Republican health care reform
Comments
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If you're only getting 50% off by paying cash you're a total fucking idiot.
At my old job our reimbursements were typically at about 30-40% of billed rate, which is what we got after dealing with all of the insurance shit. I saw times where we accepted 15% of what was billed when we paid cash, depending on the procedure. I'd say 25% is probably the average in the industry. -
Venezuela? North Korea? China?AZDuck said:
you know there are a lot of places where I don't have to die, don't you?Sledog said:
Move to Cuba. You'll still be dead but happy in your socialist dream land.AZDuck said:
I can't afford to pay for cancer surgery or MS medication out-of-pocket, even at a 50% discount. So now what?RaceBannon said:
That would defeat the cash discount. The cost of insurance, government red tape and the like is why the bill is 50% higher to begin withAZDuck said:
If only we had half brains, we would let Medicare and Medicaid negotiate compensation rates and drive down charges for everyone. But we don't do that.RaceBannon said:
The fact that providers gladly take half price to avoid insurance should tell you somethingCirrhosisDawg said:
WTGWTRaceBannon said:I just paid three bills at 50 cents on the dollar because I don't have insurance
If you have half a brain
The fact that the numbers make that a better deal for me is also revealing
If you have half a brain
Cash doesn't require a staff of drones and massive storage of data
Deader than shit in all of 'em. -
And... scene.
John McCain finally did something useful. -
If you're actually willing to take 15-25% then charging 4-6x in the first place might be criminal. #medicalmafiaWoof said:If you're only getting 50% off by paying cash you're a total fucking idiot.
At my old job our reimbursements were typically at about 30-40% of billed rate, which is what we got after dealing with all of the insurance shit. I saw times where we accepted 15% of what was billed when we paid cash, depending on the procedure. I'd say 25% is probably the average in the industry. -
I went to the ER a few times in college with no insurance and they took 75% off the bill themselves. I got it down to 10% though. That's what endowment funds are for.Woof said:If you're only getting 50% off by paying cash you're a total fucking idiot.
At my old job our reimbursements were typically at about 30-40% of billed rate, which is what we got after dealing with all of the insurance shit. I saw times where we accepted 15% of what was billed when we paid cash, depending on the procedure. I'd say 25% is probably the average in the industry. -
You're not wrong. There is a huge information disparity which drives much of the market inefficiency. Has anyone ever asked prices before they go to the doctor? Insurance companies negotiate different rates, so in network and out of network can be 2-3X different in reimbusements. The other part of it is all the bureaucracy involved, which to some degree would be solved by single payer, but I'm sure that would be only temporary.pawz said:
If you're actually willing to take 15-25% then charging 4-6x in the first place might be criminal. #medicalmafiaWoof said:If you're only getting 50% off by paying cash you're a total fucking idiot.
At my old job our reimbursements were typically at about 30-40% of billed rate, which is what we got after dealing with all of the insurance shit. I saw times where we accepted 15% of what was billed when we paid cash, depending on the procedure. I'd say 25% is probably the average in the industry.
I think the way to go would be to have standardized single payer catastrophic and basic preventive care, and then let private insurance be the market for everything else, but also ensure prices are listed up front prior to treatment. -
Recent bill for a family members MRI:
$11,800
Insurance negotiated rate $2800
Discounts from UWMC $8990
Our final bill: $10 co-pay
So the cost of service is maybe $2500 or less but the initial bill is $11,000? -
Yes. So when freeloaders w/o insurance show up and demand service for which they voluntarily chose not to join and pay for, the Hospital can write off $11,000 more than covering the $2,500 actual cost.
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@RaceBannon true!?doogie said:Yes. So when freeloaders w/o insurance show up and demand service for which they voluntarily chose not to join and pay for, the Hospital can write off $11,000 more than covering the $2,500 actual cost.
