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re: General PSA to patients from healthcare providers: What we want you to know

Posted on 1/19/17 at 9:12 am to
Posted by LSU alum wannabe
Katy, TX
Member since Jan 2004
27795 posts
Posted on 1/19/17 at 9:12 am to
quote:

you know not everyone falls into these two cateagories.


ER Baw!!!!

you are.......

A. Sick.

B. No fricking sick!!

quote:

its their job.




Thats kind of what this thread is touching on and the nerve the OP touched on. Do you want it to be somebodys "job"? Like making widgets kind of job?
Posted by Nado Jenkins83
Land of the Free
Member since Nov 2012
66113 posts
Posted on 1/19/17 at 9:14 am to
quote:

Thats kind of what this thread is touching on and the nerve the OP touched on. Do you want it to be somebodys "job"? Like making widgets kind of job?



I just want them to stop crying "look at what I did" like teachers do. The OP is crying to tell people to appreciate healthcare workers and be happy they are there.

how many people die in hospitals. nobody in healthcare talks about their frick ups.

Posted by LSU alum wannabe
Katy, TX
Member since Jan 2004
27795 posts
Posted on 1/19/17 at 9:21 am to
quote:

I just want them to stop crying "look at what I did" like teachers do.


Im facebook friends with many of both. Facebook is the den of these type "look at me" discussions. The pic of three nurses standing outside a room stifling tears with the quote underneath about all they endure while you are on the call bell. I have fought the urge each time to chime in and comment. That pic also looks like three nurses standing outside of a room after cleaning a MASSIVE shite and laughing. Or tearing up because the stench is such that you can't help it. Like cutting onions.

Posted by Tigerpaw123
Louisiana
Member since Mar 2007
17881 posts
Posted on 1/19/17 at 9:22 am to
One of the many problems with health care reimbursement is that there is no increase in reimbursement for the skill level or experience of the provider, so an orthopedic resident gets paid the exact same amount (if same insurance company) as does world renowned Dr. Andrews for doing a total knee replacement. So for a healthcare provider to make more money they have to see more patients so that leads to cramming more patients on the book and longer wait times.

Not sure what the answer is but this is one of the many problems with our current system. But this is something that we were aware of when we choose our professions (I am not a physician) so we take the good with the bad, but strive to make things better
Posted by LSU alum wannabe
Katy, TX
Member since Jan 2004
27795 posts
Posted on 1/19/17 at 9:23 am to
quote:

nobody in healthcare talks about their frick ups.




I will talk about it.

Hell. I will tell you mine....

I'm fricking good though. I can only recall 2 or 3.
Posted by LSU alum wannabe
Katy, TX
Member since Jan 2004
27795 posts
Posted on 1/19/17 at 9:25 am to
quote:

world renowned Dr. Andrews


How old is that fella now?

Posted by Isabelle81
NEW ORLEANS, LA
Member since Sep 2015
2718 posts
Posted on 1/19/17 at 9:29 am to
Don't those high volume practitioners have Nurse Practitioners and Physician's Assistants that pick up a good part of the load?
Posted by TheCurmudgeon
Not where I want to be
Member since Aug 2014
1481 posts
Posted on 1/19/17 at 9:33 am to
Easiest way to fix that is for health insurance to work like car insurance. If my car is wrecked, I pick whoever I want to fix it, they send their bill to the insurance company and the insurance company pays it or negotiates that transaction with that shop.

why can't my health insurance work the same way? let me pick the doc I want to fix me, doc sends the bill to insurance company, and company either pays it or negotiates a lower cost for that treatment.

Good auto shops charge more, and good docs should be able to also.
Posted by CarRamrod
Spurbury, VT
Member since Dec 2006
58523 posts
Posted on 1/19/17 at 9:33 am to
so why is it when you get there for an 8 oclock apt you dont see the doc till 9 or 10?
Posted by LSU alum wannabe
Katy, TX
Member since Jan 2004
27795 posts
Posted on 1/19/17 at 9:40 am to
quote:

Easiest way to fix that is for health insurance to work like car insurance. If my car is wrecked, I pick whoever I want to fix it, they send their bill to the insurance company and the insurance company pays it or negotiates that transaction with that shop.



Would be nice. Would need Universal HC with supplement option for this to happen IMO. Now the doc can't negotiate and doesn't even try, so they just send the inflated and conflated difference to the patient. sometimes I feel that the "difference" is the same or more than the insurance was ever going to pay anyway. That is the root of this disaster.
Posted by LSU alum wannabe
Katy, TX
Member since Jan 2004
27795 posts
Posted on 1/19/17 at 9:41 am to
quote:

so why is it when you get there for an 8 oclock apt you dont see the doc till 9 or 10?



a. Overbooking to make a profit.

b. Piss poor office staff.

c. Plumber attitude.
Posted by Syd
Member since Sep 2012
5045 posts
Posted on 1/19/17 at 10:02 am to
quote:

Although some very rare emergencies necessitate presenting for healthcare dirty or disheveled, there is no reason at all to forego basic hygiene like bathing within 2 days prior to the appointment, wearing deodorant, knocking the mud off your shoes, wearing clean clothes or at least ones that do not smell of animal or human excrement, or brushing your teeth sometime in the preceding week.


My mom always told me when I was young to wear clean underwear just in case I was in accident and had to go to the ER. Momma was looking out for you OP.
Posted by medtiger
Member since Sep 2003
22001 posts
Posted on 1/19/17 at 12:00 pm to
quote:

Now the doc can't negotiate and doesn't even try, so they just send the inflated and conflated difference to the patient. sometimes I feel that the "difference" is the same or more than the insurance was ever going to pay anyway.


Just so I'm understanding clearly, are you saying that docs will submit a claim to a patient's insurance, get paid by the insurance then bill the patient for something greater than the co-pay or deductible owed? If so, that's generally illegal (unless the doctor doesn't have a contract with your insurance company, i.e., out of network).
Posted by jeff5891
Member since Aug 2011
15964 posts
Posted on 1/19/17 at 12:13 pm to
quote:

why can't my health insurance work the same way?


you're comparing two completely different industries and acting like they are structured the same way
Posted by TheCurmudgeon
Not where I want to be
Member since Aug 2014
1481 posts
Posted on 1/19/17 at 12:42 pm to
you missed the point, and I wasn't "acting like they are structured the same way". my suggestion is fundamentally different from how health insurance currently works.

the use of provider agreements/networks by insurance companies generally limits both insured choice of provider and doc payment for services. i view provider agreements as basically a gun to the head (or operating bank account) of a doctor practice: "sign with us, we'll send you a high volume of patients but will pay you low rates for each, and by the way our insureds aren't going to be able to afford to see you if you don't sign the provider agreement with us because you'll be out of network."

making an insured pay more out of pocket because the in-network specialist isn't any good or, as happens in more and more places there are so few in-network that it takes weeks to get in and see the specialist is bullshite.

why does it matter to the insurer who fixes my shoulder? why do I have to settle for a lesser doctor just because the one I want is out of network with my insurer?

I should be able to be treated by whoever I want, the doc should be able to charge whatever he wants, and the insurer can pay the doc whatever they agree on. that works a million times a day for car insurance repairs, and I don't see how it wouldn't work for medical treatment.
Posted by TeddyPadillac
Member since Dec 2010
30362 posts
Posted on 1/19/17 at 12:47 pm to
quote:

We don't expect thanks or accolades but a little respect and paying your bill would be appreciated.


How about you tell me before you do something that I will get charged extra for? If you had told me it was going to be an extra $400 for the blood work, I would have said no. Don't expect me to do whatever you say just b/c you're a doctor and not tell me the cost associated with it, then expect me to pay for it. When I go to the doctor and I have a copay, that's what i'm paying. If you want to do anything to me that will cause me to pay anyting more, tell me before you do it and let me decide if I want to do it, not you. And don't tell me you dont' know what it will cost. I filled out all the insurance crap, you know what i'm covered for and what will cost extra.

quote:

Arriving at the office in time to fill out paper work, verify insurance, and get into room (especially for patients with mobility disabilities) will help assure you and everyone else is seen on time.



My time is valuable as well. I understand shite happens, but there's no reason it should take an hour for you to check me out.

And another thing. Quit asking me on a scale from 1-10 what the pain level is. If 10 is slowly burning alive, then just about everything else is a 1, there is no inbetween.

and another thing, you bitch about people wanting whatever drugs. I've been to two different doctors that wanted to prescribe hard pain meds b/c of minute crap. idiot doctors handing out drugs like candy is just a big of a problem as idiot patients wanting them for no good reason.


and another thing, quit asking me to follow up just for shits and giggles, so you can get more money from me. My kids ENT wants to look in his ear every 2 weeks. yeah he's having issues, but the 5 visits in a row where we spent 30 seconds with the doctor and got nothing out of it wasn't worth the $250 in copays, so don't get mad at me when you call me for the follow up and I tell you no, and we'll likely be looking for another doctor since I dnot' feel this particular one cares about my kid, just my constant flow of money.

Posted by medtiger
Member since Sep 2003
22001 posts
Posted on 1/19/17 at 1:24 pm to
quote:

And another thing. Quit asking me on a scale from 1-10 what the pain level is. If 10 is slowly burning alive, then just about everything else is a 1, there is no inbetween


LOL, you think doctors want to ask you this question?

quote:

he's having issues, but the 5 visits in a row where we spent 30 seconds with the doctor and got nothing out of it wasn't worth the $250 in copays


If he's having issues, seems to me that your $250 got you reassurance that your kid is doing well. If you have the ability to determine this yourself, you wouldn't go to the doctor.
Posted by LSU alum wannabe
Katy, TX
Member since Jan 2004
27795 posts
Posted on 1/19/17 at 4:13 pm to
quote:

Just so I'm understanding clearly, are you saying that docs will submit a claim to a patient's insurance, get paid by the insurance then bill the patient for something greater than the co-pay or deductible owed? If so, that's generally illegal (unless the doctor doesn't have a contract with your insurance company, i.e., out of netw


I used the word "difference". I mean the remainder of an 80/20 plan. The "20" is 20% of a meaningless pie in the sky number.
Posted by TeddyPadillac
Member since Dec 2010
30362 posts
Posted on 1/19/17 at 4:40 pm to
quote:

If he's having issues, seems to me that your $250 got you reassurance that your kid is doing well. If you have the ability to determine this yourself, you wouldn't go to the doctor.



You dont' know the situation. I got reassurance that the doctor i was dealing with didn't care about my kid enough to explore all options and was simply collecting money from me.
He's not getting my money anymore. a different doctor is, that i trust has my kids best interest based off the few visits we've made with him, and look at that, we've already seen an improvement in his condition.

Posted by medtiger
Member since Sep 2003
22001 posts
Posted on 1/19/17 at 5:14 pm to
I see what you're saying. The total charge is essentially set by the government. I don't know how they come up with the rates of reimbursement for each service, but most insurance companies reimburse similarly to Medicare rates, at least in my specialty area. When you say that the "difference" is more than the insurance company would've paid anyway, that's not true. If you had 100% coverage instead of 80/20, the doctor still gets the same amount. He just gets it all from the insurance company instead of having to collect 20% from you. I understand your grief with that number though...it's not set by any sort of free market.
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