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Yep - Mostly because the read some anti-vax BS on FB or some other corner of the interweb.A friend's SIL has been in and out of ICU for months (maybe up to 6 months). Several near death episodes....and almost certainly he was not vaxxed. I would imagine the bills are close to $1 mil at this point.
The guy likely will never be the same if he recovers and still can't eat food.
Much of this is the cost of misinformation....including many we've already lost.
This is great in concept but is a huge burden on hospitals. It will drive up costs for health care organizations, and won’t do anything to help the patient other than more outrage about how expensive it is.
Help me understand the burden part. They already know costs, they just have to disclose pricing -- which is something every other business in the country does.
In my previous role, I worked on a first roll out of this. The problem was the hospital was only providing estimates to uninsured patients and did not have system capability to craft an estimate based on actual insurance benefits. Add that patients going into a hospital enter via multiple points, ER, direct admit, radiology, etc…so where do you stop the patient to give an estimate? For scheduled procedure more often than not the scheduler was not equipped to give an estimate only to take demographics and put them into a slot. It requires more man power, more technology investment, against reimbursement rates on the decline.
It’s not to disclose price. It’s to disclose patient liability for out of pocket costs. If it was just to show gross charges that is easy and was mandated a year ago to provide a charge file on every hospitals website but it’s super inflated to what actual cost and insuance benefits.
un- super inflate the costs. Just the fact that non-insured rates are vastly more then insurance negotiated rates (even before any insurance payment) is just ridiculous.
why is that ridiculous? Do you shop at sam's or costco?
It is very consumer unfriendly. Should be same cost for a procedure for everyone. Then if you have insurance it will knock it down based on your coverage. I know why it's done. But one of the many issues with medical billing / insurance that is infuriating.
to be honest I have never heard of that in terms of a crown...let me ask my general dentist friends b/c that seems fishy to me...I would ask them how often they have problems with crowns within the 5 years as it seems that it should last at least that long (if not far longer) if it is done properly...I will get back to you
I have now heard back from 4 of the 5 I wrote and none of them have heard on this type of thing....it is almost like this:
Sounds like I need to decline this warranty
Yeah, but the whole system is broken. Take what is happening with insulin. Pricing is easily inflated because of 3 primary manufacturers and volume is controlled through large Pharmacy benefit managers (PBMs) and the byzantine rebate structures negotiated -- which actually means that the higher the price, the larger the discount, the more profit returned to PBMs, and manufacturers are incentivized to raise pricing to generate huge rebates to remain on the PBM's formularies --> all of which drives a sub-$5/vial cost to a list price of $400. Depending on which side of the table you are on, it's a legalized kick-back scheme, at worse it's legalized extortion -- in either case, it's needless deaths for the uninsured who don't have access to rebated pricing.
It’s because the system is broken that this is such a difficult thing for hospitals. It shouldn’t be hard but it is. This transparency law is not going to fix it. Hospitals have issues but so do the insurers and both are to blame.
I have some that are 30+ yrs old. They last forever unless you have a cavity that requires removal.
