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Related: Editorials & Other Articles, Issue Forums, Alliance Forums, Region ForumsFinally, US hospitals will have to post their prices online
From https://qz.com/1509095/hospital-to-post-the-costs-of-medical-services/
By Annalisa Merelli
December 27, 2018
Astronomical hospital bills are a trope of American health care. Hospitals in the US are known for charging exorbitant fees for simple procedures, and for adding baffling entries to discharge bills. Notorious examples include the woman who was charged $40 to hold her newborn, and the $18,000 emergency-rom bill that a family received after their baby was treated with some milk and a nap.
The surprise factor, at least, may soon be changing. On Jan. 1, a new regulation takes effect requiring hospitals to post the prices of their services online. Announced by health and human services secretary Alex Azar in April, the provision is called Inpatient Prospective Payment System rule. Under it, hospitals will have to share the prices of standard services online, as well as make medical records more easily accessible by patients themselves, and shareable between medical practices.
Though hospitals are already required to make their prices available in some form, and to allow patients to access their medical records, the new rule aims to simplify both and increase overall transparency. Starting next year, Medicare reimbursements will be based in part on the quality of an institutions information-sharing and accessibility.
In April, Azar said he believed the regulation will enable market competition and bring down costs by putting patients in charge of their care and [allowing] them to receive the quality and price information needed to drive competition and increase value.
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More at link.
AlexSFCA
(6,137 posts)dixiegrrrrl
(60,010 posts)They have done quite well, I read.
Jake Stern
(3,145 posts)Cousin Dupree
(1,866 posts)putting patients in charge of their care. I emphatically say bullshit.
Since there are "provider networks", you can't simply just shop. Half-assed measures are not going to solve the problem; single-payer/Medicare for All will.
JayhawkSD
(3,163 posts)The list price is entirely fictitious, as insurance payments are subject to discounts, as are "self pay" patients, and discounts are highly variable. Not to mention that, as you say, your insurance will more often than not put limits on where you can seek care.
BigmanPigman
(51,608 posts)msongs
(67,413 posts)Hermit-The-Prog
(33,349 posts)Posted earlier by guillaumeb:
25 Ways the Canadian Health Care System Is Better Than The US System
https://www.democraticunderground.com/100211594993
sharedvalues
(6,916 posts)This is a good step forward.
Now if we can just prevent Azar from taking other actions to achieve the GOPs agenda of enriching billionaires at the expense of average Americans, we will be good.
KT2000
(20,581 posts)still respond with "I'm sorry we can't give out that information."
not fooled
(5,801 posts)a trumpster trying to pretend that hospital care is a free market. And that patients will now be to blame if they don't "shop around."
KentuckyWoman
(6,679 posts)Midnightwalk
(3,131 posts)Posting list prices is mostly republican mumbo jumbo for competition will fix healthcare. Baloney.
If you have insurance you don't pay list price in network. If you go out of network it is likely because you need help now and you aren't shopping around.
Still it is not a negative step and any motion in the right direction is good. It may help around the edges.
Access and cost are the two biggest problems with the American healthcare system. Single payer makes it easier to solve the cost issue, but may not. Simplest example I can give is the inability for Medicare to negotiate drug prices.
The cost issue will be intractable because there is so much money involved. We spend 3.2 trillion dollars every year and about twice as much per person as other wealthy countries. That means to get close to other countries we have to cut one trillion dollars every year
That trillion is a huge waste but it's more than that. It pays the salaries of people not directly involved in delivering care. It goes into the profits of hospitals, insurance companies, drug companies and pharmacies. It goes to the over compensated execs and share holders of medical stock.
You can count on those interest groups fighting tooth and nail to protect their income. We need a plan to attack costs.
For example, we should be pushing for drug price reform. Medicare should negotiate prices. Non-Medicare patients should be able to purchase at those prices at some "carrying charge" kind of markup. The way we are gouged even a 20% markup would be way better than where we are.
We cannot allow republicans to frame the cost issue. We need to talk about fixing price gouging.
radical noodle
(8,000 posts)It would be a full-time job for more than one person per hospital.