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Podcast: Why Your ER Spend is Out of Control

Al Lewis March 7, 2025 2 min read
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We were very pleased to be featured in the employee health services sector's most popular and engaging podcast, Relentless Health Value. You can hear it here.

You'll learn answers to some very important questions, like:

  1. How has urgent care availability impacted the number of ER visits?

  2. Why hasn't the No Surprises Act reduced your ER spend?

  3. And our favorite question based on this display showing a massive shift in claims coding: Are ER patients getting sicker or are ERs just upcoding them?

Podcast: Why Your ER Spend is Out of Control illustration

You'll also hear about the latest scam, where an ER (no names used in the podcast, but rhymes with Jomas Thefferson University Hospital) billed someone $1000 for literally doing nothing.

Podcast: Why Your ER Spend is Out of Control illustration

Don't believe us? Here is the anonymized bill.

Podcast: Why Your ER Spend is Out of Control illustration

The story behind this bill is itself worth the price of admission. And it's happening to your employees too.

Most importantly, you'll learn about our ER Sticker Shock Prevent Consent, which is now fully automated. With a bit of upfront planning on your end and ours, you can reap the benefits of much lower ER prices than you and your employees are paying now, without the employees having to do anything other than show up with their insurance card.

By way of background, here is all you need to know about our ER Consent. If for some reason you don't want to click through, here are some prices we've gotten. These are our favorites, for ancillaries for someone with a broken foot. (The Consent was 200% of Medicare, and they forgot to double the Medicare price. So imagine 2x these prices.)

$15.80 crutches

$15.80 crutches

$46.61 x-rays

$46.61 x-rays

Now that you've finished multiplying them by 2, multiply that number by 4 – and that's how much you'd likely pay with your "discounted" in-network contract that your carrier has "negotiated" for you. Sort of like "negotiating" a $1000 fee for doing nothing.

As mentioned, the podcast is here. Or if you are sufficiently horrified, you can cut to the chase and contact us.