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Hospital creates bidding war by posting pricing online

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Re: Hospital creates bidding war by posting pricing online

#171

Earlier quoted context omitted.

I worked in a billing office for 5 years, there are literally thousands of codes for EACH insurance company, again EACH insurance company. The reason the cost of healthcare is so high is because medicare pays roughly 15% of a bill, others are somewhere between 20-50% of a bill depending. That is to say if the doctor charges you $40,000 you pay your 10% co-pay of $4,000 and the insurance then only pays maybe another $…

The reason the cost of healthcare is so high is because medicare pays roughly 15% of a bill, others are somewhere between 20-50% of a bill depending. That is to say if the doctor charges you $40,000 you pay your 10% co-pay of $4,000 and the insurance then only pays maybe another $8,000. Another reason is the supply of doctors is artificially restricted by the AMA.

[deleted]

Re: Hospital creates bidding war by posting pricing online

#172

Earlier quoted context omitted.

The great thing is, health care has been such a study in what can go wrong with free-market capitalism that it's nice to see a counter-example.

Free-market capitalism? It's highly regulated, subject to inconsistent taxation, and over 50% of care is bought by the government...

Wow, I wonder why that is? It's almost as if tempestn is referring to a time before the situation we currently find ourselves in that brought about the high level of regulation, inconsistent taxation, and 50% of care being provided via government purchasing.

It's almost as if somewhere in the middle between over-regulation and no regulation at all might be prudent...

Re: Hospital creates bidding war by posting pricing online

#173
The great thing about this is that could enable me to be my own insurance company. If I know how much things cost, then I can budget appropriately and invest in an index fund to store my health fun. If bad things happen, then I'm covered. If they don't happen, then I get a boat.

Re: Hospital creates bidding war by posting pricing online

#174
post #43
post #31

Earlier quoted context omitted.

The free market in medicine is plain weird Says you. Time and again, Lasik surgery and cosmetic surgeries not covered by insurance or hindered by over-regulation have shown us that transparent pricing and competition work to make those procedures more affordable -- just like these forces work in other markets. The State has perverted the medical market for more than half a century and you're just used to seeing it in…

I'd look at good old supply and demand before reaching for "over-regulating is distorting the market." Demand for Lasik and cosmetic surgery is much more elastic because they're not life-saving or otherwise necessary procedures. Meanwhile, supply is relatively higher because they're relatively cheap procedures to provide. They can be done in outpatient centers instead of hospitals, usually don't require general anest…

Thank you. I saw that when I did a google but skipped it as I was so sure it was The Economist.

Re: Hospital creates bidding war by posting pricing online

#175
Congress froze the number of Medicare-supported residency slots at 100,000 under the Balanced Budget act of 1997 [1]. The cap remains in place to this day, despite a massive shortage of physicians.

The AMA's official position in 1996:

"To decrease the rate of physician supply, limits must be placed on the number of medical school graduates entering GME [graduate medical education]. Since the federal government currently plays a major role in financing GME and is responsible for establishing immigration laws that affect IMG participation in GME in this country, it is imperative that the federal government partner with the medical education community to achieve this goal." [2]

The AMA worked closely with then Speaker of the House Newt Gringich to overhaul Medicare's relationship with physicians. [3]

The AMA is typically the biggest spender among lobbying groups in the health care sector.

[1] http://usatoday30.usatoday.com/News/health/2005-03-02-doctor...

[2] http://www.ama-assn.org/resources/doc/PolicyFinder/policyfil...

[3] http://www.clintonlibrary.gov/assets/storage/Research%20-%20...

Re: Hospital creates bidding war by posting pricing online

#177
post #119

Earlier quoted context omitted.

Part of the Affordable Care Act is a requirement for hospitals to bill cash payers no more than someone who has insurance must pay. So if insurance companies negotiate a rate for a procedure, stay, or the like, and you pay cash the hospital needs to charge you the same or less.

Do you have a citation for that?

not the OP, but here's an article: http://washington.cbslocal.com/2013/06/23/promise-of-price-c...

Re: Hospital creates bidding war by posting pricing online

#178
post #152

Earlier quoted context omitted.

The reason the cost of healthcare is so high is because medicare pays roughly 15% of a bill, others are somewhere between 20-50% of a bill depending. That is to say if the doctor charges you $40,000 you pay your 10% co-pay of $4,000 and the insurance then only pays maybe another $8,000. Another reason is the supply of doctors is artificially restricted by the AMA.

The supply of doctors is not restricted by the AMA. The supply of doctors is determined by the number of residency spots available to new graduates; that number is entirely determined by the Centers for Medicare and Medicaid (CMS). Thanks to the Balance Budget Act of 1997, Graduate Medical Education (GME) was dramatically slowed due to decreases in Medicare funding of residency positions. [1] As long as we require ph…

I wasn't referring to residency spots at accredited medical schools.

I was referring to medical school accreditation itself.

Re: Hospital creates bidding war by posting pricing online

#179
post #149

Earlier quoted context omitted.

Someone's gotta sell the meth, work at McDonald's, mow the lawns (well, not mine... I mow it myself), make the firecrackers, clean the toilets, etc. It's all about how we allocate this labor, I guess. Paying everyone the same salary leads to underperformance, so we encourage competition. I'm sure there's a better way, but it probably won't be a total reversal, only a modification, of what we have.

> Someone's gotta sell the meth, work at McDonald's, mow the lawns (well, not mine... I mow it myself), make the firecrackers, clean the toilets, etc. and someone does indeed do those things, but imagine if there isn't anyone to do it because everyone is so well educated that it's "beyond" them. Those jobs will "get done" initially at a higher price, but then because there's profit to be made, a smart individual will…

McDonald's is increasing automation. Seriously, go in and order a smoothie; once the order is finalized, the smoothie machine will dispense the ingredients, run the mixer, and put the result into a cup (that it also dispensed). Some of the locations have automated soda fountains for the drive through as well. I have heard stories about call centers for drive through ordering too (although I haven't seen that in practice)

Re: Hospital creates bidding war by posting pricing online

#180

I really salute these guys for doing this. It's freakin' awesome. This I've added to my next letter to my representatives in Congress: "Dr. Smith said federal Medicare regulation would not allow for their online price menu. They have avoided government regulation and control in that area by choosing not to accept Medicaid or Medicare payments." I've suggested that one non-controversial way in which Healthcare could b…

Copying my comment below. The government not only allows healthcare providers to reveal their prices, it encourages it. The graf about the government is a political statement, not a policy fact, and does not belong in a news story. ----- Medicare/caid prices are standardized and public. They also release data on what specific hospitals bill for the most common procedures. http://www.cms.gov/Research-Statistics-Data-a…

I can't square your statement that 'government encourages healthcare providers to reveal their prices' with the following paragraphs.
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