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Started By
Message
re: Trump going to war with healthcare industry over Price Transparency
Posted on 5/19/19 at 9:52 pm to SmackoverHawg
Posted on 5/19/19 at 9:52 pm to SmackoverHawg
quote:
Honest question, can patients not get the info from their insurer?
No. They can’t.
And hospital contracts are bizarre. Every single one of them could be different. One could be a percentage of billed charges for an MRI. The next could be a dollar amount of $750 no matter the billed charges.
0
Posted on 5/19/19 at 9:53 pm to NC_Tigah
quote:
nd in smaller clinics and private practices the admin burden could be quite high. Hopefully implementation will employ common sense in that regard.
Won't affect me too much unless they insist on it for every little thing. If people need a test or procedure and have a big deductible or cash, I have no issue giving them a price. And if the under insured patient understands a cash price has to be paid at the time of service and most likely won't go against their deductible then I'll give them a price. Usually way less than insurance. But I'll be clear that it's for that and that alone. No extra problems or other bullshite. Want me to bid a job? I will. Change the job and the price changes. People need to understand that as well.
Posted on 5/19/19 at 9:54 pm to I B Freeman
“Let”
I’m not sure they let rates increase substantially as much as they forced them to do so.
I’m not sure they let rates increase substantially as much as they forced them to do so.
Posted on 5/19/19 at 9:58 pm to Eli Goldfinger
quote:
I’m not sure they let rates increase substantially as much as they forced them to do so.
This. Insurers want healthcare to be so expensive that you can't afford to be without it. We need to go back to the old school way where pt's pay at the time of service and then they battle with insurance over prices and coverage. Just let me do my thing and not deal with insurance at all and I can drop my prices dramatically. At least on my services.
Posted on 5/19/19 at 9:58 pm to Eli Goldfinger
quote:You haven't a clue as to what you're saying. Best just stop now.
all of the scenarios you listed fall under some type of regulation.
quote:That's a totally different area. It is contingent on an accounting shell game.
The regulations which specify the percentage of $ intake which must be put back into patient care
As was told you, if you think BCBS is losing money, you must be smokin' some fine Irish Cream.
Posted on 5/19/19 at 10:03 pm to NC_Tigah
I don’t think insurers are losing money...and I don’t think they should.
Do you think insurers should be a charity, or try to make a profit for their investors?
Do you think insurers should be a charity, or try to make a profit for their investors?
Posted on 5/19/19 at 10:06 pm to NC_Tigah
I'll go cash only and make what I make. I'm not dealing with anymore bullshite and paperwork. frick that!!! I enjoy practicing medicine, but I hate being a doctor anymore. I'm 45 yo and ready to get out. Glad I've planned well. I'm still hoping for the best. The system can be better and I think Trump is on the right track. Insurers need to be shamed into correcting the issues. Expose how much they make. And insurance is a risk mitigation business. Healthcare insurers somehow have escaped this. They have become accustomed to record profits every year, no matter what. They can increase premiums, cut reimbursements, deny claims, and stall paying providers on a whim and have no consequences. First step would be to allow buying insurance across state lines. Make each BCBS compete with each other. Lower my costs and hassle and I can handle lower reimbursement. What matters is the difference between what I collect and what I pay out.
Posted on 5/19/19 at 10:10 pm to SmackoverHawg
quote:
I'll go cash only and make what I make. I'm not dealing with anymore bullshite and paperwork. frick that!!! I enjoy practicing medicine, but I hate being a doctor anymore. I'm 45 yo and ready to get out.
Posted on 5/19/19 at 10:12 pm to SmackoverHawg
Just get board certified in weight loss, open a weight loss clinic, and get pay as you go patients.
Profit
Profit
Posted on 5/19/19 at 10:12 pm to Eli Goldfinger
quote:
Do you think insurers should be a charity, or try to make a profit for their investors?
They should assume the risks and low arse profit margins they used to. Just like life and auto etc. And BCBS is essentially considered a charity as many are "not for profit". So, why the frick do they need billions a year in profits? Just in Arkansas. Billions every year. frick them, you and anyone else that thinks they aren't greedy shitbags that have shitwrecked our healthcare system and own politicians on both sides of the aisle.
Posted on 5/19/19 at 10:13 pm to Eli Goldfinger
That may all be true.
Doesn’t change the fact he is still right.
Doesn’t change the fact he is still right.
Posted on 5/19/19 at 10:13 pm to Eli Goldfinger
quote:
ust get board certified in weight loss, open a weight loss clinic, and get pay as you go patients. P
Why bother getting board certified. Every NP around writes diet pills to everyone that ask for them.
Posted on 5/19/19 at 10:15 pm to SmackoverHawg
It’s not just about diet pills. 
This post was edited on 5/19/19 at 10:17 pm
Posted on 5/19/19 at 10:23 pm to Eli Goldfinger
quote:
It’s not just about diet pills.
It is when there are "clinics" every where with NP's writing diet pills left and right for cash. That's all people want. A few want other, but there's not enough of them in Arkansas to support a practice.
shite, I'll just go all industrial and cosmetics. I honestly think I could do as well or better than I am now if I ditched insurance and all the employees required and just do industrial medicine and cosmetics. Maybe a few diet pills to help draw in potential cosmetics pt's. Doing real medicine is for losers. Procedures pay. 10 yrs from now their won't be primary care clinics. Just a bunch of urgent cares. I'm not gonna manage people's multiple chronic, complex issues for bullshite pay. I'm gonna break bad, make bank, and live the life of an insurance executive.
ETA-don't get me wrong. I'm fine with my current pay, but each year it's gets tougher to maintain and more paperwork/administrative burden. Just frustrated seeing the profession and industry go to shite before my eyes. I have to vent on here sometimes so I can put on my happy face in real life.
This post was edited on 5/19/19 at 10:29 pm
Posted on 5/19/19 at 10:33 pm to SmackoverHawg
If you don’t have one, you might look into laser lipo or something similar.
Fat housewives gladly pay for this.
Fat housewives gladly pay for this.
Posted on 5/20/19 at 8:13 am to Eli Goldfinger
quote:Absolutely not.
Do you think insurers should be a charity
Nor though do I think they should be set up as ACA incentivized monopolies in various markets. Insurance companies should be allowed to market competitive pre-ACA styled policies. They should also be allowed to compete across state lines.
Posted on 5/20/19 at 9:03 am to Eli Goldfinger
quote:
.the healthcare insurance industry hates ACA
The people that made commissions on health insurance hate the law. Insurance companies, not so much.
Posted on 5/20/19 at 9:42 am to tide06
quote:
would drastically lower the price burden on patients here in the states.
or drastically reduce R&D in the pharmaceutical industry.
Posted on 5/20/19 at 5:31 pm to SmackoverHawg
quote:
And insurance is a risk mitigation business.
Not since obamacare.
He essentially removed underwriting from the equation.
You are essentially buying insurance based off of your age and state. Little to nothing else.
Today, insurance is purely a pass through. The premiums are directly related to the expenditures with a 2-4% anticipated profit built in.
Are insurance companies making a killing off of their 2% return? Yes. But no one does anything for less than 2%. Not even the government (find out how much your county tax assessor keeps to collect a no loss revenue stream. The answer will be 2% in a much less complicated line of work).
Posted on 5/20/19 at 5:51 pm to SmackoverHawg
Smackover speaking truth.
I could make a lot more money with less headache by selling diet pills, botox, weightloss wraps, bio T pellets, and doing US guided sclerotherapy and "Jesus shots".
Of course my patients, the community, and my concious would be far less healthy for it.
I could make a lot more money with less headache by selling diet pills, botox, weightloss wraps, bio T pellets, and doing US guided sclerotherapy and "Jesus shots".
Of course my patients, the community, and my concious would be far less healthy for it.
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