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Hospitals release lists of retail prices for services

150 点作者 rgejman超过 6 年前

14 条评论

40four超过 6 年前
This is very exciting to me. I have been wanting this for a long time, and I belive it&#x27;s a small step towards improving the healthcare system in the United States.<p>It shouldn&#x27;t matter these aren&#x27;t he &quot;real&quot; prices, as so many folks have been quick to point out. But it&#x27;s the starting point for what ever you think the &quot;real&quot; price is, and it&#x27;s information that has never been easily accessible to the public until now. A̶n̶d̶ ̶i̶t̶&#x27;̶s̶,̶ ̶m̶o̶s̶t̶ ̶c̶e̶r̶t̶a̶i̶n̶l̶y̶ ̶a̶ ̶r̶e̶a̶l̶ ̶p̶r̶i̶c̶e̶ ̶i̶f̶ ̶y̶o̶u̶ ̶h̶a̶v̶e̶ ̶n̶o̶ ̶i̶n̶s̶u̶r̶a̶n̶c̶e̶.̶ Maybe not? Some are saying this isn&#x27;t always the case in certain instances<p>We are all about markets in this country, so now it will be much easier to determine if a facilities prices are out of whack with its peers in it&#x27;s local market. I don&#x27;t know how much normal people will actually use this on a day to day, but I&#x27;d imagine this will open the door to some new services &#x2F; products that could help regular people parse the data.<p>I hate that people think this is a bad thing. The comment thread in the story about this trending here a couple weeks ago was so dissapointing. It makes sense to hear the hospital executives try to downplay or spin this in a negative light. I suspect some of them are nervous about what will be found... that some shenanigans might be exposed.<p>I belive easy access to this data to be incredibly valuable. I think it&#x27;s a win for regular people and the health of our markets. Just because it&#x27;s not the price I pay after insurance doesn&#x27;t make it misleading or irrelevant.
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abalone超过 6 年前
<i>&gt; Modern Healthcare decided to see how long it would take to present the data in a more consumer-friendly format. It took less than two hours</i><p>Having been through several hundred thousand dollars of chargemaster charges with one of the hospitals on this list I can confidently say this info is not consumer-friendly <i>at all.</i><p>First of all, did anyone look at the damn PDFs? Do you have any idea what a &quot;HCHG SP EVAL MTN FLUOR SWAL 75&quot; is or a &quot;HCHG XR RIBS BILAT W PA CXR&quot;? Does this really equip the typical healthcare consumer with the ability to &quot;shop &#x27;n save&quot;? No. They are going to ask their health insurance provider if the hospital is in network, and the health insurance bureaucracy has the experts who pour through and negotiate all this crap.<p>Second, even if you had about a year of your life to educate yourself about the hundreds of myriad codes like this that are involved in various procedures and take it upon yourself to compare hospitals, this would be like comparing hotels based on their rack rate. You might get a sense for things but nobody pays that. Everything is negotiated down. Even for the uninsured who usually either get a 50%+ discount or pay whatever they can pay and kill their credit or go bankrupt. Which is not to imply in any way this is affordable for anyone, just that chargemasters aren&#x27;t a super useful way to compare pricing even if you could figure it out.<p>Third, it&#x27;s a free market fantasy that more &quot;consumer&quot; info will fix this system. Many patients are not in a position to comparison shop anyway. It is the epitome of a market failure.<p>If you want to fix this system we need Medicare For All.
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curiousgal超过 6 年前
I find this whole situation ironic because whenever I come across a news article online of some Third World country making an improvement, mostly in regards of human rights like Saudi Arabia allowing women to drive or Tunisia passing inheritance equality laws, the general response is &quot;Meh, this shouldn&#x27;t have been an issue to begin with&quot;.<p>When it comes to the U.S., particularly with anything that involves its helathy care system, the slightest event is considered a step in the right direction. Well guess what? I wholeheartedly believe that it is both sad and pathetic to consider this as a win for the people against the healthcare <i>industry</i>. A country as rich as the U.S. and that spends on healthcare per capita more than other countries like Canada, should not have a for profit system.<p>A &quot;hospital&#x27;s retail price list&quot; is the epitome of a for profit system, those words shouldn&#x27;t even be in the same sentence together.<p>I understand that HN crowd is probably in the top 10% of the country so advocating for the system to change probably is of no concern to us, but let&#x27;s not lie to people and say things are getting better when they clearly are not.
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nonbel超过 6 年前
Those are not the real prices. Those are &quot;chargemaster&quot; prices, they are pretty much entirely irrelevant. The true price is usually going to be somewhere between 10-50% of the chargemaster:<p><a href="https:&#x2F;&#x2F;en.wikipedia.org&#x2F;wiki&#x2F;Chargemaster" rel="nofollow">https:&#x2F;&#x2F;en.wikipedia.org&#x2F;wiki&#x2F;Chargemaster</a><p><a href="http:&#x2F;&#x2F;selfpaypatient.com&#x2F;2014&#x2F;01&#x2F;03&#x2F;insured-patients-can-save-money-by-pretending-to-be-uninsured&#x2F;" rel="nofollow">http:&#x2F;&#x2F;selfpaypatient.com&#x2F;2014&#x2F;01&#x2F;03&#x2F;insured-patients-can-sa...</a>
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kylec超过 6 年前
Now that this information is public, I&#x27;m looking forward to the startups that will aggregate this info and let you cross-shop hospitals to get the lowest price, like for flights
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adzm超过 6 年前
What we really need is to make insurance coverages and deals public as well, for services and prescriptions.
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nopinsight超过 6 年前
Startup idea:<p>Help (potential) patients compare approximate total prices of different hospitals based on the patient’s conditions, diagnoses, insurance plans (or lack thereof), personal health profile, etc.<p>Display info as tables and charts in a user-friendly manner. Give users the option to drill down to see details. Update estimates as more information is known (e.g. after lab results come in).<p>Support what-if scenarios for cases which diagnoses are still unclear.
kbsletten超过 6 年前
I <i>love</i> the passive aggressive stab at Sutter.<p>&quot;Modern Healthcare decided to see how long it would take to present the data in a more consumer-friendly format. It took less than two hours - with a break for lunch - to create the 29 PDF files linked below.&quot;
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bmogen超过 6 年前
The startup that can take this data and hide it behind a UI that people use WHILE THEY&#x27;RE HEALTHY and then optimize care pathways before a health issue arises will be great (although probably not a great business).
jfoutz超过 6 年前
I haven’t looked in years, but the prices and regional modifications paid by Medicare were available. Check the docs for electronic submission.<p>Maybe that’s been taken down?<p>Always seemed like a reasonable place to start.
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nickpsecurity超过 6 年前
Adam Ruins Everything has a skit on this for people who haven&#x27;t heard of it:<p><a href="https:&#x2F;&#x2F;www.youtube.com&#x2F;watch?v=CeDOQpfaUc8" rel="nofollow">https:&#x2F;&#x2F;www.youtube.com&#x2F;watch?v=CeDOQpfaUc8</a><p>On one of my non-insured years, I did get a five-digit bill like one in the video. Then some more from a bunch of other companies. It shouldn&#x27;t have been legal. Especially given I couldn&#x27;t exactly shop around for better prices with them all faking them.
EamonnMR超过 6 年前
These are the stick that they threaten to beat the uninsured with to bargan with insurance companies. The entire process is ridiculous, and while they can hide behind whatever they want to say the &quot;real&quot; prices are, these are the threat. &quot;I won&#x27;t pull this trigger, I&#x27;ll just wave it in your face until they empty the cash register.&quot;
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woogiewonka超过 6 年前
Is anyone planning to scan all the available PDFs or data sources and put together a comprehensive tool for all hospitals in each state? Now THAT would be a hell of a tool to get hospitals scrambling to lower &quot;not real&quot; prices.
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spsrich超过 6 年前
So it&#x27;s not the first random number they pull out of their ass then ?
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