'The reality is that the U.S. healthcare market is predicated on keeping patients in the dark so that providers, administrators, suppliers and legions of middlemen can all wet their beaks on people’s medical misfortune.' Column by Davidlaz:
President Trump said he would be “signing a healthcare plan within two weeks, a full and complete healthcare plan.” That was on July 17, about three weeks ago.
Maybe if Trump set more reasonable goals for himself, we wouldn’t be in this endless cycle of awaiting promised reforms that never materialize.I’d like to propose a modest step Trump and lawmakers could take right now that wouldn’t fix our dysfunctional healthcare system but would at least make the problems more visible, thus putting us a step closer to solutions.
As a member of Kaiser’s Medicare Advantage plan, Hertzberg said he paid only $90 out of pocket for his treatment. Under his plan, which is scheduled to take effect in January 2021, hospitals would be required to disclose the prices they negotiate with insurers for a number of services, as opposed to list prices charged to the uninsured.They’d also have to create a list of “shoppable” services for elective procedures, allowing patients to compare prices at different facilities.
Similarly, the $529 he was billed for the ECG to measure his heart rate was many times more expensive than what the test actually costs to administer. Aof college athletes by the University of Washington included ECGs that averaged just $130. They talk of “cost shifting” that allows treatment of the uninsured to be paid in part by those with coverage. They insist their own cost structure is proprietary and thus can’t be revealed for competitive reasons.“We believe that by listing the full amount, we are helping members be aware of the costs associated with the services they have received, and the portion covered by their health plan,” she said.
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