Max Out of Pocket

Small Critical Access Hospitals, Supersized Out-of-Pocket Costs

Let me set this up by saying I love critical access hospitals. They do incredible work providing healthcare services in the rural communities they support. Their administrators and clinicians wear many hats and are stretched in ways hospitals in urban areas would probably never ever understand. Quite often, they are a beacon of the local community they serve. We are talking about some pretty amazing people here.   But the outpatient Medicare payment methodology for...

Max’s Back Pocket Vol. XIII

Well, here we are in the 13th edition of Max’s Back Pocket. I think we are starting to catch up to the never-ending Rocky series. We had a nice long weekend and a pretty low key Memorial Day. I was able to extend my streak of biking to the hospital all four days again. There was a slight misfire on Thursday, though. I tried to jump a curb I had no business jumping and popped...

How Much Should Molecular Genetic Testing Cost?

One of the cool things about running Max Out of Pocket is I get to look at both the macro and micro aspects of healthcare. I also run into random characters from across the internet occasionally who actually have to deal with the system as a patient. Some of them have been battling scary things like cancer, and have even put it into remission. These internet encounters often spark questions about how much something costs....

Max’s Back Pocket Vol. XII

I was able to drum up enough motivation to start biking to work again this week. I really don’t have any excuses for not to be biking in. My one-way commute is 2.1 miles and only takes between 10-12 minutes on the bike. I suppose the lax dress code at work certainly makes things easier now. If there is one thing that sticks out of this pandemic, I hope it’s this new policy. But the...

The Name Is Bond, Series I Bond

Series I savings bonds have been around longer than the iPhone. They are not as flashy, but I still think they have a nice look to them. They last longer too. If you like paper, they are the only government savings bond still available in that ‘old school’ paper format. Remember the college savings bonds you might have gotten as a kid? I bonds are a lot like those. The only way you can get...