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Hospitals pledge to fight admin price transparency plan in court

healthcaredive.com

271–280 of 311 posts

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

#271
post #252

Earlier quoted context omitted.

The prices don't change in a supermarket if you edit your shopping list, eh? A hospital can't predict everything a patient will need (their shopping list), but they should be able to account for the cost of each procedure/drug/test/bandage/etc... eh?

The problem is a lot of that isn't deterministic. There's a lot of "If Then" statements that aren't easy to price ahead of time. Like, your procedure is very different if your doctor decides they could use a specialist consult.

> your procedure is very different if your doctor decides they could use a specialist consult.

The necessity of the specialist consult may be unexpected, but it doesn't follow that the cost of it should be secret or obscure, eh?

The intrinsic unpredictability of health care isn't an excuse for additional unpredictability of cost.

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

#272

Earlier quoted context omitted.

I think you're right (profit motive and health care don't mix) but then how do you cut the Gordian Knot? I'm cautiously hopeful that price transparency might be a start.

Honestly? Stop electing people who scream that public health is a communist devil plot?

I'll see what I can do.

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

#273

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?

I know the stories abound, but I had an MRI done at UCSF that they billed $18,000 for. I think insurance paid $15,000.

There are multiple, standalone private MRI clinics in the US that will do the same MRI for $1,500.

Really UCSF? You’re a part of the problem.

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

#274
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…

I was in Japan two years ago; got pneumonia and needed antibiotics. Went to a hospital with no insurance and no appointment. I was being seen by a doctor within 30 minutes. Doctor wanted to do some additional labs just to rule other things out, but he was worried that it would be expensive for me given the lack of insurance. He called up billing with me still in the room and had a price within a couple minutes: ~$70…

US hospitals are a cesspool of crony capitalism.

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

#275
post #51

Earlier quoted context omitted.

Unfortunately, central planning stifles innovation. We have the best cutting-edge medical technology in the world for the few who would like it and can afford it. But by eliminating pricing transparency we've also eliminated the incentive to make those technologies cheaper and more accessible to the common man.

You don't need innovation for the usual complaints that you see a primary care physician for - broken arm, throat infection &c. That stuff lends itself to standardization and following of protocols.

Except when your broken arm needs to be reduced or you have an open fracture and you require moderate sedation to have a physician perform those procedures. Not so standardized and not to protocolized.

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

#277

Earlier quoted context omitted.

It is incentives. Most people get their heath care from insurance, which is subsidized by their job. I can legally buy my own insurance, but it will cost a lot more than what I pay through work so of course I don't. My boss wants me to keep working, and so high medical costs keep me from quiting to start my on competitive business. I can live for a couple years on cheap food and little else, but I need at least emerg…

> I can legally buy my own insurance, but it will cost a lot more than what I pay through work so of course I don't. Which is entirely frustrating too. This only happens because employers only subsidize specific health plans, instead of letting the employee spend that money on the health plan that they deem best for themselves. Isn't that ridiculous? Why would my employer care what health insurance I get anyways, the…

> Why would my employer care what health insurance I get anyways,

Two reasons.

One is that it gives people pause before leaving for another job, as they might have to figure out new healthcare providers.

Second is that it gives larger employers the benefit of paying less for insurance, especially if their employee group consists of younger healthier white collar workers. It also helps them because businesses can pay for health insurance with pre tax dollars, which helps compete against small businesses that can’t afford to pay for health insurance for employees, whose employees have to pay for their own health insurance with after tax money.

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

#278
post #81

My uncle wrecked his motorcycle once. He ended up in a ditch unconscious. Someone called 911. For what ever reason a life flight helicopter was then called and picked him up and took him to a local county hospital. He woke up there a few hours later. After they had already ran all kinds of tests. They had a large list of all the problems from busted spleen, broken bones, head concussion, etc. After a day of rest in t…

Are individuals on the hook if they are unconscious and have things done to them without their consent for their own good?

In the US, yes.

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

#279
post #168
post #154

Earlier quoted context omitted.

So a quick way to check reality is by looking at behavior, so say you wanted the "best" care for something no matter the costs. Most people would fly to the U.S from wherever. That is telling you something. I agree the "general" care like broken bones etc its probably all the same, but healthcare innovation is done in the U.S. So it is kind of moot to say "its good here"... yes after the innovation trickles its way o…

> Most people would fly to the U.S from wherever. That is telling you something. > but healthcare innovation is done in the U.S These are assertions without much evidence. Don't forget that the US does well on relatively meaningless measures (5 year survival rates for cancer) but poorly on all cause mortality. Why do US citizens die younger than people of other countries if the US healthcare system is so innovative?

Uh okay, I’ll snipe your questions with an obvious one:

Lifespan/mortality In the US includes things like drug overdoses and suicides, of which many countries don’t count towards or keep bad record of.

Also cancer survival rate for the US is mostly the best in the world [0].

I’m here for more easy volleys if you want to keep this going

https://www.cdc.gov/cancer/dcpc/research/articles/concord-2....

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

#280
post #243

Earlier quoted context omitted.

Not secure in the sense that it's encrypted, though that's part of it. Secure in the sense that you know you're communicating with the patient and only the patient, not their spouse, or their grandson, or Google's servers.

If that's actually a requirement, then why are most providers happy to accept that it's me over the phone/at the pharmacy if I simply say I'm Silas and maybe give the right date of birth?

Because the laws governing all of this were written in 1996.
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