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I analyzed hospital price lists so you didn't have to

dolthub.com

111–120 of 403 posts

Re: I analyzed hospital price lists so you didn't have to

#111

Where to start... 1. Somehow in the mid-2010s congress decided that anyway that walks onto private property, demands care from a private organization, will receive it, even if they declare they will not pay a dime to the staff working. 2. Congress could have totally create/build a system of hospitals that provides "one time care" for those people, but doesn't. 3. Instead they pass the buck and say "figure it out" to…

I wonder how member of Congress justify that they need a special health care that is different from the public. It seems to make sense and align incentives to have members use the same public systems (eg transport, education, health, housing) as everyone else, otherwise they will never understand how their policies affect real people.

> I wonder how member of Congress justify that they need a special health care that is different from the public.

There don't. Them not doing so is part of the ACA. Grandparent was just lying.

Re: I analyzed hospital price lists so you didn't have to

#112

When 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 broke my foot recently. Calling around and asking for quotes ranged from a straight up "I don't know" to "Here is the cash price. We won't know your HDHP insurance price until after we bill them, which could be good for you or could be bad. It will probably be bad, because there are more middlemen." I tried paying the cash price. They inadvertently billed my insurance anyway. Turns out, I actually saved like 33% us…

I just got billed $5000 for a routine echocardiogram at Stanford, and in the process of fighting it. My insurance is supposed to cover preventative care 100% (not even a copay). They billed $18000 total (yes, for a 1-hour ultrasound) and insurance is leaving me to pay $5000.

This is about the 6th time this has happened. It's always 15+ e-mails back and forth, then threatening lawyers, then they back off.

I'm wondering if it would be faster if I just take it directly to a small claims court. I am insured and it is preventative care, so I believe I'm entitled to pay nothing. Advice welcome.

Re: I analyzed hospital price lists so you didn't have to

#113

Earlier quoted context omitted.

This is the one that's simple to enforce. No price, no bill.

Y'all are leaving out the no service part that would come with that.

Wut? The service has already been rendered at that point. Without an upfront price, no contract has been formed, so there's no basis for the hospital to bill an unjustifiable amount. At best they could request reimbursement for cost incurred. eg $0.01 for an aspirin and not $60.

Re: I analyzed hospital price lists so you didn't have to

#114

Interesting to read that only 33%-50% of hospitals comply with the law and post their prices. If there's one thing this country needs to do it's demand transparency everywhere. Especially our government. Spending. Salaries. It all needs to be public.

https://www.fedsdatacenter.com/federal-pay-rates/

A fairly searchable database of individual salaries

Re: I analyzed hospital price lists so you didn't have to

#115
post #84

Earlier quoted context omitted.

This is why looking at government spending over time is an incomplete picture. If a huge chunk goes to retirees and wasn’t 40 years ago, there’s simply less leftover for everything else. Tax revenue might be higher than ever but net available for programs is down. Thus, the feeling by many that government must be wasting money.

> If a huge chunk goes to retirees and wasn’t 40 years ago, there’s simply less leftover for everything else. If you are talking about state governments in the US, that's approximately true. If you are talking about the federal government, it's not, because the idea of a fixed purse is simply false. Spending and revenue are separate policy decisions that don't constraint each other.

I do not understand why you are downvoted. It is obviously true the federal government can simply issue new money to pay its debts.

Re: I analyzed hospital price lists so you didn't have to

#116

When 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 broke my foot recently. Calling around and asking for quotes ranged from a straight up "I don't know" to "Here is the cash price. We won't know your HDHP insurance price until after we bill them, which could be good for you or could be bad. It will probably be bad, because there are more middlemen." I tried paying the cash price. They inadvertently billed my insurance anyway. Turns out, I actually saved like 33% us…

People don't want universal healthcare because then all the poors increase waiting times. But then they complain when healthcare is expensive?

Re: I analyzed hospital price lists so you didn't have to

#117
post #112

Earlier quoted context omitted.

I broke my foot recently. Calling around and asking for quotes ranged from a straight up "I don't know" to "Here is the cash price. We won't know your HDHP insurance price until after we bill them, which could be good for you or could be bad. It will probably be bad, because there are more middlemen." I tried paying the cash price. They inadvertently billed my insurance anyway. Turns out, I actually saved like 33% us…

I just got billed $5000 for a routine echocardiogram at Stanford, and in the process of fighting it. My insurance is supposed to cover preventative care 100% (not even a copay). They billed $18000 total (yes, for a 1-hour ultrasound) and insurance is leaving me to pay $5000. This is about the 6th time this has happened. It's always 15+ e-mails back and forth, then threatening lawyers, then they back off. I'm wonderin…

My son had strep throat. Stanford billed us just shy of $50K, but not before sending us a letter letting us know they had stopped accepting our insurance (BCBS) a few weeks prior. Obviously, more done than just a throat swab for the 50K, but whole thing was insane.

Re: I analyzed hospital price lists so you didn't have to

#118

When 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 feel like if your response when I ask you the price is, "I don't know", then my response is, "well then I don't know if I can/will pay that". A friend of mine with limited means says his medical plan is just to go the ER and give them a fake name - he came up with it after suffering a head injury (pool cue to the head) and being unable to remember the details of his treatment. I don't think it's a good system, but…

For reference, the legal grounding of this is EMTALA: https://en.m.wikipedia.org/wiki/Emergency_Medical_Treatment_...

Which basically summarizes as "EDs that accept payments from Medicaid are required to at minimum stabilize all patients, regardless of their ability to pay or several named statuses."

Re: I analyzed hospital price lists so you didn't have to

#119
post #112

Earlier quoted context omitted.

I just got billed $5000 for a routine echocardiogram at Stanford, and in the process of fighting it. My insurance is supposed to cover preventative care 100% (not even a copay). They billed $18000 total (yes, for a 1-hour ultrasound) and insurance is leaving me to pay $5000. This is about the 6th time this has happened. It's always 15+ e-mails back and forth, then threatening lawyers, then they back off. I'm wonderin…

My son had strep throat. Stanford billed us just shy of $50K, but not before sending us a letter letting us know they had stopped accepting our insurance (BCBS) a few weeks prior. Obviously, more done than just a throat swab for the 50K, but whole thing was insane.

I really want to expose Stanford's ridiculous billing and shame them to no end, but I don't have enough Twitter followers.

I know healthcare billing in the US is f-ed up but Stanford is particularly bad.

Re: I analyzed hospital price lists so you didn't have to

#120

Earlier quoted context omitted.

Y'all are leaving out the no service part that would come with that.

Wut? The service has already been rendered at that point. Without an upfront price, no contract has been formed, so there's no basis for the hospital to bill an unjustifiable amount. At best they could request reimbursement for cost incurred. eg $0.01 for an aspirin and not $60.

At which point? The hospital would stop providing services shortly after it was informed that it would not be able to bill for them.

Also, I'm pretty sure you can write a contract that doesn't have an upfront price.

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