Medical Cost

   / Medical Cost #131  
This is a snip out of my last benefit plan for my insurance, this is just a small part of the monthly statement which ran 7 pages long. It has always amazed me at the amount that will be billed and the amount that they will accept as payment in full.
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   / Medical Cost #132  
In order to address healthcare and insurance costs patients have to have skin in the game ( before they are terminal). Feeding I have a DR. ( oncological & General Surgeon) friend on the local Hospitals board ('Non-profit"). I am a member of a medical Heathshare and see all my bills and what they are negotiated to. I was talking to my friend about the bills I had from a stroke 3-4 years ago and was amazed at what the providers accepted usually half or less than they originally billed and in some cases less than a third. My Healthshare uses a company that analyzes medical bill for insurance companies and the price Medicare pays as a guide, the Healh share always pays more than Medicare. My friend said the hospital was happy to get even half what they billed and I started to argue, he looked at me and pointed out I'm on the board. These non-profits are a scam the local Hospitals CEO makes @ 2 million a year, (far more than most of the DRs. and has never actually practiced medicine) they are able to use unpaid bills as losses to be non profit no matter how much over market they bill. I have seen two emergency room bills for 2-3 stitches go from just under $2,000. each to paid at under $500 while another 2 stitch incident be paid at the local critical care for @ $350.00. Obama crap is a complete scam and definitely has death panels as does Great Britain, Canada and many European systems if people took the time to research and as questions, they do have better "palliative care" while you die programs and are also moving to Euthanasia and assisted suicide to save costs. At least 8 countries in europe allow assisted suicide and Netherlands lets families request it for terminally ill 12yo +. Sorry for the rant medical billing and insurance is a govt sanctioned scam. Why are not all non elective/cosmetic type medical and related expenses 100% deductible???? The federal politicians get it for free they are even transition military at our expense.

Well hospitals get to write off the difference between billed and reimbursed charges on their P&L.

Why do you think all the hospitals are campus style facilities now? They used the reimbursement differential to build out facilities. So hospitals' have an incentive to have high charges and acceptance of low reimbursement rates.

They know what they are doing.
 
   / Medical Cost #133  
This is a snip out of my last benefit plan for my insurance, this is just a small part of the monthly statement which ran 7 pages long. It has always amazed me at the amount that will be billed and the amount that they will accept as payment in full.
Yeah but they want the Full amount if you don't have insurance. It is hard to negotiate less. Which is crazy.
 
   / Medical Cost #134  
Yeah but they want the Full amount if you don't have insurance. It is hard to negotiate less. Which is crazy.
It is but with some work it can be done, especially if you can find the allowable charges.
 
   / Medical Cost #135  
You think your medical records are private? They may not be for long:

....is launching a new program that will allow Americans to share personal health data and medical records across health systems and apps run by private tech companies, promising that will make it easier to access health records and monitor wellness.

More than 60 companies, including major tech companies like Google, Amazon and Apple as well as health care giants like UnitedHealth Group and CVS Health, have agreed to share patient data in the system.

Trump administration is launching a new private health tracking system with Big Tech's help
 
   / Medical Cost #136  
Why do we need a pharmacy benefit manager (PBM) to buy medication.

Why can't we by drugs like we by tractors?
From the factory to the dealer to us, seams to be working okay.
Or like Tesla manufacturer direct?

Pharmacies are closing left and right…

Maybe the day is coming when it will all be online and delivered?
 
   / Medical Cost #137  
If you don't mind me asking is that medicare obama care or what plan?

I ask as I am about to have to get insure for me and the wife with me it'd be for 14mos for her 43 mos.
We are in Massachusetts.. We have Harvard Pilgrim for insurance.
 
   / Medical Cost #138  
Maybe the day is coming when it will all be online and delivered?
That's how I get mine from Costco, order them online and delivered via mail in no more than two days. Cheapest dispensing fees around and great service.
 
   / Medical Cost #139  
Or like Tesla manufacturer direct?

Pharmacies are closing left and right…

Maybe the day is coming when it will all be online and delivered?
Mail order medication really sucks when there are billing issues.

I had to do mail order for my maintenance drugs until CVS opened up a local pharmacy.

I had some major billing disputes with them. They were billing me for 3 - 30 day supplies instead of billing me for a 90 day supply at a lower rate.

They were adding in a penalty for get t ing a 30 day supply as well.

I spent 48 hours on the phone with them trying to get the billing issue resolved.

I finally got extremely irate, figured out what I actually owed them, then sent them a check for that amount. When they tried collecting the difference, I told them to pi%% off.

Thankfully by then they opened up a local pharmacy so I had a live person to argue with instead of someone working from home.
 
   / Medical Cost #140  
You think your medical records are private? They may not be for long:

....is launching a new program that will allow Americans to share personal health data and medical records across health systems and apps run by private tech companies, promising that will make it easier to access health records and monitor wellness.

More than 60 companies, including major tech companies like Google, Amazon and Apple as well as health care giants like UnitedHealth Group and CVS Health, have agreed to share patient data in the system.

Trump administration is launching a new private health tracking system with Big Tech's help

The medical profession has been selling off data for at least 10 years now.

You are 10 years too late with your outrage...
 

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