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Medical Billing

pawz
pawz Member, Moderator, Swaye's Wigwam Posts: 22,470 Founders Club
Last September I unfortunately had to make a trip to the ER. At the chagrin of some here, I lived. Sorry, not sorry. Relatively speaking it was a minor issue.

But for the 10 minutes total I spent w/ an ER physician (not counting the hospital bill), I was billed $630.

My insurance gets involved and that bill drops to $220.

How the fuck does that happen?!



Clearly the actual price for services rendered is $220. Had I not had insurance (read: poor) I would have been stuck paying $630.

In ANY OTHER profession a billing practice like this would be criminal.



Fuck Obamacare or any other bullshit brought forward by Congress recently. Until there is clarity, transparency and recourse for the common bloke, our system is fucked.


How have we arrived at a point where this is OK?!

Having insurance is nice, but it does not-a-fucking-thing to control costs.



I'm all for free-market economies, but the market needs to be fundamentally reorganized so that the providers compete for patients. There's plenty of fucking patients.

Hell, the little-bit-o'-liberal in me would entertain the idea of tax dollars paying for health care; if the providers competed for the business.



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Comments

  • Kaepsknee
    Kaepsknee Member Posts: 14,913
    pawz said:

    Last September I unfortunately had to make a trip to the ER. At the chagrin of some here, I lived. Sorry, not sorry. Relatively speaking it was a minor issue.

    But for the 10 minutes total I spent w/ an ER physician (not counting the hospital bill), I was billed $630.

    My insurance gets involved and that bill drops to $220.

    How the fuck does that happen?!



    Clearly the actual price for services rendered is $220. Had I not had insurance (read: poor) I would have been stuck paying $630.

    In ANY OTHER profession a billing practice like this would be criminal.



    Fuck Obamacare or any other bullshit brought forward by Congress recently. Until there is clarity, transparency and recourse for the common bloke, our system is fucked.


    How have we arrived at a point where this is OK?!

    Having insurance is nice, but it does not-a-fucking-thing to control costs.



    I'm all for free-market economies, but the market needs to be fundamentally reorganized so that the providers compete for patients. There's plenty of fucking patients.

    Hell, the little-bit-o'-liberal in me would entertain the idea of tax dollars paying for health care; if the providers competed for the business.



    Actually if you didn't have insurance, you would have ended paying around the $220 you paid out anyway.

    But how are we getting screwed by providers and insurance companies??????
  • UW_Doog_Bot
    UW_Doog_Bot Member, Swaye's Wigwam Posts: 18,158 Founders Club
    It works like this in all kinds of sectors of the market. Do you think Walmart pays the same rate for services that you do? Of course not. Hell, providers give you different rates based on your own subscription level. ex."Buy 1 full price or buy 2 and the 3rd is 50% off". Imagine the kind of rate you would get if you agreed to buy 100,000 of something. That's what insurers are doing.

    Prices can be very discriminatory in a free market.

  • Baphomet
    Baphomet Member Posts: 1,511



    Prices can be very discriminatory in a free market.

    What do free markets have to do with the US?
  • UW_Doog_Bot
    UW_Doog_Bot Member, Swaye's Wigwam Posts: 18,158 Founders Club
    Baphomet said:

    News flash, these issues existed well before Obamacare.

    And if we had single payer healthcare, a professional bill reviewer would be in charge of making sure none of this BS was happening.

    Just like they make sure that our airforce isn't paying $5000 per hammer.

    Lol, you haven't ever worked for a military supplier have you?
  • Baphomet
    Baphomet Member Posts: 1,511

    Baphomet said:

    News flash, these issues existed well before Obamacare.

    And if we had single payer healthcare, a professional bill reviewer would be in charge of making sure none of this BS was happening.

    Just like they make sure that our airforce isn't paying $5000 per hammer.

    Lol, you haven't ever worked for a military supplier have you?
    That was the joke
  • UW_Doog_Bot
    UW_Doog_Bot Member, Swaye's Wigwam Posts: 18,158 Founders Club
    Baphomet said:

    Baphomet said:

    News flash, these issues existed well before Obamacare.

    And if we had single payer healthcare, a professional bill reviewer would be in charge of making sure none of this BS was happening.

    Just like they make sure that our airforce isn't paying $5000 per hammer.

    Lol, you haven't ever worked for a military supplier have you?
    That was the joke
    Whoosh on me then. I'm used to Honda in the tug.

  • 2001400ex
    2001400ex Member Posts: 29,457

    Baphomet said:

    Baphomet said:

    News flash, these issues existed well before Obamacare.

    And if we had single payer healthcare, a professional bill reviewer would be in charge of making sure none of this BS was happening.

    Just like they make sure that our airforce isn't paying $5000 per hammer.

    Lol, you haven't ever worked for a military supplier have you?
    That was the joke
    Whoosh on me then. I'm used to Honda in the tug.

    You don't see my wwoooooossshhhhh.

    HTH
  • 2001400ex
    2001400ex Member Posts: 29,457
    pawz said:

    Last September I unfortunately had to make a trip to the ER. At the chagrin of some here, I lived. Sorry, not sorry. Relatively speaking it was a minor issue.

    But for the 10 minutes total I spent w/ an ER physician (not counting the hospital bill), I was billed $630.

    My insurance gets involved and that bill drops to $220.

    How the fuck does that happen?!



    Clearly the actual price for services rendered is $220. Had I not had insurance (read: poor) I would have been stuck paying $630.

    In ANY OTHER profession a billing practice like this would be criminal.



    Fuck Obamacare or any other bullshit brought forward by Congress recently. Until there is clarity, transparency and recourse for the common bloke, our system is fucked.


    How have we arrived at a point where this is OK?!

    Having insurance is nice, but it does not-a-fucking-thing to control costs.



    I'm all for free-market economies, but the market needs to be fundamentally reorganized so that the providers compete for patients. There's plenty of fucking patients.

    Hell, the little-bit-o'-liberal in me would entertain the idea of tax dollars paying for health care; if the providers competed for the business.



    That's 2 arguments we are on the same side of today. I have even been fucked by an ER over a 3 minute ordeal too.

    What a cool day man.
  • Pitchfork51
    Pitchfork51 Member Posts: 27,662
    I was there for like an hour and had to pay soemthing like 1200

    wtf
  • Sledog
    Sledog Member Posts: 37,806 Standard Supporter
    $10.00 per aspirin tablet is cheap!
  • Swaye
    Swaye Moderator, Swaye's Wigwam Posts: 41,739 Founders Club
    I don't use the white man's medicine. Problem solved.
  • 2001400ex
    2001400ex Member Posts: 29,457
    Swaye said:

    I don't use the white man's medicine. Problem solved.

    photo CECFD627-07C7-4702-9B95-D6A331DDDF38_zpsgwqs069j.jpg
  • GrundleStiltzkin
    GrundleStiltzkin Member Posts: 61,516 Standard Supporter
    2001400ex said:

    Swaye said:

    I don't use the white man's medicine. Problem solved.

    photo CECFD627-07C7-4702-9B95-D6A331DDDF38_zpsgwqs069j.jpg
    Wow, pretty racist.
  • RaceBannon
    RaceBannon Member, Moderator, Swaye's Wigwam Posts: 114,028 Founders Club
    You always get a cash discount. Doctor gets his money now not after the insurance company decides to give it to him and with no overhead to fill out the bullshit forms
  • ApostleofGrief
    ApostleofGrief Member Posts: 3,904
    They should just display prices, or you get some kind of estimate like for auto repairs. Doctors, especially specialists, are very rich and they enjoy the money and making more...
  • UW_Doog_Bot
    UW_Doog_Bot Member, Swaye's Wigwam Posts: 18,158 Founders Club

    I was there for like an hour and had to pay soemthing like 1200

    wtf

    It's because you are paying for all the people who don't pay their medical bills. Which is because the government requires providers to provide care regardless of a patients ability to pay...
  • pawz
    pawz Member, Moderator, Swaye's Wigwam Posts: 22,470 Founders Club

    They should just display prices, or you get some kind of estimate like for auto repairs. Doctors, especially specialists, are very rich and they enjoy the money and making more...

    This. Would solve a lot of problems.


    A headache for the receptionist I'm sure. But fuck them.
  • CuntWaffle
    CuntWaffle Member Posts: 22,499

    2001400ex said:

    Swaye said:

    I don't use the white man's medicine. Problem solved.

    photo CECFD627-07C7-4702-9B95-D6A331DDDF38_zpsgwqs069j.jpg
    Wow, pretty racist.
    Hondo the racist can't keep bottling it in. Most hardcore Hillary liberals can't after so long. Sad!
  • UWhuskytskeet
    UWhuskytskeet Member Posts: 7,113
    I miss the days of cheap ER visits!
  • section8
    section8 Member Posts: 1,581
    Family member in the last year has generated upwards of $1M in medical bills (brain surgery, rehab, extended PT, chemo, radiation etc..)

    After the adjustments nearly $700K of that disappeared off the billing, insurance paid most, UW wrote off about $140K for radiation due to it being part of a clinical trial, our out of pocket <$2000 mostly for prescriptions and co-pays.

    Of all that the brain surgeons time stuck out as being pretty cheap all considered. I think it was $3600 for a 5 hour operation. Compare that to $20,000 a day for ICU post-op or $40,000 for the operations room.
  • Pitchfork51
    Pitchfork51 Member Posts: 27,662
    I've always been in favor of a global study of all health systems, figure out who has the lowest cost per person with a good wuality of care, and them straight up copying it.

    Why reinvent the damn wheel
  • RaceBannon
    RaceBannon Member, Moderator, Swaye's Wigwam Posts: 114,028 Founders Club
    My wife rang up a hundred grand visit in 2014 when we were poor and broke. The great thing is the hospital social staff walked right past me to her and naturally assumed she was poor and broke (Black) and we ended up paying nothing, Senator. At all.

    She has had two visits since and I just knock down the bill with my cash discounts. We also get in and out in a fucking hurry

  • Doogles
    Doogles Member, Swaye's Wigwam Posts: 12,728 Founders Club

    My wife rang up a hundred grand visit in 2014 when we were poor and broke. The great thing is the hospital social staff walked right past me to her and naturally assumed she was poor and broke (Black) and we ended up paying nothing, Senator. At all.

    She has had two visits since and I just knock down the bill with my cash discounts. We also get in and out in a fucking hurry

    Race gettin down with the sistas


  • pawz
    pawz Member, Moderator, Swaye's Wigwam Posts: 22,470 Founders Club
    Doogles said:

    My wife rang up a hundred grand visit in 2014 when we were poor and broke. The great thing is the hospital social staff walked right past me to her and naturally assumed she was poor and broke (Black) and we ended up paying nothing, Senator. At all.

    She has had two visits since and I just knock down the bill with my cash discounts. We also get in and out in a fucking hurry

    Race gettin down with the sistas


    Chimportant. Gif thread. Now.
  • UWhuskytskeet
    UWhuskytskeet Member Posts: 7,113

    I'm not saying that there isn't shit to fix in terms of the way clinics and hospitals bill their patients...

    But it seems like there's a lot of people in America who want to have their cake and eat it, too. I know this guy who makes damn good money who bitched about how he had to pay $1,500 for an ER visit, and went on about how much better universal healthcare (or whatever it's called these days) would be.

    I was like "you have $50,000 in your checking account BECAUSE you live in America and get to keep a relatively reasonable amount of the money you make. The lack of universal health care if what allows you to have the money to pay that bill."

    He didn't understand, which makes me mad that he makes so much more money than me.

    Except countries with Universal Healthcare pay half of what Americans do, per capita. The US pays more for healthcare than any country in the world.
  • UWhuskytskeet
    UWhuskytskeet Member Posts: 7,113

    I've always been in favor of a global study of all health systems, figure out who has the lowest cost per person with a good wuality of care, and them straight up copying it.

    Why reinvent the damn wheel

    Sounds like you are a commie.


  • RaceBannon
    RaceBannon Member, Moderator, Swaye's Wigwam Posts: 114,028 Founders Club

    I'm not saying that there isn't shit to fix in terms of the way clinics and hospitals bill their patients...

    But it seems like there's a lot of people in America who want to have their cake and eat it, too. I know this guy who makes damn good money who bitched about how he had to pay $1,500 for an ER visit, and went on about how much better universal healthcare (or whatever it's called these days) would be.

    I was like "you have $50,000 in your checking account BECAUSE you live in America and get to keep a relatively reasonable amount of the money you make. The lack of universal health care if what allows you to have the money to pay that bill."

    He didn't understand, which makes me mad that he makes so much more money than me.

    Except countries with Universal Healthcare pay half of what Americans do, per capita. The US pays more for healthcare than any country in the world.
    And it is free!
  • UW_Doog_Bot
    UW_Doog_Bot Member, Swaye's Wigwam Posts: 18,158 Founders Club

    I've always been in favor of a global study of all health systems, figure out who has the lowest cost per person with a good wuality of care, and them straight up copying it.

    Why reinvent the damn wheel

    Sounds like you are a commie.


    This happens when you let people on cancer waiting lists die instead of treating them. Saves a ton!