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Started By
Message
re: Is the Healthcare/Pharma industry a giant scam?
Posted on 12/7/19 at 6:06 pm to cajuncarguy
Posted on 12/7/19 at 6:06 pm to cajuncarguy
quote:What are you calling the "formulary"?
is made by the formulary and the insurance company.
0
Posted on 12/7/19 at 6:17 pm to Diamondawg
quote:
ETA - I just pulled up the Charge Master for the hospital I use. There were 64,000 items on it.
The government screws up damn near everything it touches. That’s absurd.
Posted on 12/7/19 at 6:26 pm to TigerDeBaiter
When I was at UVa the homeless people were using the ambulances as personal taxis.
They’d develop chest pain, which would miraculously disappear by the time we arrived at the hospital.
They’d develop chest pain, which would miraculously disappear by the time we arrived at the hospital.
Posted on 12/7/19 at 6:33 pm to Lsujacket66
Healthcare - including Rx - is the most gov regulated industry we have.
There’s your answer.
There’s your answer.
Posted on 12/7/19 at 7:27 pm to Lsujacket66
This is what’s keeping working class Americans from really thriving right now. There is a lot of jobs , people are getting paid good and 401Ks are growing fast . Republicans should push a bill to fix this crap and make the democrats vote it down .
Posted on 12/7/19 at 7:50 pm to Lsujacket66
I pay 434.00 a month with a 6500.00 deductible
I have been to the dr. 4 times this year for “follow up appointments”
3 monthly prescriptions, one of which I pay 80.00 a month for
Just got notice it’s going up to 495.00 next year
It’s a fricking joke
I have been to the dr. 4 times this year for “follow up appointments”
3 monthly prescriptions, one of which I pay 80.00 a month for
Just got notice it’s going up to 495.00 next year
It’s a fricking joke
Posted on 12/7/19 at 7:54 pm to Zach
quote:
Confusing bullshite? You should see my AT&T bill.
You can thank various government bureaucracies for the fricked up AT+T bill....everyone has to have some of the pie.
Posted on 12/7/19 at 8:29 pm to Lsujacket66
Took me three days to get a price quote on a ultrasound guided shoulder injection. Since I had to pay out-of-pocket I was curious what I was getting myself into.
Anyway called on a Monday morning and they gave me a run around and finally said we will get you a price in a couple days.
They did e-mail with the price Wednesday afternoon but all that for simple procedure? Its certainly not calling about an oil change cost.
Anyway called on a Monday morning and they gave me a run around and finally said we will get you a price in a couple days.
They did e-mail with the price Wednesday afternoon but all that for simple procedure? Its certainly not calling about an oil change cost.
This post was edited on 12/7/19 at 8:31 pm
Posted on 12/7/19 at 9:48 pm to Chief One Word
quote:Stand alone imaging center or hospital ultrasound department?
Took me three days to get a price quote on a ultrasound guided shoulder injection. Since I had to pay out-of-pocket I was curious what I was getting myself into.
Anyway called on a Monday morning and they gave me a run around and finally said we will get you a price in a couple days.
They did e-mail with the price Wednesday afternoon but all that for simple procedure? Its certainly not calling about an oil change cost.
Cost of ultrasound
Pharmacy charge for the injection
Materials for injection
Practitioner doing the injection
Radiologist doing the superfluous over read of the US.
I could see it taking a little time to gather those costs. How close were they with the estimate?
Posted on 12/7/19 at 9:52 pm to Diamondawg
quote:
I could see it taking a little time to gather those costs.
I his procedure exotic? Do they have to chase down every sub-price for every single procedure? That doesn't sound practical.
Posted on 12/7/19 at 10:10 pm to Flats
quote:People don't ask. The ones doing the procedures probably don't know what these things cost. The doctor doing the procedure might cost it out by time. The ultrasound might even vary in cost due to time. People don't understand that healthcare varies from patient to patient and they aren't building widgets. I don't disagree that healthcare costs have sky rocketed. Lot of it is due to government oversight and intervention. Lot of it is defensive medicine due to exorbitant trial awards in malpractice suits. Lot of is due to very expensive innovative medicine that the US has no rivals. Lots of goes into it. There might be a few scams out there as the OP suggested. We just had 10 or so go to jail locally over some scamming. But if you get caught scamming, you pay and you pay heavily.
I his procedure exotic? Do they have to chase down every sub-price for every single procedure? That doesn't sound practical.
Posted on 12/7/19 at 10:20 pm to Diamondawg
quote:
I don't disagree that healthcare costs have sky rocketed. Lot of it is due to government oversight and intervention. Lot of it is defensive medicine due to exorbitant trial awards in malpractice suits.
Couldn't agree more.
quote:
People don't understand that healthcare varies from patient to patient and they aren't building widgets.
Agree to a point. But if every procedure were like that people couldn't offer things like lasik and plastic surgery with price schedules. Optional medical procedures respond to market forces, so I don't see why at least some other standard medical procedures couldn't.
Posted on 12/7/19 at 10:44 pm to Flats
quote:Don't know that much about plastics but with lasik for $2500 per eye or something like that, I would imagine those are physician owned stand alone clinics and are fairly routine and vary very little as to time, equipment,etc. They might lose on a few but far more are uncomplicated and they know what kind of profit margin they want and charge accordingly. Not many hospital procedures are that straight forward.
like that people couldn't offer things like lasik and plastic surgery with price schedules
Posted on 12/7/19 at 11:15 pm to Lsujacket66
Yes, but at the heart of both are health insurance companies. That is the real game.
Posted on 12/7/19 at 11:41 pm to Ollieoxenfree99
quote:81 year old Mom noticed today's college football games were ALL sponsored by Insurance Companies.
Yes, but at the heart of both are health insurance companies. That is the real game.
That sponsorship and all those TV ads are built into the premiums.
The TV Networks and local TV Stations should thank all of America for helping with their payroll and overhead through their insurance payments.
Posted on 12/7/19 at 11:49 pm to Diamondawg
quote:
Not many hospital procedures are that straight forward.
Really? Setting a broken bone? Appendectomy? I'm not saying that those procedures will be routine every time, but "not many"? I'm having a hard time believing there's just no such thing as routine medical treatment. If people can laser your eyeballs for a predictable price they can stitch you up or set a broken bone for a predictable price.
Posted on 12/7/19 at 11:53 pm to Flats
If healthcare could be treated like what it is- a consumer service- we could avoid higher prices.
But since people will not take accountability for their health and have become sue happy and "give me a pill to fix it," it can never be.
But since people will not take accountability for their health and have become sue happy and "give me a pill to fix it," it can never be.
Posted on 12/8/19 at 1:04 am to Lsujacket66
Pricing has gotten way out of control. The Wall Street bankers are partly to blame as they snap up lucrative patents and generic drug companies placing them in shell companies knowing that the government or health care providers will pay anything for drugs.
One push has been to reformulate old drugs with a new ingredients and slapping a new name with a new patent even though taking 2 generics will do the same.
Someone posted this about cancer.
Why cure cancer, when millions more can be made treating it for the rest of a patient’s life.
Essentially, the same is now filtering to other chronic diseases like diabetes, high blood pressure, heart disease, HIV, and others.
One push has been to reformulate old drugs with a new ingredients and slapping a new name with a new patent even though taking 2 generics will do the same.
Someone posted this about cancer.
Why cure cancer, when millions more can be made treating it for the rest of a patient’s life.
Essentially, the same is now filtering to other chronic diseases like diabetes, high blood pressure, heart disease, HIV, and others.
Posted on 12/8/19 at 8:14 am to Flats
quote:Yeah, really. Level of care in the ER varies. Age of patient will add or make additional tests unnecessary. Fourteen year old vs 65 y/o big difference. Which bone? Hard cast or soft cast? Just setting or is reducing the fracture involved? Pre xrays and how many views? Post reduction and how many views? Radiologist has to look at each of those xrays. If you as a consumer could sort through the mountain of charges listed on the chargemaster and predict what would be needed to correct your probably, you could probably come within + or - 5000% of the actual ER bill.
Really? Setting a broken bone?
Posted on 12/8/19 at 8:53 am to 93and99
Even with the deadbeat factor, most hospital systems turn a tidy profit. They do not hurt.
On the pharmaceutical end the PBM, among others do the consumer no favors. But it's the Martin Skhreli types who create problems in that area
On the pharmaceutical end the PBM, among others do the consumer no favors. But it's the Martin Skhreli types who create problems in that area
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