Word: muscly
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Dates: during 1990-1999
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...MUSC, Hunter became a patient of Dr. Adrian Rubin, who agreed with the Greenville doctor that Hunter needed a new liver but who also recognized that insurance was very much a factor. Rubin consulted with the hospital's financial staff, which confirmed that MUSC did not have a liver-transplant contract with Hunter's carrier, Physician's Health Plan. But, Rubin was told, Duke, where he knew the liver people, did have a PHP contract. So the physician recommended that Hunter go there. Rubin placed a call to Duke hepatologist James Trotter, explaining that he had a seriously ill transplant...
...that Hunter ended up in a hospital with no plan to pay for an operation that could cost anywhere from $80,000, if the procedure went smoothly, to perhaps $1 million, if complications arose. The precipitating error apparently took place in the back offices of MUSC in Charleston, where someone misidentified Duke as a PHP contractor. One possibility is that PHP's contract with Duke to do bone-marrow transplants was misconstrued as a liver contract. Another is that Physician's Health Plan was confused with another provider that is also sometimes referred to as PHP: Partners National Health Plan...
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