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re: What is Healthcare's future?
Posted on 8/5/16 at 1:34 pm to CajunAlum Tiger Fan
Posted on 8/5/16 at 1:34 pm to CajunAlum Tiger Fan
quote:
No one knows where it ends, but you just described the next step - a split system. One system will be for those with means and one for those without, just like Private Schools, Stadium Club Seats, VIP Tours of Disney, First Class seats, etc. Everyone gets access to the basic services, but some people pay for premium service.
What do services cost? Nobody can answer that. If cost were not so convoluted, there could be competition.
I feel there should be a gubment plan with a supplement option. Or just straight cash options.
Cash options are already here for diagnostics. I mentioned my lithotripsy. Well of course I needed a CT to see the stone. Insurance cost $800 out of pocket and then the 20% left in my 80/20 plan.
"I know a guy". He hooks me up with an outpatient radiology center. TOTAL COST $350!!!??
This is the problem. $350 is what the study should cost. The place makes money, techs are happy, Rads made money on the read, and I'm only out $350. Not chump change but definitely manageable. My point is that this is rampant in health care. Does a stone protocol CT cost $350 or $2300? Which is it?
2
Posted on 8/5/16 at 1:40 pm to LSU alum wannabe
quote:
"I know a guy". He hooks me up
quote:
Does a stone protocol CT cost $350 or $2300? Which is it?
I "know a guy" who can get me a 75" flat screen for $350 too....but it actually costs $2300.
So you tell us. How much does it cost? Do you have to "know a guy" and get a hook up?
Posted on 8/5/16 at 2:53 pm to LSU alum wannabe
quote:
What do services cost? Nobody can answer that. If cost were not so convoluted, there could be competitio
It's difficult to calculate COGS when there are so many areas playing a part in your care. For just a routine PCP visit you have the scheduler, the referral coordinator, the insurance verification, check in/out, the medical assistant, and the physician. The MA/Physician are part of the care cost, the scheduler and check in part of the administrative cost, the referrals and insurance verification are part of the regulatory costs.
Then add in regulatory costs for Meaningful use, PQRS, MIPS, MACRA, credentialing and licenses, and on, and on, and on...
Costs are convoluted b/c they are weighted across too many damn variables. There is never a true answer that isn't specific to one practice/hospital/facility. It could cost alot more to see one patient at one facility VS another simply b/c of variances in management, operations, and scale.
quote:
Does a stone protocol CT cost $350 or $2300? Which is it?
Same issue as above. How much did the machine costs? When does the machine loan mature? What is the facilities overhead? How are the facilities payer contracts? Is the facility obtaining referrals/precerts or is the referring physician doing it? What is the facilities ideal margin?
This post was edited on 8/5/16 at 2:56 pm
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