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Message
re: Study: significant increase in patients who can't afford to pay full hospital bill
Posted on 6/28/17 at 9:22 am to jimmy the leg
Posted on 6/28/17 at 9:22 am to jimmy the leg
quote:
Would owning copious amounts of stock in a pharmaceutical company whose product you write prescriptions for be unethical?
Even a high volume doctor would not affect the bottom line of a publicly traded stock of a pharma company. 500-1000 Rxes just aren't enough to change the value of a stock, even if they're maintenance scripts.
Hospital formularies can affect the bottom line. But the Feds have thrown the book at people who have engaged in kickbacks at that level.
This post was edited on 6/28/17 at 9:23 am
0
Posted on 6/28/17 at 9:24 am to DawgsLife
quote:
Actually Hospitals have a hard time making money
This isn't true. Rural hospitals may have a harder time making money. But that's because rural people are fine with driving to the big city for their bypass surgery.
Posted on 6/28/17 at 9:29 am to i am dan
quote:
Should a hospital charge the same amount for identical surgery on two different people?
Complex procedures are billed differently and reimbursed differently than simple procedures. Many times, the doctor is aware of whether or not the surgery is going to be longer or shorter before the surgery occurs. Sometimes they get surprised and sometimes they frick up. It wouldn't be difficult at all to state that "we expect your surgery to last 2.5 hours and we estimate the cost to be $X."
Posted on 6/28/17 at 9:56 am to HailHailtoMichigan!
quote:
“There are many reasons why more patients are struggling to make their healthcare payments in full, the most prominent of which are higher deductibles and the increase in patient responsibility from 10% to 30% over the last few years,”
but BamaAtl and the other communists on this board told me that Obamacare made healthcare more affordable.
Posted on 6/28/17 at 10:14 am to Mr.Sinister
quote:
Ever looked at the itemized bill from a hospital?
Costs are grossly inflated.
They are, but how dare you question a business? all these issues lay at the feet of the individual.
Posted on 6/28/17 at 10:17 am to HailHailtoMichigan!
Who sets the price?
Man there's nothing in this world that says x surgical procedure or this forceps has to cost $20,000 or $100.
They set he prices. That's what we need to address first
Man there's nothing in this world that says x surgical procedure or this forceps has to cost $20,000 or $100.
They set he prices. That's what we need to address first
Posted on 6/28/17 at 10:20 am to WeeWee
quote:
BamaAtl and the other communists on this board told me that Obamacare made healthcare more affordable.
It did. This study provides no insight into their methodology and/or definitions. We have no idea what they're claiming and about what populations they're claiming it for.
Posted on 6/28/17 at 10:22 am to BamaAtl
You should be ashamed for profiting personally off of Obamacare.
Posted on 6/28/17 at 10:45 am to StrongSafety
quote:
Who sets the price?
Obviously a doctor says "I will not take less than $40 quintillion dollars for a colonoscopy."
And the insurance company says,"Well, he's got us there. We gotta pay him."
Posted on 6/28/17 at 10:47 am to BamaAtl
quote:
It did.
For people who are getting subsidies, it made their out-of-pocket expenses lower.
It has not made healthcare cheaper for anyone.
Posted on 6/28/17 at 10:48 am to the808bass
quote:
It has not made healthcare cheaper for anyone.
Cheaper than it otherwise would have been, as premium growth has slowed.
But you are correct that net prices/premiums have not gone down on average.
Posted on 6/28/17 at 10:51 am to BamaAtl
quote:
Cheaper than it otherwise would have been, as premium growth has slowed.
Premiums are not even half the equation. Deductibles are rising at an astronomical rate.
If your premiums go up by 8% and your deductible goes from $500 to $5000, it's not making healthcare more affordable than it would be otherwise.
Posted on 6/28/17 at 10:54 am to Bestbank Tiger
quote:
He's saying that some insurance companies bundle procedures and pay a flat rate, while others will pay each line item.
Yes, I know.
Posted on 6/28/17 at 10:55 am to DawgsLife
quote:
Actually Hospitals have a hard time making money
Posted on 6/28/17 at 10:56 am to texashorn
quote:
Cutting the salaries of current and aspiring American doctors (homegrown, that is) isn't going to happen.
By and large, it isn't the doctors (or nurses or lab workers) who are profiteering. You'll start to fix the system when hospital executives and hospital holding company executives are prosecuted for fraud in the billing.
Posted on 6/28/17 at 11:42 am to matthew25
quote:
$30 for a gauze pad? Seems reasonable.
And a nurse to put it on you and a Dr. to examine you, and someone to check you in, and another nurse to do triage, and someone to change the linens in the ER room, and someone to clean the place so you don't get infected, and finally some money to pay the electric bill.
Posted on 6/28/17 at 11:45 am to Mr.Sinister
quote:
Ever looked at the itemized bill from a hospital?
Costs are grossly inflated.
This got 3 downvotes? Do some posters here own some sort of medical company?
Posted on 6/28/17 at 12:51 pm to PrimeTime Money
quote:
I broke my ankle several months ago and had to have a 45 minute surgery to put in some screws and a plate and I went home after it was done.
The bill was $85,000
As if anybody could actually pay $85,000 for a short, fairly common surgery, and as if it actually cost that much.
My portion with insurance was like $1500.
And that is why costs go up. You're just happy you didn't pay $85K. You never asked your providers what it was going to cost. Insurance was going to take care of the costs, so you just paid 20%, or whatever.
I work in IT with a lot of Indian H-1B visa employees. They talk about their healthcare system. They have a government "free" care, but it sucks. They have affordable private insurance that is comparable to the care we get here in the US, but costs a fraction of what we pay here. The system there is not set up to drive up the costs of everything in the supply chain. It is a free market private system, and the market keeps the costs down.
The cost of open heart surgery in India is 5-10% of what it costs in the US. Even if you factor in doctor's salaries, the cost is still 1/5 of what the surgery would cost in the US.
We think we're getting a good deal when our $85K surgery only costs us $1500. That $1500 is in addition to our paying $10K to $30K in premiums. There is no free market downward pressure on the cost of anything.
Posted on 6/28/17 at 12:56 pm to ljhog
quote:
quote:
$30 for a gauze pad? Seems reasonable.
And a nurse to put it on you and a Dr. to examine you, and someone to check you in, and another nurse to do triage, and someone to change the linens in the ER room, and someone to clean the place so you don't get infected, and finally some money to pay the electric bill.
Personal services (i.e. Doctors' consultations) are charged and billed separately. So are room charges, both for inpatient rooms and ER visits. Those bills are where their respective overheads belong. The insanely overpriced bandaids and aspirin bills are pure fraud.
Posted on 6/28/17 at 12:58 pm to tokenBoiler
quote:
The insanely overpriced bandaids and aspirin bills are pure fraud.
Until you can connect the billed price of a bandaid to reimbursement, it's not fraud.
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