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Message
re: How do we lower the cost of health-care so that the quality doesn't fall ?
Posted on 3/3/22 at 10:54 am to boweswi05
Posted on 3/3/22 at 10:54 am to boweswi05
Start with programs focused on cultivating more physicians and skilled nurses.
Lower their costs for the necessary schooling training.
We have a shortage of physicians and nurses. You need to increase available supply and keep their debt lower than it is on avg now.
Until you take care of that, everything else they talk about will only further break the system
Lower their costs for the necessary schooling training.
We have a shortage of physicians and nurses. You need to increase available supply and keep their debt lower than it is on avg now.
Until you take care of that, everything else they talk about will only further break the system
0
Posted on 3/3/22 at 10:56 am to boweswi05
Get rid of the complete failure of obamacare and allow 100% true COMPETITION!
Posted on 3/3/22 at 10:59 am to boweswi05
The only way to lower health care cost is for the government to be able to step in to regulate how much provider charge.
I mean to be honest there’s so much money made in healthcare by hospitals and providers that any human being would love that business because of the money made.
And I don’t like government regulation but idk what would fix costs
I mean to be honest there’s so much money made in healthcare by hospitals and providers that any human being would love that business because of the money made.
And I don’t like government regulation but idk what would fix costs
Posted on 3/3/22 at 11:02 am to boweswi05
Healthcare has been in a slow decline for a while now. Not the techno, but the hospital and healthcare industry. Government is purposely making it worse so they can take it over.
Posted on 3/3/22 at 11:02 am to theagent39
Simple. Massive changes to the individual decision making practices in regards to what we eat and what we do.
As to government regulations, instead of focusing on healthcare, mandatory fitness and diet adherence to any and all accepting government welfare. Fitness guidelines where your healthcare is free if you meet xyz fitness benchmarks like body fat percentage and exercise amount.
We spend so fricking much because we are so got damn unhealthy.
I say this as I look down at my beer belly and recognize that I need to do the same thing (albeit not nearly as much) as your average American.
As to government regulations, instead of focusing on healthcare, mandatory fitness and diet adherence to any and all accepting government welfare. Fitness guidelines where your healthcare is free if you meet xyz fitness benchmarks like body fat percentage and exercise amount.
We spend so fricking much because we are so got damn unhealthy.
I say this as I look down at my beer belly and recognize that I need to do the same thing (albeit not nearly as much) as your average American.
Posted on 3/3/22 at 11:03 am to Lptigerfan
LINK ?
The new name for the DCE program is the "ACO REACH" program. Inadvertently, their new acronym is actually more descriptive of what this scheme does. It reaches deep into the doctor patient relationship.
Instead of using all the money Medicare gives it for actual medical services, the ACO gets to KEEP up to forty percent of each dollar.
Whatever they call it the bottom line is that this scheme inserts parasitic corporate middlemen between us and our healthcare for only one purpose, profits!
The REACH scheme solicits physicians who are currently paid on a fee-for-service basis by Medicare when they see seniors on Traditional Medicare. When a physician contracts with one of these for-profit health insurance entities (almost identical to Advantage plans), the physician agrees to be paid through that company for seeing/treating every senior on his/her caseload (as opposed to being paid directly by Medicare right after providing a service).
The company is then paid a lump sum up front every month by Medicare for services you are expected to require for that coming month based on the amount of medical care you have required per month for the past few years.
At the end of the month, if you required less services than expected, then the insurance company gets to keep up to 40% of the lump sum it was given to serve you.
Most of the contracts these companies have with physicians include sharing the profits with the physician. This, along with the fact that the company takes the burden of having to deal with billing away from the physician, is what lures doctors into signing up. This profit "motive" is the source of the major problems. It motivates the company to get as much money as possible from Medicare and then to provide as few services to you as possible, so that they can keep as much as possible for profit.
One of the ways they get more money from Medicare, is to train the billing staff on how to "upcode" diagnoses in order to get more money up front from Medicare, often without the physician even knowing they are doing this.
So in short, REACH inserts a for-profit insurance company in between seniors who signed up for Traditional/Original Medicare and their physician... often without adequate notice and without the senior's consent. REACH motivates these for-profit insurance companies to get as much money from the Traditional Medicare pool of taxpayer money as possible, thus draining Traditional Medicare of funds. This gives the corporate-funded politicians the opportunity to cite the financial problems Traditional Medicare is having (caused by this draining of its money by Advantage plans and for-profit insurers under the REACH scheme) and instead try to blame these problems on the fact that Traditional Medicare is "government-run".
The new name for the DCE program is the "ACO REACH" program. Inadvertently, their new acronym is actually more descriptive of what this scheme does. It reaches deep into the doctor patient relationship.
Instead of using all the money Medicare gives it for actual medical services, the ACO gets to KEEP up to forty percent of each dollar.
Whatever they call it the bottom line is that this scheme inserts parasitic corporate middlemen between us and our healthcare for only one purpose, profits!
The REACH scheme solicits physicians who are currently paid on a fee-for-service basis by Medicare when they see seniors on Traditional Medicare. When a physician contracts with one of these for-profit health insurance entities (almost identical to Advantage plans), the physician agrees to be paid through that company for seeing/treating every senior on his/her caseload (as opposed to being paid directly by Medicare right after providing a service).
The company is then paid a lump sum up front every month by Medicare for services you are expected to require for that coming month based on the amount of medical care you have required per month for the past few years.
At the end of the month, if you required less services than expected, then the insurance company gets to keep up to 40% of the lump sum it was given to serve you.
Most of the contracts these companies have with physicians include sharing the profits with the physician. This, along with the fact that the company takes the burden of having to deal with billing away from the physician, is what lures doctors into signing up. This profit "motive" is the source of the major problems. It motivates the company to get as much money as possible from Medicare and then to provide as few services to you as possible, so that they can keep as much as possible for profit.
One of the ways they get more money from Medicare, is to train the billing staff on how to "upcode" diagnoses in order to get more money up front from Medicare, often without the physician even knowing they are doing this.
So in short, REACH inserts a for-profit insurance company in between seniors who signed up for Traditional/Original Medicare and their physician... often without adequate notice and without the senior's consent. REACH motivates these for-profit insurance companies to get as much money from the Traditional Medicare pool of taxpayer money as possible, thus draining Traditional Medicare of funds. This gives the corporate-funded politicians the opportunity to cite the financial problems Traditional Medicare is having (caused by this draining of its money by Advantage plans and for-profit insurers under the REACH scheme) and instead try to blame these problems on the fact that Traditional Medicare is "government-run".
Posted on 3/3/22 at 11:03 am to boweswi05
Limit access, or reduce quality.
Those are your two options.
Those are your two options.
Posted on 3/3/22 at 11:04 am to boweswi05
Two words. Tort reform.
Posted on 3/3/22 at 11:07 am to fish4au
How would tort reform change anything?
Sure it would reduce costs for doctors but why would they pass that on to patients? If I were a greedy doc I would just use it to buy a nicer car.
Sure it would reduce costs for doctors but why would they pass that on to patients? If I were a greedy doc I would just use it to buy a nicer car.
Posted on 3/3/22 at 11:12 am to Eurocat
quote:
So I have no idea how you can say dental is cheap.
I lost a front tooth as well. I called several dentists as well as the dental school here in Birmingham (UAB). I got my one tooth done for $1K. My $35/month dental insurance paid a good bit of it and I put the $1K on my HSA account. I found it to be VERY reasonable. You will get different prices from different providers.
My son and daughter both are missing a bunch of teeth. It's a rare genetic condition that they got from my wife's mother. To get my son's teeth squared away, it cost me $20K. Now, we interview multiple providers and had multiple service recommendations all with different price points. Prices ranged anywhere from $60K down to $18K.
Again, my dental insurance covered some and we used cash from my HSA to pay the rest.
Healthcare isn't free. We need market competition to make it less expensive. We also need consumers to actually pay cash for these services. Why? Because it encourages them to shop for the best price/service. This will make prices go down and service go up for everyone.
Posted on 3/3/22 at 11:15 am to Eurocat
Then you wouldn’t have many patients. It doesn’t just lower the cost of malpractice insurance for doctors. It would lower the cost of medicine.
Posted on 3/3/22 at 11:16 am to Aubie Spr96
I paid a little over 3k to have my wisdom teeth removed. Now, I did go the Cadillac route and went to an oral surgeon that gave me the good pre-op drugs, knocked me tf out with an IV, and gave me the good post-op meds (that i didn’t even need to take) and it was the best 3k I’ve ever spent.
I was terrified of having my wisdom teeth pulled and I was pulling bong rips less than 8 hours post op
I was terrified of having my wisdom teeth pulled and I was pulling bong rips less than 8 hours post op
Posted on 3/3/22 at 11:23 am to Naked Bootleg
quote:
but I don't know another way to address the problems other than heavy government regulation.
And run as efficient as the USPS ?
It need to be deregulated... NOT more regulations because that the issue with it now.
Posted on 3/3/22 at 11:24 am to beerJeep
quote:
the good post-op meds (that i didn’t even need to take) and it was the best 3k I’ve ever spent.
I was terrified of having my wisdom teeth pulled and I was pulling bong rips less than 8 hours post op
So you are that guy at the dinner party that has to constantly one-up anyone else's wisdom tooth story...
Brian Regan Wisdom Teeth bit
Posted on 3/3/22 at 11:31 am to deeprig9
I have no issue saying I’m a giant pussy when it comes to the dentist. I saved the pain meds though 
No pain, no dry socket, nothing. Oral Surgeon was definitely the right move.
Posted on 3/3/22 at 11:33 am to Lptigerfan
quote:
You want to really get disgusted with BigPharma, watch DopeSick on Hulu.
with how intertwined health care is with big pharma, and how intertwined big pharma is (apparently) with the government, a huge cause of insane prices probably revolves around corruption and kickbacks. I don't know enough about the industry to speak confidently on it, but there seem to be a lot of similarities between that and Hunter's blossoming art business.
Posted on 3/3/22 at 11:47 am to boweswi05
Complete opposite. Stop adding people to the tit and less government..
Posted on 3/3/22 at 11:54 am to BigJim
quote:
Rationing. That is, you can reduce the quantity. There might be some other tweaks (better negotiations for prescription drugs, etc), but there is no magic bullet.
You can get the latest, greatest healthcare but it will cost you. Or you can add waiting lists.
Americans want the best and they want it now. That's the #2 reason our system costs so much.
#1 is that we are a bunch of fatties.
Referring to the last point, we have a system that is becoming increasingly “color by numbers” and the drawings are made by the pharmaceutical industry. Doctors are becoming pharmaceutical representatives. Prescribe a pill and move on. If that pill doesn’t work, come back and we’ll get you a different prescription.
When is the last time your doctor talked to you about your overall health and not just about the latest ailment that you can get a pill for?
I don’t see any way out of the current system because too many voters get “free” healthcare. Medicare, MHS, VA, etc… Every attempt to go to a single payer system has tried to give the same healthcare to everyone. They try to make it fast, cheap, and good, and the end result is that it will be none of those things.
I have proposed on this board before that we go to a two tiered system:
First, a basic plan that is available to everyone, and paid for with the money that our government currently spends on healthcare. Everyone, including Seniors, Active Military, Veterans, disabled, and others who are on one of the myriad of government programs would all get this. It would be good, solid healthcare, but basic. In other words, you may not get to pick your own doctor, get name brand drugs, have the latest prosthetic, or have the shortest wait times to get non-emergency services, but you would get good overall care. It would have to be monitored to ensure that costs don’t creep up. Insurance companies would be incentivized to fight against the government plan scope creeping up by paying for things like ED medication and other non-essential services, so this might be easier than it seems.
Second, a secondary system that could be administered by insurance companies where they can design supplementary plans that pay for name brand drugs, private hospital rooms, faster access to MRIs, access to your own personal doctor, and the latest and greatest treatment options. The supplementary plans could range from basic to everything under the sun, based on what you’re willing to pay. If you have a supplemental plan, the monies would supplement the money already paid in the primary plan.
Employers could provide supplemental insurance for their employees, or offer a range of plans for purchase via payroll deduction. Citizens could purchase their own plans from private providers, and providers would have to compete for customers, meaning that the Insurance companies would have incentive to be cheaper and/or provide better service than the primary plan, by itself, and their competitors.
I could envision the young, healthy, and those on a tight budget would all take the basic plan. Everyone else could get a cafeteria style plan that fits their needs. Preexisting conditions would be covered under the basic plan benefits.
So everyone would get cheap. You can get good and fast if you're willing and able to pay more.
This post was edited on 3/3/22 at 12:00 pm
Posted on 3/3/22 at 12:36 pm to Figgy
quote:
Start with little things. Like no more $75 charges for an 800mg aspirin.
Tell me you don't understand healthcare without telling me you don't understand healthcare.
Posted on 3/3/22 at 12:42 pm to Jay Quest
quote:
An acquaintance of mine went to the hospital shortly before Christmas 2021. Was there for approximately six hours with almost no medical assistance administered. Total cost, $18,000.
The charges were $18,000. That has almost nothing to do with the payment the hospital received from the insurance company or the copay the patient was liable for based on their insurance policy. Charges are almost completely meaningless. Everybody gets hung up on this.
Also, Charges do not = Costs. They are totally different things.
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