swedish medical center

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KUOW has a lovely piece on the profits of some of Seattle’s non-profit hospitals. Not surprising, but Swedish Medical Center (which is currently on my sh*t-list) is one of the hospitals they talk about.

Nurses at Swedish start at about $25 an hour. But for top doctors and executives at hospitals like Swedish, the paychecks dwarf that figure.

KUOW has learned that 15 nonprofit hospital leaders in the Seattle area earned at least $1 million in 2007. This elite group includes the CEOs of Swedish, Providence, Virginia Mason, Group Health, Seattle Children’s and MultiCare in Tacoma. Another three dozen hospital officials in King, Pierce and Snohomish counties earned at least half a million that year.

I think the question we need to be asking, when we’re talking about health care reform, is where is the money going? I mean this from every single point, from the doctor’s time and his liability insurance, education, home, golf, etc. to the prescription meds or procedures – the elements to make them, legal costs, patents, etc. How much money does Astra-Zeneca spend on pens for doctors alone?

Maybe I’m the only one curious about this – but I think these are important things to ask when you’re asking for an overhaul.

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I called the billing office for the Ballard Emergency Physicians today, as that to the best of my understanding, my bill is due in a couple days.

You see, I called on June 21 to let them know I was still in appeals with my insurance. They then informed me that I was granted one reprieve already, and that was all they would offer.

When I called today, they let me know that my due date was reset again (though they couldn’t tell me when it was set to) and that this happened on June 21 when I called. I let her know that wasn’t the information I received before. “Then the person that informed you of that was mistaken. She filed a complaint on your behalf and it was sent to the physicians office for review.”

Interesting.

I was told that my account was not in any danger, at present, for going into collections.

Excellent.

I now am wondering if this has something to do with the complaints I filed with the Attorney General or the Department of Health… (maybe both.)

Stay tuned.

See previously: Emergency Room Charges, Ballard Emergency Physicians and Swedish Ballard Emergency Room, Insurance, Emergency Room and Complaints/Appeals, Insurance Appeal Update

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Yesterday I went all the way up to Mountlake Terrace, Washington to present myself before the Premera appeals panel. I got there right on time, was well dressed, and a bit out of place with my pink/purple hair. I wore heels just to make me a little more fierce and ready for action. I went to the desk of building one, and presented myself. There was no badge for me. After some calling around, the desk person found the people I was supposed to meet with, and about 10 minutes later, a woman came out, looking perfectly present, and let me know they weren’t expecting me.

I suppose they get that a lot. The way that the second appeal process works is that you write a second letter of appeal, and they send you back a letter for a formal meeting, during business hours, either at their offices or by conference call. I’m sure that most people take one look at that letter and throw it in the trash, giving in to defeat. After all, the offices are far away, and if you’re working (or very ill), a conference call is intimidating.

They quickly assembled the panel. Two were in person, a moderator and a claims analyst. Then there were two on the phone, a physician and another person, whose role I have forgotten. She spoke the least of all of them. What I had expected to be intimidating, was totally not. These people kind of acted like they wanted to be my friends. Well, you know, the kind of friends you make in an hour at a party and never see again.

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I’ve noted here and here the beginning parts of my fight against Ballard Emergency Physicians(BEP)/Swedish Medical Center – Ballard and Premera because of failing to let me know prior to my emergency room visit that though the facility (Swedish Medical Center – Ballard) is in-network with my insurance, Ballard Emergency Physicians are not, leading to charges 2-3x the maximum allowed, leaving me with the remainder. I’m not the only one this has happened to, and it’s been a problem for another woman I know with a similar situation to mine.

I’ve made some noise to make a difference, pretty much the best way I know how. I started by sending my story to my state legislators, Sen. Jeanne Kohl-Welles and Rep. Mary Lou Dickerson. Both of them sent me personal responses, and even had their staff do research on my situation. They not only filed a complaint with the Insurance Commission for me (which, unfortunately, did not end up to my benefit), but also gave me further resources, and Rep. Dickerson indicated an interest in researching sponsoring legislation regarding the practice.

The letters to Senators Murray and Cantwell received completely canned responses, which was not entirely unexpected, but also discouraging while Healthcare Reform is such a big topic. Rep. McDermott has not yet sent me a reply.

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Buyer Beware! If you have the misfortune of being in an emergency and go to Swedish Medical Center Ballard, you should know that the physicians that treat you are contracted by Swedish Ballard and do not necessarily take the insurance you have, even if the facility (the hospital itself) is in network. You may be liable for charges exceeding your insurance’s maximum allowed amount. This can be much more than what is the maximum allowed by Medicaid. This has happened to me as well as a friend of mine. We were not notified by our insurance, Premera Blue Cross of Washington, that we might be in this situation when seeking emergency care.

Who are the ER physicians? They are listed as Ballard Emergency Physicians, and their billing office is contracted out of Oklahoma. This puts them far away from the administrative offices, as well as the doctors who may serve you.

In case you wondered, here is the information for the Ballard Emergency Physicians, as made available on the Washington Secretary of State‘s website, and the Department of Licensing (1, 2) website.

For reference:

Location Address:
EMERGENCY DEPT SWEDISH M.C.
NW MARKET & BARNES
SEATTLE, WA, 98107

Mailing Address:
5409 BARNES AVE NW
SEATTLE, WA, 98107-3840

and also:

Location Address:
5300 TALLMAN AVE NW
SEATTLE, WA, 98107-3932

Mailing Address:
PO BOX 70707
SEATTLE, WA, 98127-1507

President JARRIS , RAY
Vice President SCOTT , MARK
Secretary WEXLER , ROBERT
Treasurer BROWN , MICHAEL

Please share if you’ve had the issue of non-coverage due to the physicians not being under your insurance, and if so, how you resolved it, or what you did to resolve it? I’ll update later with what I’m doing.

See previously: Emergency Room Charges.

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