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Message
Trump to force Hospitals to disclose their prices
Posted on 6/21/19 at 11:18 am
Posted on 6/21/19 at 11:18 am
Huge news in a growing set of policies to bring transparency and force prices lower
President Trump is planning a series of marquee actions on health care that coincide with his re-election campaign, part of an effort to gain ground on the issue while Democratic presidential candidates debate how far to go in expanding federal coverage.
Mr. Trump on Monday plans to issue an executive order aimed at forcing the disclosure of the hidden prices that insurers, hospitals and doctors negotiate for care. It would direct federal agencies to issue guidance and regulations.
Health-care changes are already in the works. Hospitals are deeply concerned about an outpatient rule expected in July because it could mandate first-ever disclosure of prices starting next year, according to two people familiar with the regulation.
What policies should the Trump administration pursue to try to lower health-care costs? Join the conversation below.
Other federal rules aimed at lower drug prices are looming, including a plan to reduce seniors’ out-of-pocket costs by curbing rebates to middlemen. Another would limit Medicare drug prices by linking them to lower costs in other countries.
LINK
President Trump is planning a series of marquee actions on health care that coincide with his re-election campaign, part of an effort to gain ground on the issue while Democratic presidential candidates debate how far to go in expanding federal coverage.
Mr. Trump on Monday plans to issue an executive order aimed at forcing the disclosure of the hidden prices that insurers, hospitals and doctors negotiate for care. It would direct federal agencies to issue guidance and regulations.
Health-care changes are already in the works. Hospitals are deeply concerned about an outpatient rule expected in July because it could mandate first-ever disclosure of prices starting next year, according to two people familiar with the regulation.
What policies should the Trump administration pursue to try to lower health-care costs? Join the conversation below.
Other federal rules aimed at lower drug prices are looming, including a plan to reduce seniors’ out-of-pocket costs by curbing rebates to middlemen. Another would limit Medicare drug prices by linking them to lower costs in other countries.
LINK
10
Posted on 6/21/19 at 11:31 am to Lsujacket66
I'd be okay with this
When I worked for a couple of different hospital as an inventory controller when I was younger some of the mark ups were ludicrous.
Saline solution - 7$ per bottle, hospital charging $60
Hospital admittance kit - $14 per kit, hospital charging $100.00
Package of sterile gauzes - $2-3 per pack, hospital charged $25
Those were just some I can remember off the top of my head, but catheter and syringes were crazy 500% markups and higher as well. Blew my mind when I first started working how much we overpay for basic stuff.
Hospital charged $6.75 for this toothbrush and our cost to buy a whole case was like .09 cents per unit
Good for Trump on this.
When I worked for a couple of different hospital as an inventory controller when I was younger some of the mark ups were ludicrous.
Saline solution - 7$ per bottle, hospital charging $60
Hospital admittance kit - $14 per kit, hospital charging $100.00
Package of sterile gauzes - $2-3 per pack, hospital charged $25
Those were just some I can remember off the top of my head, but catheter and syringes were crazy 500% markups and higher as well. Blew my mind when I first started working how much we overpay for basic stuff.
Hospital charged $6.75 for this toothbrush and our cost to buy a whole case was like .09 cents per unit
Good for Trump on this.
Posted on 6/21/19 at 11:34 am to Codythetiger
Exclude free care for illegal also...huge savings.
Posted on 6/21/19 at 11:36 am to Codythetiger
quote:
When I worked for a couple of different hospital as an inventory controller when I was younger some of the mark ups were ludicrous.
Saline solution - 7$ per bottle, hospital charging $60
Hospital admittance kit - $14 per kit, hospital charging $100.00
Package of sterile gauzes - $2-3 per pack, hospital charged $25
Those were just some I can remember off the top of my head, but catheter and syringes were crazy 500% markups and higher as well. Blew my mind when I first started working how much we overpay for basic stuff.
Hospital charged $6.75 for this toothbrush and our cost to buy a whole case was like .09 cents per unit
This is why it’s so important, so it can be exposed and shame them into lowering these ridiculous markups
Posted on 6/21/19 at 11:38 am to Codythetiger
Incredibly ignorant post and mindset.
You pay markup on food at a restaurant too. You are paying for the service.
You have to pay the salary of the person who stocks the saline. You have to pay the salary of the RN who puts the IV in you and administers the saline. You have to pay the salary of the doctor who ordered the saline. You also have to pay the electric bill. You have to pay housekeeping. Et cetera.
Doctors and RN salary is generally higher than server and cook salary, so your markup is higher.
You pay markup on food at a restaurant too. You are paying for the service.
You have to pay the salary of the person who stocks the saline. You have to pay the salary of the RN who puts the IV in you and administers the saline. You have to pay the salary of the doctor who ordered the saline. You also have to pay the electric bill. You have to pay housekeeping. Et cetera.
Doctors and RN salary is generally higher than server and cook salary, so your markup is higher.
This post was edited on 6/21/19 at 11:39 am
Posted on 6/21/19 at 11:38 am to Lsujacket66
But what do they charge for the nurses time, what do they charge for plant operations staff that keep the hospital running, what do they charge for housekeeping and dietary staff? There are SO MANY cost to running a healthcare facility that you have to mark up items that you can charge for or you will go broke.
Posted on 6/21/19 at 11:39 am to Lsujacket66
Price disclosure is brilliant. Price controls are dangerous. It will be fun to watch critics rush to this thread to pretend they are the same thing.
Posted on 6/21/19 at 11:40 am to Lsupimp
quote:
Price disclosure is brilliant. Price controls are dangerous. It will be fun to watch critics rush to this thread to pretend they are the same thing.
Too bad one will beget the other.
quote:
Other federal rules aimed at lower drug prices are looming, including a plan to reduce seniors’ out-of-pocket costs by curbing rebates to middlemen. Another would limit Medicare drug prices by linking them to lower costs in other countries.
It will be fun to watch the "small government capitalist" conservatives rush to defend this.
Posted on 6/21/19 at 11:41 am to Tiguar
quote:
Incredibly ignorant post and mindset.
You pay markup on food at a restaurant too. You are paying for the service.
You have to pay the salary of the person who stocks the saline. You have to pay the salary of the RN who puts the IV in you and administers the saline. You have to pay the salary of the doctor who ordered the saline. You also have to pay the electric bill. You have to pay housekeeping. Et cetera.
Doctors and RN salary is generally higher than server and cook salary, so your markup is higher.
Posted on 6/21/19 at 11:41 am to Lsujacket66
Next, Trump needs to force CMS to post the reimbursement rates.
Then, hospitals should post all of the freebies they have to give away from non payers.
Then, maybe it'll make sense to everyone why that aspirin costs the average "payer" $25.
Then, hospitals should post all of the freebies they have to give away from non payers.
Then, maybe it'll make sense to everyone why that aspirin costs the average "payer" $25.
Posted on 6/21/19 at 11:42 am to Codythetiger
How will this change anything? The insurance companies know what the markup is. People pay for healthcare through insurance.
“Shaming” the hospitals won’t work
“Shaming” the hospitals won’t work
This post was edited on 6/21/19 at 11:44 am
Posted on 6/21/19 at 11:44 am to Codythetiger
$40 for Tylenol, actual charge from my mother's bill before her death. Medicare paid it but that is a problem.
Posted on 6/21/19 at 11:45 am to Tiguar
quote:
Incredibly ignorant post and mindset.
You pay markup on food at a restaurant too. You are paying for the service.
You have to pay the salary of the person who stocks the saline. You have to pay the salary of the RN who puts the IV in you and administers the saline. You have to pay the salary of the doctor who ordered the saline. You also have to pay the electric bill. You have to pay housekeeping. Et cetera.
Doctors and RN salary is generally higher than server and cook salary, so your markup is higher.
But you know how much you’re paying for the food. Not the same with healthcare generally
Posted on 6/21/19 at 11:45 am to Tiguar
quote:
Incredibly ignorant post and mindset.
You pay markup on food at a restaurant too. You are paying for the service.
You have to pay the salary of the person who stocks the saline. You have to pay the salary of the RN who puts the IV in you and administers the saline. You have to pay the salary of the doctor who ordered the saline. You also have to pay the electric bill. You have to pay housekeeping. Et cetera.
Doctors and RN salary is generally higher than server and cook salary, so your markup is higher.
Well that is part of it. The other part is that no matter what the price, there will be a large segment that doesn't pay it. So the cost gets passed on (via markup) to others. Insured patients, btw, don't pay that. The insurance companies negotiate a separate price for procedures on their clients. That said, there is still a mark up because of the write-offs and the below cost reimbursement from government programs (though that is hit or miss. Generally Medicare is OK while Medicaid pays less. There are exceptions).
The people REALLY taking it in the shorts are people that make too much for government programs but don't have insurance and have to pay cash. Ouch. Get insurance kids.
Posted on 6/21/19 at 11:46 am to Barneyrb
quote:
Medicare paid it but that is a problem.
Got a newsflash for you baw. CMS didn't pay the hospital $40 for that Tylenol.
Posted on 6/21/19 at 11:51 am to Lsujacket66
quote:Good!
Trump to force Hospitals to disclose their prices
I've been saying this for a while.
quote:
Pricing Transparency.
Patients should be able to determine who is charging what for a particular service. Additionally, as unbelievable as it may seem, healthcare providers often haven't the slightest clue as to what particular drugs or products cost. Where practical, every product in the medical workplace should be price tagged. You'd be amazed at the difference that would make. Consumer options 101!
Posted on 11/23/09
Posted on 6/21/19 at 11:58 am to Tiguar
quote:
Doctors and RN salary is generally higher than server and cook salary, so your markup is higher.
And those higher salaries are generally covered with different charges. You go to the hospital, you generally get separate billing for the hospital stay (the bed/room charges), durable goods charges, procedure charges, lab charges, drug charges, and physician charges.
So your idea of "markup is higher" for the durable goods is bull crap. Durable Goods billing does not cover any charges for the daily operations of a hospital.
SOURCE: I developed integration software for Hospital Billing systems for almost 10 years.
Posted on 6/21/19 at 12:01 pm to Floating Change Up
Our main hospital's power bill is $260K PER MONTH.
Water, $50K
Gas, $75K
Hell, is costs $300K a year just to keep the damn grass cut.
Do you see any of those charges on a hospital bill?
Use some common sense folks.
Water, $50K
Gas, $75K
Hell, is costs $300K a year just to keep the damn grass cut.
Do you see any of those charges on a hospital bill?
Use some common sense folks.
This post was edited on 6/21/19 at 12:03 pm
Posted on 6/21/19 at 12:02 pm to Samso
quote:
How will this change anything? The insurance companies know what the markup is. People pay for healthcare through insurance.
“Shaming” the hospitals won’t work
Exactly. You pay the majority of your healthcare costs through insurance. But this will go over everyone’s head for some unexplainable reason
My hospital posted all of our prices publicly last year as did several others in our market. Guess what changed? Nothing
Posted on 6/21/19 at 12:03 pm to Codythetiger
quote:
When I worked for a couple of different hospital as an inventory controller when I was younger some of the mark ups were ludicrous.
Saline solution - 7$ per bottle, hospital charging $60
Hospital admittance kit - $14 per kit, hospital charging $100.00
Package of sterile gauzes - $2-3 per pack, hospital charged $25
Unfortunately, this is to supplement the cost of the deadbeats that clog up ER's because they have a headache and no insurance
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