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re: Federal Judge Upholds Trump’s Hospital Price Transparency Rule

Posted on 6/24/20 at 11:40 am to
Posted by bigblake
Member since Jun 2011
2502 posts
Posted on 6/24/20 at 11:40 am to
(no message)
This post was edited on 9/4/20 at 2:03 am
Posted by Auburn80
Backwater, TN
Member since Nov 2017
7584 posts
Posted on 6/24/20 at 11:51 am to
quote:

This is a false equivalency. Your example is a company paying for an intermediate part. This rule is for what the company is charging the end user. To use your example, it’s analogous to you buying a F150 and not knowing the actual price until a month after the transaction.


The patients estimated cost can easily be determined without the patient knowing what the hospital gets reimbursed by the insurance company. It is not false equivalency. All you have to do is ask for your estimated costs. The bigger problem is most patients have no clue what their coverage even is to begin with. I am not talking about the higher educated crowd, but with the other large group we deal with.
Posted by longwayfromLA
NYC
Member since Nov 2007
3331 posts
Posted on 6/24/20 at 12:05 pm to
quote:

This is a false equivalency. Your example is a company paying for an intermediate part. This rule is for what the company is charging the end user. To use your example, it’s analogous to you buying a F150 and not knowing the actual price until a month after the transaction.


The rule is NOT for what they charge the end user. It's for what they've negotiated to charge on average for this service for certain classifications of users but only for services and not accounting for how complexity of care in any instance might lever on the price.

Thus, it would remain true, that the amount any end user would pay would be the result of the interaction of the specific contract the hospitals signed with a specific payer for the services rendered and the vagaries of that payer's contract with the end user. Also none of this takes into account fees associated with physicians which would remain outside of all of this disclosure.

The upshot is a onerous regulation on hospitals that won't benefit patients because patients won't understand what they're seeing if they knew where to look and they won't know where to look and if they did they probably wouldn't look.
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