ST Alpha - "now, we can debate whether the cost of things at a hospital being WAY overpriced. nm -- nm" (Reading a Post)

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now, we can debate whether the cost of things at a hospital being WAY overpriced. nm -- nm

Posted by groiny (aka groiny) Jun 28 '12, 11:37

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Sorry, the sponge baths were well worth it. -- nm - Spawn Jun 28, 11:58
When I saw Steve Forbes speak up here earlier this year, he talked about this. - Dr.Vermin is jejune and vituperative. Jun 28, 11:52 17
- Having a direct relationship between doctor and patient won't fix this problem though. There will always be information assymetry between the two. -- nm - Roger More Jun 28, 11:59
- Yes, but this is difficult. If people have to choose which tests they can get based on some limited dollars, we're back to the drawing board. LASIK - pmb Jun 28, 11:58 12
  - [shrug] Hospitals compete for business. Insurance companies have preferred providers. There's *some* competition built into the system already. - Dr.Vermin is jejune and vituperative. Jun 28, 12:00 10
    - I don't think it's a matter of increasing competition. It's about moving from fee-for-service to fee-for-outcome. -- nm - Roger More Jun 28, 12:06 8
      - Well, I certainly defer to the actual doctor. :) -- nm - Dr.Vermin just plays one on ST Jun 28, 12:18 1
        
        Are you replying to my post above? That's sort of my point. - Roger More Jun 28, 12:28
      - And this is an area to look at but also difficult. I had a long conversation with a hospital administrator/doctor who is now getting an mba and - pmb Jun 28, 12:08 5
        
        Oh, it's hugely difficult. How do you change the business model of an entire industry? Particularly the healthcare industry? - Roger More Jun 28, 12:13 4
        
        One thing that is massive that would help is to do better at catching fraud. The False Claims Act is creating some good incentives to go after that. -- nm - pmb Jun 28, 12:16 3
        
        Good - though from the study I've been looking at, fraud is "only" about 20% of the problem. -- (link) - Roger More Jun 28, 12:31 2
        
        20% is still a huge number. -- nm - pmb Jun 28, 12:51 1
        
        (I'll stay on B2) Agreed - that's why I put the only in quotation marks. It's a big number and it needs to be tackled, but it's not the only part of - Roger More Jun 28, 13:09
    - Sure, but that's exactly why healthcare is so difficult. The market incentives don't really work. - pmb Jun 28, 12:05
  - Exactly. And the reason there's the drastic difference in pricing is that if United Healthcare come to your organization and says... - Jim Jun 28, 11:59
- Yes. -- nm - Strongbad Jun 28, 11:55
- [deleted]
- very true. the MS procedure is another good example of this. -- nm - Beaker Jun 28, 11:53
And that sort of points to the other thing. If you're uninsured it literally costs more. Insurance companies have negotiated discounts that you - pmb Jun 28, 11:44 1
- yep. The procedures for my foot that I've been having would have cost $1,905 without insurance. With it, the price is knocked down to $1,342. - Kim Pine Jun 28, 11:52
$ 18 for a tylenol leads me to believe - " yeah, yeah it is". -- nm - Epiphany ( Lawbreaker) Jun 28, 11:42
The extra money goes to disinfecting ... - Beryllium Jun 28, 11:41
Somehow I made money on my visit to the ER years ago. - znufrii Jun 28, 11:40
Shortest ST debate ever. -- nm - Roger More Jun 28, 11:39 4
- maybe even unanimous -- nm - Beaker Jun 28, 11:39 3
  - I'll recuse, because on the whole I don't see healthcare professionals as fabulously wealthy. But for me, ER billed $5k and insurance said, no, $1k. - Max Jun 28, 11:42
  - I'm sure Vermin would mess up a beautiful thing... :) -- nm - Guigue Jun 28, 11:41
  - C'mon...we'd have 3 boards of discussion on what "WAY" means relative to "OBSCENELY" and "SLIGHTLY" -- nm - Will Hunting Jun 28, 11:41

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