Why can’t insurance companies post the actual price they are paying and being charged by the hospital with proper billing taxonomies. They seem like they probably have these things well ironed out since they actually deal with various hospitals whereas hospitals only deal with themselves.
I analyzed hospital price lists so you didn't have to
21–30 of 403 posts
Re: I analyzed hospital price lists so you didn't have to
#22I hate Trump and am glad he was voted out, but you have to give him his dues.
This is 100% his doing, through executive action. The Dems could have done this but never did. It’s just another example of how neither side of the aisle is truly on your side.
Re: I analyzed hospital price lists so you didn't have to
#23What a strange concept, "hospital price".
Why? What do you think pays for the "hospital cost"?
(That's not to say there aren't MANY opportunities to reduce the price and cost, starting with complying with the law to post prices, which many hospitals don't adhere to because the current administration isn't enforcing the EO)
Re: I analyzed hospital price lists so you didn't have to
#24I hate Trump and am glad he was voted out, but you have to give him his dues. This is 100% his doing, through executive action. The Dems could have done this but never did. It’s just another example of how neither side of the aisle is truly on your side.
All politicians are crooks. Left or right, doesn't matter. They are both accepting bribery under "lobbying".
Re: I analyzed hospital price lists so you didn't have to
#25When High Deductible Insurance was introduced the supposed concept was to "give employees a stake in their costs, and therefore lower them for both employer and employee." However, even today doing so is very challenging, and before laws like this it was essentially impossible. There's no way to shop around American healthcare, with the system itself working against you at every turn (e.g. doctors prescribing named b…
I believe some states regulate that better than others. At the least, some prevent 'surprise bills' where the provider selected is out of network while the referer is in network. That's just not fair when you're unconscious or suffering.
It's complete nonsense even when you're conscious and fine!
Re: I analyzed hospital price lists so you didn't have to
#26Why can’t insurance companies post the actual price they are paying and being charged by the hospital with proper billing taxonomies. They seem like they probably have these things well ironed out since they actually deal with various hospitals whereas hospitals only deal with themselves.
There is no actual price. Its rent extraction. They can change how much they charge you for 18 months.
Re: I analyzed hospital price lists so you didn't have to
#27Why can’t insurance companies post the actual price they are paying and being charged by the hospital with proper billing taxonomies. They seem like they probably have these things well ironed out since they actually deal with various hospitals whereas hospitals only deal with themselves.
The health insurance companies are now required to publish this and in fact the rule went into effect July 1 2022.
Look up price transparency by CMS (the data will be published in this format: https://github.com/CMSgov/price-transparency-guide)
Note: the data being published by payors in machine readable format (MRF) is MASSIVE - terrabytes of data. Example: https://transparency-in-coverage.uhc.com/
Re: I analyzed hospital price lists so you didn't have to
#28Earlier quoted context omitted.
It really is a toothless law, the hospital probably makes more surplus profit from price discrimination in a single week than their entire fine for the year. The damages should be increased 100x.
In my fantasy world there's a full-on constitutional amendment demanding that any monetary fine must meet or esceed the profits gained by breaking the law.
I've long advocated for a few variations of this:
1. fines must conform to a percentage of the targets earning wealth (e.g. someone who makes 30K a year gets fined $3000, someone who makes 300K gets a 30K fine etc)
2. flat out just as you said, fine must EXCEED by a multiple, the amount they gained (however, determining the gain is in many situations, requiring a lot of forensic accounting to sort out).
Re: I analyzed hospital price lists so you didn't have to
#29Earlier quoted context omitted.
> Especially our government. Spending. Salaries. It all needs to be public. A lot of it is. In California for example you can go look up any public employee's compensation at https://transparentcalifornia.com/
W T F https://transparentcalifornia.com/salaries/2021/gateway-comm...
WTF about, not just the compensation, but the fact that some of these show a salary of $200k with $2.X million in benefits. Like, what?
https://transparentcalifornia.com/salaries/2021/gateway-comm...
Re: I analyzed hospital price lists so you didn't have to
#30> CMS's price transparency law, which requires all hospitals to post their prices online in a single, machine-readable file
Whoever got this legislation through deserves a pat on the back.