Re:Hospitals pledge to fight admin price transparency plan i...
by coredog64 on Tuesday November 19, 2019 @01:57PM
(#21576783)
I guess that’s the difference between Wikipedia and using it :)
How the French government finances insurance is orthogonal to how consumers purchase outpatient care.
The capsule summary is that patients go to the doctor. The pay 100% of the visit cost. The insurance company reimbursement is 80% of “reasonable and customary “ value that is widely known. Et voila, functioning price discovery without a dystopian society.
(There are some caveats. If you’re indigent, the government gives you a special card that allows the provider to bill the insurance directly. You can buy private insurance that covers your 20% and doesn’t require as much reimbursement hassle at the cost of constraining your provider choice. And naturally none of this applies to inpatient hospital admissions)
How the French government finances insurance is orthogonal to how consumers purchase outpatient care.
The capsule summary is that patients go to the doctor. The pay 100% of the visit cost. The insurance company reimbursement is 80% of “reasonable and customary “ value that is widely known. Et voila, functioning price discovery without a dystopian society.
(There are some caveats. If you’re indigent, the government gives you a special card that allows the provider to bill the insurance directly. You can buy private insurance that covers your 20% and doesn’t require as much reimbursement hassle at the cost of constraining your provider choice. And naturally none of this applies to inpatient hospital admissions)