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SVTPerformance's Chain of Restaurants
Road Side Pub
Self employed folks; healthcare?
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<blockquote data-quote="Ohio Snake" data-source="post: 15765733" data-attributes="member: 157862"><p>Here is another great example for us to ponder:</p><p></p><p>Hospital A and Hospital B both buy the same plastic bed pan from a vendor for $2.00 a piece. Hospital A normal charge is $150 for that bed pan. Hospital B charges $125 for the same pan. Hospital A is in the large network (lets say BCBS) for your healthcare and your carrier has “negotiated” the charge for it’s members (insured) to $45.00. Hospital B is a smaller facility and is in another smaller network (CareSource) and has negotiated a member charge of $75.00.</p><p></p><p>If you are a member of BCBS and go to Hospital A which is in your network, the carrier or you are charged $45. If you go to Hospital B which is outside your network, you are charged up to $125 based on your plan coverage for out of network cost.</p><p></p><p>If your a member of CareSource and you go to to Hospital B which is in your network, you or your carrier is charged $75. If you go to Hospital A which is out of your network, your charged up to $150 based on you plan coverage for out of network cost.</p><p></p><p>As you can see, standardized cost ( on the hospital and carrier level) would stop some of the nonsense in pricing. Hospitals currently can charge what they want, carriers only agree to pay for what is covered in the network. Price gets too steep for carrier to cover, they exclude that service or product from coverage.</p><p></p><p>As you can see, there is no market driven competition here. The only negotiators are the carriers and the providers....not the consumers. </p><p></p><p>The closest thing to standardized cost is Medicare...And providers hate what the government is willing to pay.</p><p></p><p></p><p>Sent from my iPad using Tapatalk</p></blockquote><p></p>
[QUOTE="Ohio Snake, post: 15765733, member: 157862"] Here is another great example for us to ponder: Hospital A and Hospital B both buy the same plastic bed pan from a vendor for $2.00 a piece. Hospital A normal charge is $150 for that bed pan. Hospital B charges $125 for the same pan. Hospital A is in the large network (lets say BCBS) for your healthcare and your carrier has “negotiated” the charge for it’s members (insured) to $45.00. Hospital B is a smaller facility and is in another smaller network (CareSource) and has negotiated a member charge of $75.00. If you are a member of BCBS and go to Hospital A which is in your network, the carrier or you are charged $45. If you go to Hospital B which is outside your network, you are charged up to $125 based on your plan coverage for out of network cost. If your a member of CareSource and you go to to Hospital B which is in your network, you or your carrier is charged $75. If you go to Hospital A which is out of your network, your charged up to $150 based on you plan coverage for out of network cost. As you can see, standardized cost ( on the hospital and carrier level) would stop some of the nonsense in pricing. Hospitals currently can charge what they want, carriers only agree to pay for what is covered in the network. Price gets too steep for carrier to cover, they exclude that service or product from coverage. As you can see, there is no market driven competition here. The only negotiators are the carriers and the providers....not the consumers. The closest thing to standardized cost is Medicare...And providers hate what the government is willing to pay. Sent from my iPad using Tapatalk [/QUOTE]
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SVTPerformance's Chain of Restaurants
Road Side Pub
Self employed folks; healthcare?
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