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re: Zeke Emanuel and Rand Paul should talk subscription based health care

Posted on 2/22/17 at 4:54 pm to
Posted by I B Freeman
Member since Oct 2009
27843 posts
Posted on 2/22/17 at 4:54 pm to
quote:

Um, there are very good reasons.


Name one beside government increase in reimbursement.

One.

quote:

Will you have a pharma sub, a radiologist sub, a surgeon sub, mental health sub, etc.


I will not have anything. The providers can offer whatever subscription cover they want and I can pick and choice between providers.

One might say for "X per month you get basic hospital usage and that includes a,b,c" if you want ER services it is this much more and on and on. Nothing is keeping the providers from offering cash services too.

Until the cost are attacked and doctors quit being paid so much and hospitals so much and drug companies so much then cost will not go down. If a GP is seeing 1000 patients a year now and making $300k we need him to see 1200 or take $250k for 1000. The best way to do that is to change the pricing model and get government out of the direct purchasing of health care services and let the people receiving the service do the shopping.

By encouraging moving to subscription based pricing health care shopping will be much easier and the cost to subsidize poor people to government will be easier to define.
Posted by roadGator
Member since Feb 2009
141619 posts
Posted on 2/22/17 at 4:55 pm to
quote:

hospitals so much


Wait. I thought the point of the sub was to get them more money.

I'm so confused.
Posted by roadGator
Member since Feb 2009
141619 posts
Posted on 2/22/17 at 4:56 pm to
quote:

By encouraging moving to subscription based pricing health care shopping will be much easier


So instead of one policy that coverse everything, I would have to shop for many different and separate subscription services? I'm not seeing the improvement in the consumer experience.
Posted by Hopeful Doc
Member since Sep 2010
15058 posts
Posted on 2/22/17 at 6:09 pm to
quote:

The best way to do that is to change the pricing model and get government out of the direct purchasing of health care services and let the people receiving the service do the shopping. 



Or for doctors to abandon all reimbursement from insurance, billing the patients fee for service directly, and letting them submit their own claims. You'd see a hell of a lot more transparency and standard pricing that way.


But that will never work for hospitals.
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