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Thread: Trump signs order that aims to reveal real health care costs

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    Trump signs order that aims to reveal real health care costs

    WASHINGTON (AP) — President Donald Trump signed an executive order Monday that calls for upfront disclosure by hospitals of actual prices for common tests and procedures to help keep costs down .

    The idea is to give patients practical information that they can use to save money. For example, if a hospital charges your insurer $3,500 for a type of echocardiogram and the same test costs $550 in a doctor's office, you might go for the lower-price procedure to save on copays.

    But insurers said the idea could backfire, prompting hospitals that now give deeper discounts to try to raise their own negotiated prices to match what high earners are getting. Hospitals were skeptical of the move.

    Trump's order also requires that patients be told ahead of time what their out-of-pocket costs like deductibles and copays will be for many procedures.

    Trump signs order that aims to reveal real health care costs



    It's about time someone had the balls to do this and honestly I'm not sure why it wasn't done a long time ago but most of us can guess why.


    I also love the argument that insurers are using that posting prices will drive up prices. As if free market competition has ever done anything but drive prices down. Perhaps some of these insurers have some old executives from the former Bell telephone company.
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    Re: Trump signs order that aims to reveal real health care costs

    Quote Originally Posted by dobieg View Post
    Trump signs order that aims to reveal real health care costs



    It's about time someone had the balls to do this and honestly I'm not sure why it wasn't done a long time ago but most of us can guess why.


    I also love the argument that insurers are using that posting prices will drive up prices. As if free market competition has ever done anything but drive prices down. Perhaps some of these insurers have some old executives from the former Bell telephone company.
    I would prefer that insurers publish typical covered costs for procedures and align that with what hospitals charge.
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    Re: Trump signs order that aims to reveal real health care costs

    Quote Originally Posted by dobieg View Post
    Trump signs order that aims to reveal real health care costs



    It's about time someone had the balls to do this and honestly I'm not sure why it wasn't done a long time ago but most of us can guess why.


    I also love the argument that insurers are using that posting prices will drive up prices. As if free market competition has ever done anything but drive prices down. Perhaps some of these insurers have some old executives from the former Bell telephone company.
    The way things have been done, healthcare is pretty much like listening to a used car salesman saying, "Trust me!".

    It won't be long until costs for procedures are published side by side on line so consumers can make informed purchasing decisions.

    The immense cathedrals of health that have the marbled edifice set ups will have to justify their existences.

    There will likely be a range of choices from which to select your care much like there are a range of outlets from which to select your clothing, lawnmowers and BBQ Grills.

    This is long overdue!
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    Re: Trump signs order that aims to reveal real health care costs

    Quote Originally Posted by code1211 View Post
    The way things have been done, healthcare is pretty much like listening to a used car salesman saying, "Trust me!".

    It won't be long until costs for procedures are published side by side on line so consumers can make informed purchasing decisions.

    The immense cathedrals of health that have the marbled edifice set ups will have to justify their existences.

    There will likely be a range of choices from which to select your care much like there are a range of outlets from which to select your clothing, lawnmowers and BBQ Grills.

    This is long overdue!
    I agree we have a major problem with healthcare costs. Something politicians aren't trying to deal with, thanks to the healthcare lobbies. Instead it seems our politicians keep trying to figure out how to pay more via taxpayer dollars.

    Here is an interesting "Real Doctor Reacts to 'Adam Ruins Healthcare.'"



    IMO there are lots of things we need to be dealing with regarding the entire Healthcare Industry, from Hospitals through Pharmaceutical companies to Insurance companies.

    Just throwing more taxpayer dollars at the problem is not the simple solution.
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    Re: Trump signs order that aims to reveal real health care costs

    Quote Originally Posted by dobieg View Post
    Trump signs order that aims to reveal real health care costs



    It's about time someone had the balls to do this and honestly I'm not sure why it wasn't done a long time ago but most of us can guess why.


    I also love the argument that insurers are using that posting prices will drive up prices. As if free market competition has ever done anything but drive prices down. Perhaps some of these insurers have some old executives from the former Bell telephone company.
    Interesting order.

    Of course, there is no order requiring hospitals to reveal what "group volume rebate" they are giving to any particular insurance coverage.

    What does that mean?

    Well it simply means that the hospitals "charge" every patient the same amount, the insurance companies pay exactly the same amount as everyone else pays, and any payor who meets the "volume" criteria receives a "rebate".

    If you don't understand what that means it means

    1. the "standard charge" for "procedure X" is $5,000
    2. an uninsured person would receive a bill of $5,000 if they had "Procedure X" done
    3. an insured person would receive a bill of $5,000 if they had "Procedure X" done
    4. the uninsured person would pay $5,000 in accordance with the bill that they received for having "Procedure X" done
    5. the insured person's insurance company would pay $5,000 in accordance with the bill that the insured had received for having "Procedure X" done
    6. everyone who had had paid more than one bill for having "Procedure X" done in a 30 day period would receive a "rebate" of 50%
    7. the uninsured person would have had only one "Procedure X" done in the 30 day period and would, thus, not receive any "rebate"
    8. the insurance company would have paid more than one bill for having "Procedure X" done in the 30 day period and would, thus, receive the "rebate"


    To put THAT in perspective, substitute "cost of delivering a baby" for "Procedure X".

    This scheme works in exactly the same way that the "loyalty rewards" on your (for example) Costco card works.
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    Re: Trump signs order that aims to reveal real health care costs

    Quote Originally Posted by code1211 View Post
    The way things have been done, healthcare is pretty much like listening to a used car salesman saying, "Trust me!".

    It won't be long until costs for procedures are published side by side on line so consumers can make informed purchasing decisions.

    The immense cathedrals of health that have the marbled edifice set ups will have to justify their existences.

    There will likely be a range of choices from which to select your care much like there are a range of outlets from which to select your clothing, lawnmowers and BBQ Grills.

    This is long overdue!
    Only trouble is much of this doesn't work for a number of reasons. First off, when you're sick or elderly or have an emergency this is just way too much work. Second of all, it's just not realistic to say that I'll take this doctor to do this surgical procedure but I want it done at place x and I want this anesthesiologist but I want meds from this other place. Often times one thing is in network while others may not. Many patients are under a barrel when having healthcare issues and can't make decisions.
    Last edited by Moderate Right; 06-25-19 at 02:08 PM.

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    Re: Trump signs order that aims to reveal real health care costs

    Quote Originally Posted by Moderate Right View Post
    For the most part, patients are under a barrel when having healthcare issues and can't make decisions.
    Sounds like a healthy, functional base for a free market to me!
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    Re: Trump signs order that aims to reveal real health care costs

    Quote Originally Posted by dobieg View Post
    Trump signs order that aims to reveal real health care costs



    It's about time someone had the balls to do this and honestly I'm not sure why it wasn't done a long time ago but most of us can guess why.


    I also love the argument that insurers are using that posting prices will drive up prices. As if free market competition has ever done anything but drive prices down. Perhaps some of these insurers have some old executives from the former Bell telephone company.
    I'm willing to be this will amount to the same thing as every other Trump plan:

    The same as building the wall, getting Mexico to pay for the wall, ending violence in Chicago, making healthcare great, bringing coal mining jobs back, stopping NK testing nukes/missles, peace for the Middle East.

    In other words, it will appear he's going to do something, his base will cheer, and then nothing will happen.

    Same old, same old.
    President Lyndon B. Johnson: "If you can convince the lowest white man he's better than the best colored man, he won't notice you're picking his pocket. Hell, give him somebody to look down on, and he'll empty his pockets for you."

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    Re: Trump signs order that aims to reveal real health care costs

    Quote Originally Posted by TU Curmudgeon View Post
    Interesting order.

    Of course, there is no order requiring hospitals to reveal what "group volume rebate" they are giving to any particular insurance coverage.

    What does that mean?

    Well it simply means that the hospitals "charge" every patient the same amount, the insurance companies pay exactly the same amount as everyone else pays, and any payor who meets the "volume" criteria receives a "rebate".

    If you don't understand what that means it means

    1. the "standard charge" for "procedure X" is $5,000
    2. an uninsured person would receive a bill of $5,000 if they had "Procedure X" done
    3. an insured person would receive a bill of $5,000 if they had "Procedure X" done
    4. the uninsured person would pay $5,000 in accordance with the bill that they received for having "Procedure X" done
    5. the insured person's insurance company would pay $5,000 in accordance with the bill that the insured had received for having "Procedure X" done
    6. everyone who had had paid more than one bill for having "Procedure X" done in a 30 day period would receive a "rebate" of 50%
    7. the uninsured person would have had only one "Procedure X" done in the 30 day period and would, thus, not receive any "rebate"
    8. the insurance company would have paid more than one bill for having "Procedure X" done in the 30 day period and would, thus, receive the "rebate"


    To put THAT in perspective, substitute "cost of delivering a baby" for "Procedure X".

    This scheme works in exactly the same way that the "loyalty rewards" on your (for example) Costco card works.
    It's going to amount to the same thing as every other Trump plan: Nothing.
    President Lyndon B. Johnson: "If you can convince the lowest white man he's better than the best colored man, he won't notice you're picking his pocket. Hell, give him somebody to look down on, and he'll empty his pockets for you."

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    Re: Trump signs order that aims to reveal real health care costs

    Quote Originally Posted by code1211 View Post
    The way things have been done, healthcare is pretty much like listening to a used car salesman saying, "Trust me!".

    It won't be long until costs for procedures are published side by side on line so consumers can make informed purchasing decisions.

    The immense cathedrals of health that have the marbled edifice set ups will have to justify their existences.

    There will likely be a range of choices from which to select your care much like there are a range of outlets from which to select your clothing, lawnmowers and BBQ Grills.

    This is long overdue!
    Because when we are dying the first thing we think of is "How much will it cost to live" I want to shop around to save a few bucks if I have a heart attack.
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