Emergency room expenses.
- Thread starter luvmyhawks
- Start date
Not sure how much clearer I can make it. Dems want some type of universal Healthcare. Rs want reduced funding for overseas defense.
In my proposal, both sides get what they want. I don't understand your confusion
I'll admit I haven't the faintest idea what x,y,z cost. It's highly variable anyway based on the patients insurance negotiated rates.
I’m not confused. I’m thinking that many D’s are good with supplying overseas defense forces. Many businesses in their states rely on supplying both our installations as well as supplying the defense forces of the host countries.
If people payed their fair share, all kinds of great things could happen. Amazon and Bezos use our airports and cause more damage to highways than average Joe. Same with Wal-Mart. Same with....whatever billionaire you want to name.
This is not complicated. But I'm sure others will make attempt to make it so.
Healthcare charges are a complete wild west. Before retirement, I managed the chemistry lab for a community hospital. When I introduced new testing i set the price. I could have set unrealistic prices or I could have pricing consistent with insurance (private and Medicare). I took the best price added 10% and rounded to the nearest dollar.
Our diagnostic radiology charged 10 times what a typical insurance charged. I had a series of CT scans over time, each time my employer charged over $3K when our insurance paid a little over $300.
The sad part is the person without insurance is stuck with a huge bill. The options are pay in full, get sent to collection, or try to negotiate a better price with the billing department.
Our diagnostic radiology charged 10 times what a typical insurance charged. I had a series of CT scans over time, each time my employer charged over $3K when our insurance paid a little over $300.
The sad part is the person without insurance is stuck with a huge bill. The options are pay in full, get sent to collection, or try to negotiate a better price with the billing department.
UNPOSSIBLE
@HawkMachine 's 'lady friend' claims this isn't how things work.
Despite several examples in this thread demonstrating it is EXACTLY how things work.
And, absent any actual data, we resort to the "namecalling" now.
Mebbe that "woman" you rely on for "data" isn't as smart as you think she is.
Right, that's the point. Each side gives up something they like while getting something they like. That's a tradeoff and that's how negotiations work. Again, not sure why you keep responding back in ways that indicate you are confused by my proposal.
you keep attempting to portray me as confused…not sure why you’re doing that…
Hmm. Yes I am.
Up your game. 😉
The huge disparity in costs for the same exact procedure; for what one without any health insurance pays vs a health insurer pays is something I just don’t understand.
I have some pretty good background with auto insurance claims and home insurance claims; repair vendors generally charge the same for the same work, regardless of who is paying. In fact they often charge an insurance company more.
I have some pretty good background with auto insurance claims and home insurance claims; repair vendors generally charge the same for the same work, regardless of who is paying. In fact they often charge an insurance company more.
$1100 with insurance, ED bill is quite reasonable in today’s America.
Several years ago I had a hip replacement. I pre-paid my doc $1000. I had a normal surgery, 3 day stay in hospital. I had 10 rehab sessions. My hospital bill for all this was $36000.
A couple of weeks later, I received my “explanation of benefits” and all the above (with insurance) cost me $11600.
So my question Then, as it is today is , What does a hip replacement cost? $12,60 (which I paid w/ co-pay and insurance)….or $36,000 (My ”cost” if I self-paid.)
Cash prices are often cheaper, because there is little to no paperwork.
But, you have to have the cash, and you have to "negotiate" against a very large corporation that runs the hospital, which - as an individual - is not an easy negotiation.
It depends on who you're talking the cost is for. The cost for your insurance company was $11,600. The cost for you was $1,000. The cost to the hospital was somewhere between that and the original $36,000. Maybe. If a hospital is lucky their total cost was lower than what the insurance paid them. So they made some type of profit. But that's not always the case, which is why many hospitals you see lose money. Insurance payment and your payment may have been less than their cost of the personnel, materials, professional fee to the doc(s).
Cash prices can actually be higher also. Because it's based on the chargemaster, which is set at the highest rate possible. No insurance negotiated contract paying less. So you're left as one individual holding the bag on that. Unless as mentioned above you can negotiate that down. Which is best done prior to any hospital service versus after.
They have operating overheads to cover just like any other business. The problem they deal with is that many of their reimbursements are dictated, so the only way they can balance their books is to vary the charges. Let's say that procedure "X" has an honest value of $100, and that (5) different patients receive this service, and the hospital needs to collect $500 to recover costs. Reality begins to look something like the following:
Patient 1 - Indigent - $0
Patient 2 - Medicaid - $50
Patient 3 - Medicare - $75
Patient 4 - Private Insurance - $150
Patient 5 - Cash - $225
Total recovered cost $500
My cousin and her husband have some rental property so they decided to retire early and travel the world. They spent a year going thru Europe, Japan and New Zealand. They paid $200 a month for health insurance covering both of them and said they got great care everywhere. They could keep it for two months after returning to the States so they stayed for two months and took off for South America for the next 8 months. Same deal. Now they're back again and are getting ready to head to Costa Rica and some other places.
For them it's cheaper living out of the country. Paying weekly and monthly rates in B&Bs.
That's sad to me.
For them it's cheaper living out of the country. Paying weekly and monthly rates in B&Bs.
That's sad to me.
That's a good example. The only caveat I would throw in there is these are not actually charges listed in the example above. They are agreed upon reimbursement amounts. The charge that starts at the top is as stated the same for all these folks, as set by the chargemaster. Then negotiated down by contract to these amounts. 👍
It's because of your initial response to my post. I never once said it was only the GOP who wanted to fund such things. In fact, I basically implied the opposite That was my point. The GOP doesn't want to fund it.
Your initial response told me you didn't understand my point.
Correct,.. These are intended to reflect reimbursement values. Actual entry charge for all of these categories would likely be something like $300, and then negotiated down to a reimbursement value,.. Thing to understand though is that patients 1, 2 & 3 don't negotiate...
I remember reading a Ted Kennedy interview where he spoke of his biggest mistake as a US Senator was arguing with President Dick Nixon about expanding a national insurance bill Nixon and Congress had agreed to in principle. He and Nixon got into such a fluff, Nixon called off the whole deal and a “national health insurance” never came to pass!
So at one time in the early 1970’s, America damn near had a national health insurance prigram installed! Things could have been a whole lot different today, huh?
So at one time in the early 1970’s, America damn near had a national health insurance prigram installed! Things could have been a whole lot different today, huh?
Latest posts
-
Iowa to Host a Different Northern Illinois Transfer Portal Receiver- Latest: Eliot Clough
-
-
-
-
