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Hospitals pledge to fight admin price transparency plan in court

healthcaredive.com

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Re: Hospitals pledge to fight admin price transparency plan in court

#2
We need price transparency!

Went to a quick care the other day because of a flu that would not go away, was seen and diagnosed with bronchitis in less than 5 minutes. The quick care billed my insurance $1,840, which they talked down to $300, and had me pay $115. What?

Re: Hospitals pledge to fight admin price transparency plan in court

#6
This is purely anecdotal, but I had a 15 minute (literally) ultrasound. Hospital "facility use" fee: $800. 15 minutes of technician's time: $250. Bill came down to $650 after adjustments.

This is messed up.

I imagine people with serious health problems just kill themselves or ruin their lives forever.

Re: Hospitals pledge to fight admin price transparency plan in court

#7
I don't think anyone who has had to pay hospital bills would agree with the hospital lobby's decision to fight this. The article's title makes it give the impression this is okay because, orange man bad, however regardless of the party pushing for transparency it is something everyone would benefit from (other than the heal care industry/insurance company's profits).

Re: Hospitals pledge to fight admin price transparency plan in court

#8
The previous administration had a similar effort that failed. I hope that this effort is successful.

>"For instance, it could allow one provider to follow and match the prices of the other provider (like two gas stations across the street from one another who face no other competition)," Garmon said.

I understand this argument, but I think they underrate how much people are willing to shop around when they actually have prices to use as a metric. I would be willing to travel to get a cheaper hip replacement if I actually know what the local price is, rather than being surprised by it every time.

Re: Hospitals pledge to fight admin price transparency plan in court

#9
Here in Canada, there is no price transparency whatsoever. Just when people are facing the stress and uncertainty of fighting a crisis like Cancer, they are given absolutely no inkling what their treatment will cost.

When a physician makes an appointment for you with a plastic surgeon to discuss reconstructive surgery... No transparency about the cost.

When they prescribe chemotherapy... No transparency about what the doses cost.*

When they schedule surgery... You don't have any idea if they'll pull in another nurse or surgeon during the procedure, and again... No transparency about cost.

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I feel icky making jokes about this. But seriously, price transparency is a perfect example of the "XY Problem."

America asks, "How do we make paying for health care an efficient and transparent marketplace," but the correct answer is, "If what you want is a functioning, civilized country, stop trying to make healthcare a marketplace."

https://en.wikipedia.org/wiki/XY_problem

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* Prescription drugs are still a quagmire in Canada. Basic chemotherapy is somewhat covered by various provincial drug plans, but if you're employed you usually rely on your employment benefits for prescription drugs much as Americans do.

Many of the things covered by employment plans are more convenient than those covered by the public plans. For example, the public plan may require a dose a day, while the product that only requires a dose a week is only covered by an employment plan.

But the bottom line is that if you aren't employed and can't afford chemotherapy, you will get treated.

Re: Hospitals pledge to fight admin price transparency plan in court

#10

This is purely anecdotal, but I had a 15 minute (literally) ultrasound. Hospital "facility use" fee: $800. 15 minutes of technician's time: $250. Bill came down to $650 after adjustments. This is messed up. I imagine people with serious health problems just kill themselves or ruin their lives forever.

I got 1 stitch at the ER (before I was aware that Urgent Care was a a thing). First hospital visit in my adult life. Some saline solution, an alcohol wipe, a shot of Novocaine, and 1 stitch. $3,200. I now avoid the hospital like the plague (ironically).
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