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Hospitals pledge to fight admin price transparency plan in court

healthcaredive.com

111–120 of 311 posts

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

#111
post #11

This is one thing Trump is doing that should get broad support. It probably won’t though, because some people are physically incapable of agreeing with him.

Unfortunately I believe he will cave in quickly and lose interest while claiming a big win . So far none of his health efforts have led to anything other than big words about Obamacare and then nothing.

I would be very happy to be wrong about this.

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

#112

Earlier quoted context omitted.

Is it illegal to write “we will bill your insurance for procedure codes x y z for your visit”? They don’t need to tell you the cost, but they know what they’re going to charge you beforehand. They should be able to tell you the codes so you can give it t your insurance company to find out how much it will cost. The reason healthcare providers don’t give out codes for known predictable procedures is it would enable cu…

HIPPA and privacy laws. Communications have to be secure.

So only send it to email services that support TLS, ie 99% of them

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

#113

While publishing the negotiated prices for each procedure code would be interesting, I don't see how it would change much since it wouldn't necessarily be the price they would actually charge me, and it wouldn't help me know beforehand what sort of add-on procedure codes/bills were going to be part of my care. The policy I would like to see is that patients should only be legally liable for costs that they sign off o…

Eventually the published price will be close to the amount you are being charged. I would expect health care providers to stick with their promise to post the highest possible cost but as people being to use these prices to shop around (both these numbers are exorbitant, but this one is less so, etc.), I am confident they will abandon this gambit.

IMHO, it's kind of nuts they are even starting out with this argument.

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

#114

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 h…

I'd pay more for quality. If I knew hospital X is better at hip replacement I'd pay extra to go there. Of course how much extra I'm not sure, and I'm also not sure how you compare hip replacement quality like that.

It is only emergency rooms where I don't get a choice - if you need an emergency room close is important.

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

#115

Earlier quoted context omitted.

Is it illegal to write “we will bill your insurance for procedure codes x y z for your visit”? They don’t need to tell you the cost, but they know what they’re going to charge you beforehand. They should be able to tell you the codes so you can give it t your insurance company to find out how much it will cost. The reason healthcare providers don’t give out codes for known predictable procedures is it would enable cu…

HIPPA and privacy laws. Communications have to be secure.

In my experience they won't print it out either.

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

#116
post #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).

I thoroughly dislike the bad orange man, but I will save my strongest words for a more appropriate forum. That said, just because you may dislike someone doesn't mean that you have to opposed everything they do. I do agree with this push for price transparency.

I feel the same way about Trump, but as someone who's gone through many years of trying to eke out basic health care and gone through years of minimal insurance, I see this as the government doing the right thing to a giant, bloated, sector. In many ways, health care manifests itself like a racketeering operation in the country, despite the genuine well-wishing of the battalions of nurses, doctors, staff, and assistants who help us every day.

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

#117
post #33
post #22

I spent 45 minutes at the hospital where I was to get a lab test done, trying to get a quote for said test. Prescribing doctor didn't know the cost. Lab tech didn't know. Billing department told me I needed a procedure code. Lab tech who was ready to draw blood couldn't tell me the needed code even after spending five minutes at a computer looking for it. Prescribing doctor gave me the code. Called back billing. They…

From a Bogleheads topic titled “How to Minimize Your Emergency Care Expenses”: > Fifth, nobody you interact with at the hospital at the time of your visit has any idea how much anything costs. Part of that is the whole price transparency thing. Those who know the price don't want the front line workers to know it. Part of it is the fact that there are so many moving parts. Medicine gets inappropriately compared to av…

I wonder if the gov is willing to use the heft of Medicare to help persuade hospitals and clinics to see them to enlightenment.

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

#118
post #109

Earlier quoted context omitted.

In what way is the article title non-neutral? It seems fine to me. For the record, I oppose the Trump administration but support this action by the Trump administration.

We took out the trigger word.

What was it? Thanks.

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

#119

Earlier quoted context omitted.

That's because it's illegal.

Is it illegal to write “we will bill your insurance for procedure codes x y z for your visit”? They don’t need to tell you the cost, but they know what they’re going to charge you beforehand. They should be able to tell you the codes so you can give it t your insurance company to find out how much it will cost. The reason healthcare providers don’t give out codes for known predictable procedures is it would enable cu…

The procedure codes involved in your visit explicitly call out what your treatment was, since information about your state of health and ongoing medical information is considered private information we have HIPAA to protect that privacy. Information about what procedures you've had done are relatively important to keep private so that knowledge of such procedures isn't used to influence your employment - while getting blood drawn like resulted in a pretty innocuous procedure code, there are other procedure codes that are far more sensitive to disclose - including pregnancy detection (to avoid being let go for a company to dodge maternity requirements) and more social privacy concerns like being treated for an STD.

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

#120
post #14

Of course doctors and hospitals don't want price transparency. That would create pricing competition, which would drive down consumer prices, lower profit margins, and force them to become more efficient. Price transparency is one of the key elements of the highly successful Singapore healthcare system. Add in universal tax-free (or tax-deferred) Health Savings Accounts, and we could not only improve the US healthcar…

> doctors and hospitals don't want price transparency Well, I do want price transparency - IF it works the way they promise. It’s hard for me, as a programmer, not to draw parallels to every employer’s expectation that I should be able to listen to them describe a software problem and quote them a timeframe on the spot (which, of course, they’ll then try to “negotiate” down). On the one hand, as a non-medical-profess…

Yeah but come on. It's one thing to program something with nebulous requirements.

The cost of the X-ray machine is known. The cost of collecting X-rays can be calculated deterministically.

The only thing similar to programming is trying to diagnose a rare disease or tricky condition. But for run-of-the-mill deterministic procedures, the cost should absolutely be known.

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