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Message
re: How Do We Fix American Healthcare?
Posted on 8/17/19 at 9:40 pm to Diamondawg
Posted on 8/17/19 at 9:40 pm to Diamondawg
quote:
So you need a cath because of chest pain. They do the cath thinking you might need a stent. Oops, you need 4. Oops, it's because of undiagnosed diabetes. Oops, they want to do a continuous diabetes glucose monitor. You need cardiac rehab. Oops, how long? How intense? This isn't doing an oil change.
Sure. But there’s a hundred other scenarios that don’t have that issue. “Your daily rate for approved days on insurance for a maternity stay at our hospital is $1800. That’s $300 less than St. Luke’s per diem.”
“The case rate for a straightforward gall bladder removal is $3300.”
Somehow auto repair shops can give estimates and hospitals can’t? Don’t over complicate it.
0
Posted on 8/17/19 at 9:42 pm to TenWheelsForJesus
quote:
You should also be able to bypass the doctor if you know what you need.
We’re getting closer to this. The last company I worked for had doctors you could call over an app for simple diagnoses. Pink eye, etc. There was a charge (I think it was $39), but I didn’t have to take a day off work.
Posted on 8/17/19 at 9:43 pm to Aristo
quote:Sure. Patient is under anesthesia. Doctor runs out to family member and asks do you want to run and extra $10K doing the extra stents? Oh wait - you Mcare, Mcaid, Humana, you have a secondary on you MCare?
Sure. So you need a cath because of chest pain. They do the cath thinking you might need a stent. Oops, you need 4. Oops, it's because of undiagnosed diabetes. Oops, they want to do a continuous diabetes glucose monitor. You need cardiac rehab. Oops, how long? How intense? This isn't doing an oil change.
Could you not add this on the bill as the situation arises? It's not like they get paid before the surgery.
Posted on 8/17/19 at 9:46 pm to Diamondawg
That can all be handled before the surgery.
Quit making this harder than it is.
Quit making this harder than it is.
Posted on 8/17/19 at 9:50 pm to the808bass
quote:
You should also be able to bypass the doctor if you know what you need.
We’re getting closer to this. The last company I worked for had doctors you could call over an app for simple diagnoses. Pink eye, etc. There was a charge (I think it was $39), but I didn’t have to take a day off work.
But man what would or will malpractice insurers think about this? Contraindications potentially missed, misdiagnoses, etc. Current med mal legislation and jurisprudence certainly isnt protective for such scenarios. Not sure waivers of liability would be fool proof either....they're often not worth the paper they're written on.
Posted on 8/17/19 at 9:51 pm to IrishHammer
quote:
Obesity and it’s many complications are a huge drain on healthcare. We are getting fatter by the year. Fix that and you are going to see costs go down. Half the fat slobs are on 4 or 5 different prescriptions because they can’t control themselves at the table.
They are enabled by middle men taking invisible chunks from their paycheck. Out of sight, out of mind
Posted on 8/17/19 at 9:55 pm to davyjones
Some of it has already happened.
Antihistamines are over the counter.
Proton pump inhibitors are OTC.
Nasal steroids are OTC.
That trend will continue, IMO. Not for everything, but for relatively uncomplicated stuff, it’s going to.
Antihistamines are over the counter.
Proton pump inhibitors are OTC.
Nasal steroids are OTC.
That trend will continue, IMO. Not for everything, but for relatively uncomplicated stuff, it’s going to.
Posted on 8/17/19 at 9:56 pm to SoulGlo
quote:
They are enabled by middle men taking invisible chunks from everyone’s paycheck.
Posted on 8/17/19 at 9:56 pm to Diamondawg
So if they don't post a base cost for a surgery, they don't run into these problems?
Posted on 8/17/19 at 9:56 pm to the808bass
quote:Harder? We were getting updates from CMS weekly to update our LMRPs. And that's just CMS stuff.
Quit making this harder than it is.
Posted on 8/17/19 at 9:57 pm to dawgfan24348
I pay $23 a paycheck for some badass BCBS. Don’t frick with my policy.
Posted on 8/17/19 at 9:59 pm to Diamondawg
quote:
We were getting updates from CMS weekly to update our LMRPs. And that's just CMS stuff.
We don’t care about your CMS rates.
I care about my cash and OOP. Why can’t I find that out until I schedule the surgery? We both know why.
Posted on 8/17/19 at 10:08 pm to the808bass
I just dont know. I thought I had pink eye one time, turned out I needed my gallbladder removed.
I kid, I kid. Im all for it though....feel like Im a pretty decent low level amateur physician.
I kid, I kid. Im all for it though....feel like Im a pretty decent low level amateur physician.
Posted on 8/17/19 at 10:09 pm to dawgfan24348
quote:
Say you're president or an advisor to Trump, how would you go around fixing our current health care system?
Tell people to get a job that offers healthcare.
Healthcare isn't a taxpayer responsibility.
Posted on 8/17/19 at 10:11 pm to dawgfan24348
quote:
This is a big one the fact that I can get an exact price on lasik while I won't know the cost of my knee surgery is pretty shady
You can't ask ?
Posted on 8/17/19 at 10:11 pm to dawgfan24348
No more government involvement, period. The free market will determine costs and insurance premiums.
Posted on 8/17/19 at 10:15 pm to the808bass
quote:You can. Always could if you asked. Won't mean shite, but go for it. Sit down with the business manager and tell him/her exactly what they are going to do, how many iv sets you need, predict your OR times, anesthesia costs, time in the PACU, holding room pre and prior, charged by time.
I care about my cash and OOP. Why can’t I find that out until I schedule the surgery? We both know why.
Posted on 8/17/19 at 10:20 pm to member12
quote:
Is it broken?
Broke AF
Posted on 8/17/19 at 10:20 pm to dawgfan24348
We need a healthier population to drive down actual medical expenditures.
That is the best course of action.
That won’t happen though.
And because our population isn’t capable of performing such a feat, the American healthcare system isn’t fixable.
There is no actual way to do it.
That is the best course of action.
That won’t happen though.
And because our population isn’t capable of performing such a feat, the American healthcare system isn’t fixable.
There is no actual way to do it.
Posted on 8/17/19 at 10:30 pm to Scruffy
quote:Unfortunately, you might be correct. It might be a Guam tipping over situation.
And because our population isn’t capable of performing such a feat, the American healthcare system isn’t fixable
This post was edited on 8/17/19 at 10:32 pm
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