Re:The Company Behind Many Surprise Emergency Room Bills
by rpenm on Monday July 24, 2017 @07:49PM
(#14843801)
A single buyer negotiating with multiple sellers can force prices down to cost. Whether it actually does so is a public choice problem.
Re:The Company Behind Many Surprise Emergency Room Bills
by heartbreak on Monday July 24, 2017 @05:32PM
(#14842923)
Well since single payer typically refers to the government being the single payer, the bill goes to the government because you the insured are not the payer of the bill.
Re:The Company Behind Many Surprise Emergency Room Bills
by mistermann on Monday July 24, 2017 @06:08PM
(#14843185)
The bill goes to the government, who gets its funding from the people. This in no way stops any systemic over-billing that may be occuring.
Re:The Company Behind Many Surprise Emergency Room Bills
by kirrent on Monday July 24, 2017 @07:13PM
(#14843605)
Well, in my country, the government would laugh, and then only pay a standard amount.
Re:The Company Behind Many Surprise Emergency Room Bills
by kalleboo on Monday July 24, 2017 @09:45PM
(#14844425)
I thought that was what medic(aid/are) in the US already pretty much did.
Re:The Company Behind Many Surprise Emergency Room Bills
by ssambros on Monday July 24, 2017 @08:12PM
(#14843937)
And unless they pay enough no providers will do the procedure unless you somehow force them.
Re:The Company Behind Many Surprise Emergency Room Bills
by ceejayoz on Tuesday July 25, 2017 @12:12AM
(#14845072)
Yes, which is why single-payer systems generally do a tiny bit of research, pick a reasonable amount, and pay that.
Re:The Company Behind Many Surprise Emergency Room Bills
by BurningFrog on Tuesday July 25, 2017 @01:59AM
(#14845453)
Sure, but if you're the single possible payer, you can push that number down quite low.
Re:The Company Behind Many Surprise Emergency Room Bills
by ssambros on Tuesday July 25, 2017 @01:36PM
(#14849945)
Which would require providers to cut as much corners as they possibly can to stay in business.
Re:The Company Behind Many Surprise Emergency Room Bills
by slededit on Tuesday July 25, 2017 @06:01PM
(#14852274)
At the end of the day their revenue is dependent on throughput of people for their facility. If they gain a poor reputation relative to other providers they will lose. Quality of care would be the only thing they could compete on.
Re:The Company Behind Many Surprise Emergency Room Bills
by rangibaby on Monday July 24, 2017 @07:21PM
(#14843642)
See: Japan where the government decides the price of procedures.
On national health insurance (monthly cost depends on your salary but for an average person it is a few hundred bucks per month) the hospital pays 70% and patient pays 30%.
It means basic visits to the doctor or dentist are very cheap here. Like $20 for consultation + medicine. ER+X-rays and MRI (appendicitis, sigh) was a little bit over $100.
How does single payer fix that? If the hospital gives you a bill and won't negotiate down, how does the government "fix" this? Which is kind of what my question is: were specifics given in the ACA on how that problem will be fixed?