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I just refilled my daughter's #insulin. It took 11 days and required:6 calls to insurance,3 calls to the pharmacy,3 calls to the PBM,2 calls to the endo,1 call to the pharmacy helpline.This is what it takes to access insulin in America. This is insanity. #Insulin4all— Lija Greenseid, PhD (@Lija27) January 17, 2019 327

How does something like an x-ray become the bill that comes in the mail?It's the product of medical billing, a decades-old process that technology has recently transformed.It starts when someone gets hurt or sick and goes to the clinic or hospital. They fill out paperwork and see the doctor. Once the visit is over, administrators ship off insurance and visit details for processing.Behind the scenes, medical coders assign each service a code. Those can include diagnoses, procedures, and treatments. These codes help determine how much the insurance company will cover.They create a detailed, itemized list of services, medical codes, and co-payments and send it to medical billers.The billers use the list to create what’s called a claim for insurance companies to consider.Insurance companies can do one of three things.· Accept the claim.· Deny it and ask for corrections.· Or, reject it entirely.There are a lot of variables that go into how much insurance pays. Whatever the company doesn’t cover ends up in a bill in the mail.The process is digital now and much faster than doing everything by hand. It also reduces the risk of human error, which could save Americans money. 1195

FORT PIERCE, Fla. — The female volunteer at the Humane Society of St. Lucie County, Florida, who was found dead inside a fenced play area next to the shelter Thursday died of severe blood loss due to dog bites, according to the St. Lucie County Medical Examiner's Office.It ruled the death accidental.The Human Society of St. Lucie County has identified the woman as Christine Liquori."The dogs here have lost a dear dear friend and we’ve lost a dear dear friend and wonderful volunteer. Whatever needs to be done for those dogs, Christine was there for it whether it was walking them, bathing them, playing with them, loving on them, taking their picture," Humane Society of St. Lucie County Executive Director David Robertson said Friday before the medical examiner revealed its results.He said a mixed-breed dog was with Liquori at the time and had no prior issues. The dog had been at the shelter for about 8 days prior to the incident. "The dogs and all of us here are really going to miss her and we want to extend our deepest and sincerest sympathies to all of her families," Robertson said.The dog was set to be euthanized Friday.Liquori was a member of Paws Fur Recovery, a non-profit organization made up of people in recovery that volunteer to find homes for dogs in shelters. You could say Liquori saved dogs every day because they saved her.“She’s just coming up on what would have been, coming up 6 years clean and sober on May 23rd,” said Lori Boettger, President of Paws Fur Recovery. Shortly after starting her journey to recovery from addiction, Liquori joined Paws Fur Recovery. “She loved loved loved what she did and she died doing what she loved,” said Boettger. Robertson said Liquori was in the fenced play area with a dog alone on Thursday. It’s not clear why there was no one else with her. He said she was found dead. Another volunteer for Paws Fur Recovery and close friend of Liquori’s said she started her journey to recovery from addiction with Liquori 6 years ago and got involved with Paws Fur Recovery because of Liquori. “I feel like this is an isolated issue. It’s not something we’ve encountered so you know it’s sad. I will continue to be going out to the shelter to help these dogs because I’ve had a second chance and they deserve one too,” said Sandy Robieous, Paws Fur Recovery volunteer. Paws Fur Recovery is 2365

For the second time in a week, a potential school shooting was thwarted by a tipster who gave authorities a heads up -- this time in the town of Middlebury, Vermont.Authorities launched an investigation last week after a student told the principal at Middlebury Union Middle that she or he overheard two teens planning to attack another student, police said.Though interviews with multiple students, investigators learned that a 14-year-old planned to go to the school Tuesday at noon "and shoot a specific student, one in which he had problems with, and anyone else."The second student involved allegedly said he could obtain a weapon from a relative."They provided us this information in pretty graphic detail," Middlebury police Chief Tom Hanley told CNN affiliate WPTZ. "As to what the plans were, very specific: date and time, target, where this was going to happen... very specific. As opposed to the normal kind of idle chatter where there's nothing specific at all."Working with social workers, counselors and the State's Attorney Office, police had one student taken to Porter Medical Center for psychiatric counseling and treatment.The firearms from the other student's relatives were seized pending a court hearing, though police say the relative had no knowledge of the students' plans. All of the relatives' firearms were secured in safes, police said.The middle school "will deal with both students per their internal policies," as the investigation continues, police said.School Superintendent Peter Burrows said he was thankful for the student who decided to speak up."Students talking to each other and reaching out to us and then allowing us to work with police and take care of it is huge," Burrows told CNN affiliate WCAX.Middlebury, a town of around 8,500 people, is located about 35 miles south of Burlington.Last week, police in Richmond, Indiana, killed a teen they said was bent on committing violence at a middle school after receiving notice of the teen's plan. Lauding the tipster, Indiana State Police Sgt. John Bowling said, "Someone knew something, and they said something." 2117

Flight attendants at Frontier Airlines will no longer pool any gratuity left for the in-flight crew, and now will be working for their own tips, 157