241–250 of 354 posts
There need to be more companies solving this from first principles like Yuzu Health. They have a cool blog at https://yuzu.health/blog that gets into the dynamics of this stuff. Legacy insurance is cooked.
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Like I said, you don’t have to do anything. It’s would be like your W2 as long as you use your account.
What do you mean by 'use the account'? Spend the money? That's the problem. If you don't have enough expenses you just lose the money. That's why I've never used one of these.
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It is a relatively easy fix tbh. You spend on medical bills through the account like you do right now, but the way you fund it is your post tax contributions. At the end of the year the account sends you a statement of what you used and you can use it to get the tax paid on the money back when you file the taxes.
> At the end of the year the account sends you a statement of what you used and you can use it to get the tax paid on the money back when you file the taxes. If you underestimate the amount you spend by more than the rollover limit, you can't get that money back. So on top of the broken employer-tied health insurance system, we have gamified the financing of out of pocket medical expenses. On top of that, if you lose…
There's plenty of upcoding going on with doctors as well though. I go to a particular doctor and I'll see a bunch of random things on the bill that don't seem to have anything to do with my visit. Like a thousand dollars worth. But then insurance rejects them, but I still don't have to pay a cent -- the doctor never actually charges me . It seems quite clear they're just trying to throw things at the wall and see wha…
>Everything about American healthcare is bad. Except the part where you are cared for by a competent clinician?
I've heard this "US healthcare is expensive but at least it's good" thing a few times, but never with any particular evidence, and from the few numbers I remember seeing, healthcare outcomes are generally no better.
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In Australia I just take my blood test form to any pathology place and they do it for free (for me) and bill the government a set price from the medicare benefits schedule.
Hmm sure, but there must similarly be things that are denied right? I lived in both systems. In a single payer system, the state essentially decide what is allowed and what is not. And with the state as a single payer, they also go back and forth on price with the hospitals. It still is a better system overall but there is no places where you can just spend as much as you want on healthcare without some type of centr…
This sort of thing gets to two critical problems of the American system: 1. It is largely designed to make money, not actually help patients. So every step in the healthcare chain that can extract a bit of value will do so, largely to boost profits. 2. Insane complexity with limited transparency. How much will something cost? Hard to tell. Will it be covered? Who knows? On the opacity, I have one informative anecdote…
I disagree with the language you use. It was not designed to make money. It was designed to cost less, in the same way the USSR was designed to make workers rich - it simply failed spectacularly. Neoliberals dislike both regulation and public ownership, but made a Faustian bargain where they replaced public ownership with more regulation, thinking that regulation was the lessor of the two evils. In reality, it's not…
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> At the end of the year the account sends you a statement of what you used and you can use it to get the tax paid on the money back when you file the taxes. If you underestimate the amount you spend by more than the rollover limit, you can't get that money back. So on top of the broken employer-tied health insurance system, we have gamified the financing of out of pocket medical expenses. On top of that, if you lose…
The comment was about how to fix the current FSA. Instead of funding it with pre tax dollars and then losing it if you don’t use it, you fund it with post tax dollars and then get a reimbursement on your tax filing annually. That way, you can fund it as you need, spend it and then get back the tax because you spent it on medical expenses.
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Hmm sure, but there must similarly be things that are denied right? I lived in both systems. In a single payer system, the state essentially decide what is allowed and what is not. And with the state as a single payer, they also go back and forth on price with the hospitals. It still is a better system overall but there is no places where you can just spend as much as you want on healthcare without some type of centr…
There are tests, proceedures etc that are 'denied' coverage by Medicare(universal health coverage) but you can try get your private health insurance to cover it, or just pay out of pocket, unless it's the doctor refusing the request as not medically necessary. I had a test recommended once that was not covered, but my Dr explained this in advance and the cash price to me was $110. There are no 'surprise' denials afte…
this is the crucial difference.
It's absolutely fine (and required even) that single payer public healthcare doesn't cover every conceivable thing under the sun. It should cover the most common, easily scaled and mass produced items.
For the remainder, the patient should be told and know what to expect price wise - private or self-paid etc. And this also allows competition between entities offering this thing that's not covered.
Having opaque and unknown pricing (until after you've done it) is basically a form of highway robbery.
Due the usefulness of the diseases classification coding based on ICD, it's also being used in many part of the world especially in US for healthcare insurance claim purposes.
[1] International Classification of Diseases 11th Revision: The global standard for diagnostic health information:
[2] ICD-11 vs. ICD-10 - a review of updates and novelties introduced in the latest version of the WHO International Classification of Diseases: