ER Bill

A medical billing specialist investigated her husband’s ER bill. Her sleuthing took over a year but knocked thousands of dollars off the hospital’s charges — and provides a playbook for other consumers.

$2,700 Ambulance Bill Pulled Back From Collections

After reporting from KHN, NPR, and CBS News, a patient’s $2,700 ambulance bill was pulled back from collections.