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Is the Healthcare/Pharma industry a giant scam?
Posted on 12/7/19 at 10:40 am
Posted on 12/7/19 at 10:40 am
I’m no expert, but I’ve been studying the pricing system a bit.... and it pretty much seems like a bunch of bullshite that was made to be as confusing as possible so they can charge more $$ to customers.
It makes sense why they don’t want price transparency because it would expose how corrupt the system is.
It makes sense why they don’t want price transparency because it would expose how corrupt the system is.
21
Posted on 12/7/19 at 10:41 am to Lsujacket66
It is very complicated........
But the answer is yes
But the answer is yes
Posted on 12/7/19 at 10:42 am to Lsujacket66
Everything is a scam in every industry!
Posted on 12/7/19 at 10:42 am to Lsujacket66
Confusing bullshite? You should see my AT&T bill.
Posted on 12/7/19 at 10:43 am to Lsujacket66
Yes and no. The prices are ridiculously high for Americans partly because we subsidize other countries getting it cheap.
The bigger issue is the entire research industry is a scam. Prices are inflated at every level from buying a tip for a pipettor to reagents that cost nothing to produce and are marked up to the salaries paid to some of these people in bit the research and business sides.
Those costs add up into the end cost, so it’s not just a pharma scam. It’s a scam at every level and eve academic research is a scam.
The bigger issue is the entire research industry is a scam. Prices are inflated at every level from buying a tip for a pipettor to reagents that cost nothing to produce and are marked up to the salaries paid to some of these people in bit the research and business sides.
Those costs add up into the end cost, so it’s not just a pharma scam. It’s a scam at every level and eve academic research is a scam.
This post was edited on 12/7/19 at 10:46 am
Posted on 12/7/19 at 10:49 am to Lsujacket66
Watch who squeals about the President's price transparency EO.
Posted on 12/7/19 at 10:54 am to Lsujacket66
there's a lot of games being played by the industry.
Example Medicare Part D. I can get a lot cheaper price if I tell the drug store I don't have insurance than if I go through their pricing system. Their seems to be a collaboration between the the insurance companies and drug companies. Actual the real collusion is between the formulary or intermediate (such as Caremark) and the insurance companies.
In the whole supply/pay chain the big money is made by the formulary and the insurance company. The drug maker and the drug store make much less. That's why CVS bought Caremark and Express Scripts.
The whole idea is to raise the price to get you to the donut hole quicker so you pay it all.
Example Medicare Part D. I can get a lot cheaper price if I tell the drug store I don't have insurance than if I go through their pricing system. Their seems to be a collaboration between the the insurance companies and drug companies. Actual the real collusion is between the formulary or intermediate (such as Caremark) and the insurance companies.
In the whole supply/pay chain the big money is made by the formulary and the insurance company. The drug maker and the drug store make much less. That's why CVS bought Caremark and Express Scripts.
The whole idea is to raise the price to get you to the donut hole quicker so you pay it all.
Posted on 12/7/19 at 11:24 am to Lsujacket66
Yes, its all a scam. The hospital pricing, doctors referral requirements, drug pricing and availability, and insurance. It's all a scam and money grab. I don't blame the medical professionals (doctors/nurses) as much as the rest of the industry though. I get the impression that it's more of the coorporate and pharmaceutical portions of the industry that are robbing us.
This post was edited on 12/7/19 at 11:35 am
Posted on 12/7/19 at 1:41 pm to Lsujacket66
Yes.
But. A lot of has to do with trying to recoup monies from the deadbeats, since they can’t kick them to the curb.
It would be like charging more for groceries to people with money if poor people were just allowed to steal off the shelves at will.
But. A lot of has to do with trying to recoup monies from the deadbeats, since they can’t kick them to the curb.
It would be like charging more for groceries to people with money if poor people were just allowed to steal off the shelves at will.
Posted on 12/7/19 at 1:41 pm to Geauxgurt
quote:
The prices are ridiculously high for Americans partly because we subsidize other countries getting it cheap.
Mostly because you have no leverage as an individual.
Posted on 12/7/19 at 1:50 pm to cajuncarguy
quote:
The whole idea is to raise the price to get you to the donut hole quicker so you pay it all.
I will never understand why this idea was ever agreed upon... all it does it hurt patients and lead to hospitalizations/ deaths...
for example.... elderly on fixed income who' been paying let's say $35 a month for a box of insulin.... now gets into the donut hole and must pay $500-600 a box now ... alot of these folks don't have that lying around, so they go without insulin.... i see it every day, and I hate it for these people
Posted on 12/7/19 at 1:56 pm to Lsujacket66
quote:
Is the Healthcare/Pharma industry a giant scam?
Is the government involved?
Posted on 12/7/19 at 2:14 pm to gthog61
quote:I'll try. Transparency in hospital pricing is useless. Example: call the hospital and ask what an MRI of the head is.
Watch who squeals about the President's price transparency EO.
They tell you let's say $2,000. But Medicare pays 400. Do you have a Medicare supplement? United Healthcare is 800. BCBS negotiated 650. A smaller 3rd party payer might have negotiated a 900. Call up with no insurance? The price is 2000.
Posted on 12/7/19 at 4:54 pm to Diamondawg
The healthcare people especially home health do whatever is required to keep the government or health insurance companies paying. Lies on top of lies.
Posted on 12/7/19 at 5:10 pm to tenderfoot tigah
quote:Do you understand Medicare fraud and treble damages? Doesn't eliminate fraud and doesn't eliminating up-coding but it's a risky proposition if that's your business model. Plus, you have too many whistleblower opportunities for those working in the back office to do that on the regular.
The healthcare people especially home health do whatever is required to keep the government or health insurance companies paying. Lies on top of lies.
Posted on 12/7/19 at 5:12 pm to Diamondawg
quote:
Transparency in hospital pricing is useless.
I can figure it out if I had the information, no need to assume everyone is stupid.
Posted on 12/7/19 at 5:18 pm to gthog61
Posted on 12/7/19 at 5:28 pm to gthog61
quote:Go to your favorite hospital and find their pricing, and calculate the cost of a catheter ablation with an esophageal echo. It's there.
I can figure it out if I had the information, no need to assume everyone is stupid.
ETA - I just pulled up the Charge Master for the hospital I use. There were 64,000 items on it.
This post was edited on 12/7/19 at 5:33 pm
Posted on 12/7/19 at 5:47 pm to TigerDeBaiter
quote:
But. A lot of has to do with trying to recoup monies from the deadbeats, since they can’t kick them to the curb.
That's not true , I know that's what Democrats in congress say.
My insurance company is for profit , they aren't going to pay more because of a deadbeat.
Insurance companies get discounts , you can look at an Explanation Of Benefits from your insurance company and it shows the "negotiated" price.
The people who do pay for deadbeats are the people with no insurance that do pay their bills. They get screwed.
Democrat politicians lie to people because they want a single payer system.
Posted on 12/7/19 at 5:57 pm to Lsujacket66
Yes...and you and your physician are victims of it.
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