Live data from Hacker News

Hospitals lift curtain on prices, reveals giant swings for hips, knees and more

medtechdive.com

21–30 of 283 posts

Re: Hospitals lift curtain on prices, reveals giant swings for hips, knees and more

#21
post #8

Earlier quoted context omitted.

[flagged]

In many countries, the concept of the hospital is also different from what it is in the US. Where in the US there are clinics, ERs, urgent cares, and specialty practices, elsewhere there's just hospitals and you can go for any kind of treatment big or small.

Nah, there are clinics and specialty practices even in the smallest third world countries.

ER/Urgent care is the same whether it has its own physical building or is a department in a hospital.

None of this has any impact on pricing.

Re: Hospitals lift curtain on prices, reveals giant swings for hips, knees and more

#22
post #11

The US healthcare system is just a completely broken mess. When things go smooth, you are lucky! However, when you have a major procedure, life event or sickness things can get messy quick. We had a child 10 months ago, billing was screwed up by the hospital, then by insurance and we are still in process of getting it resolved. I have now spent at least 8 hours on the phone. I had a surgery, called insurance and veri…

Our first daughter was born right as the hospital was changing ownership. They billed the c-section as a natural birth. Cool. Then a year later they called and told us we had to pay the full cost because they’d messed up the paperwork. My wife said that was their problem and she wasn’t going to pay. The hospital maternity ward closed down, and the bill vanished and has never shown up on our credit report six years later, so that’s cool I guess. Telling people you won’t pay and to gleaned you alone works sometimes.

I was unemployed for our second daughters birth (I started a new job a week after she was born) and her birth and subsequent care was all covered by Medicaid. So I guess the best financial decision is to time job changes for births, which really shows how messed up the system is.

Re: Hospitals lift curtain on prices, reveals giant swings for hips, knees and more

#23
post #8

Earlier quoted context omitted.

[flagged]

In many countries, the concept of the hospital is also different from what it is in the US. Where in the US there are clinics, ERs, urgent cares, and specialty practices, elsewhere there's just hospitals and you can go for any kind of treatment big or small.

Usually for urgent care you go to a hospital if it is not urgent you go to your doctor or walkin clinic.

Re: Hospitals lift curtain on prices, reveals giant swings for hips, knees and more

#24
post #20

I was once told by a pharmacy tech that they couldn't tell me the price of a vaccine until after I got it.

Which pharmacy? In my experience with all the majors they have standard price sheets for vaccines.

This was maybe 8-10 years ago, but I think it was a Kroger.

Re: Hospitals lift curtain on prices, reveals giant swings for hips, knees and more

#25

Earlier quoted context omitted.

They will outright REFUSE to give you a quote...forget out-of-network, even IN network?! This is so astonishing cause you would assume they have NEGOTIATED the rate given its in network so there is little variability in what can be charged by the doctor and what can be thrust upon the customer. ex. if you charge $100K more than other in-network doctors, good luck, cause the insurance company is only paying the doctor…

They have to reveal their prices now. It's part of a bill that the Trump administration passed in 2019: https://www.cnbc.com/2019/11/15/trump-releases-rule-requirin... From the article: > As of Jan. 1, hospitals must publicly reveal the negotiated rates reached with insurers for services, a landmark shift in the sector notoriously opaque when it comes to pricing. The data offer a peek behind the curtain, exposing pri…

The Affordable Care Act laid the framework to allow for this to happen, under the “Sunshine Provisions”

[1] https://www.commonwealthfund.org/blog/2014/affordable-care-a...

Re: Hospitals lift curtain on prices, reveals giant swings for hips, knees and more

#26
post #11

The US healthcare system is just a completely broken mess. When things go smooth, you are lucky! However, when you have a major procedure, life event or sickness things can get messy quick. We had a child 10 months ago, billing was screwed up by the hospital, then by insurance and we are still in process of getting it resolved. I have now spent at least 8 hours on the phone. I had a surgery, called insurance and veri…

It is not a 'broken mess'. It is an 'engineered mess'. The difference is in intent.

Framing it this way is probably inaccurate, and if inaccurate, unhelpful.

From decades of observing the system, it seems extremely unlikely to me that it was deliberately engineered to be this way. Rather, different parts of it grew and changed organically and the parts and changes that benefitted moneyed interests in power stayed, while those that did not were discarded.

It does not take a deliberate will behind something for it to be pulled toward this sort of inequality, and presenting it as if that's what's happened suggests that if we could only defeat the Evil People who "engineered" it this way, we could make it better. It's a very compelling idea, and it makes for a nice dramatic narrative, and humans love good stories.

Unfortunately, it's not the case. In order to make it better, we need to take a good, comprehensive look at many aspects of our systems of economics and government, and redesign them deliberately and with a strong intention to inhibit the flow of money upward from the 99% to the 1%. It's hard, it will take a long time, the people with the most wealth and power will fight us every step of the way, and there's no silver bullet, but there's also very little that's more worth doing.

Re: Hospitals lift curtain on prices, reveals giant swings for hips, knees and more

#27
post #11

The US healthcare system is just a completely broken mess. When things go smooth, you are lucky! However, when you have a major procedure, life event or sickness things can get messy quick. We had a child 10 months ago, billing was screwed up by the hospital, then by insurance and we are still in process of getting it resolved. I have now spent at least 8 hours on the phone. I had a surgery, called insurance and veri…

Forget the hospital, let’s talk doctors office. I saw a PA for barely ten minutes, I got a $326 bill.

When my wife takes our baby in for a visit, we wait 2-4 hours and get a $200 bill for a routine visit. We get charged if we cancel an appointment with notice or late.

They are always fumbling around with bills. Pay $150 at the visit and get a $80 bill in the mail, and then they bring up a $60 charge from last time.

Re: Hospitals lift curtain on prices, reveals giant swings for hips, knees and more

#28
post #9

I thought "free markets" where supposed to facilitate fair value discovery?

It does for less regulated markets, which is why you get those promotional mailers with promotional prices on LASIC or teeth whitening. Medical lobby benefits from high barriers to entry, suppressed competition (from foreign doctors or medical tourism companies able to fly their customers abroad) and opaque pricing. Uninformed consumer forced to shop locally is rarely able to extract best pricing. You can look at the…

Funny how it's only when regulation is involved that it begins to pull back the curtain.

Re: Hospitals lift curtain on prices, reveals giant swings for hips, knees and more

#29
When I lived in Italy, I once went with private care for a thing I wanted taken care of same day. I called, and they told me all the prices. I think I paid something like 120 euros out of pocket for a chest X-ray and consultation with an ENT specialist.

The US health care system is so screwed up.

Re: Hospitals lift curtain on prices, reveals giant swings for hips, knees and more

#30
post #25

Earlier quoted context omitted.

They have to reveal their prices now. It's part of a bill that the Trump administration passed in 2019: https://www.cnbc.com/2019/11/15/trump-releases-rule-requirin... From the article: > As of Jan. 1, hospitals must publicly reveal the negotiated rates reached with insurers for services, a landmark shift in the sector notoriously opaque when it comes to pricing. The data offer a peek behind the curtain, exposing pri…

The Affordable Care Act laid the framework to allow for this to happen, under the “Sunshine Provisions” [1] https://www.commonwealthfund.org/blog/2014/affordable-care-a...

Please don’t make this political.
Post reply on HN