They do: Inertia, the free market hospital movement was born recently, plus cronyism (eg certificate of need laws that would prevent someone from competing)
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Replying to @ArtirKel @webdevMason
I should probably write this up later w/ numbers later, but my two cents: procedures in hospital are inherently expensive due to greater overhead/complexity, unionization, etc. +
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Replying to @RCAFDM @webdevMason
But these are unrelated to what goes on in the podcast isn't it?
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Replying to @ArtirKel @webdevMason
I should probably finish listening to it, but I don't think so.
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Here's an interesting analysis by an ambulatory surgery trade group. Numbers look plausible to me, tho I haven't vetted them https://www.ascassociation.org/advancingsurgicalcare/reducinghealthcarecosts/costsavings/healthcarebluebookstudy …pic.twitter.com/gN8sNLpdnK
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They're teo totally different patient populations. They're essentially poaching and free riding off the system. They take the easy and high paying stuff, while charging more than an insured person would pay, strange, but good for them.
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I doubt they're paying more per patient *in expectation,* but yes, it's two totally different payment ecosystems. They contract with employers willing to fly their employees out for surgery & cover all costs. Wanna argue your claims? What low-pay services are they not providing?
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I didnt say that. They are not providing high acuity complex care that is done in the hospital, generally sticking to easy cases. This is bread and butter surgery center and overall safety basics.
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Make your case, please. It's public. Which surgeries are "basic," and not typically performed in a hospital?
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So you think a surgery center and a hospital can handle similar cases or that it's even legal to do so?
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I asked what I think is a pretty straight-forward question about your claim — are you going to answer it? I'm not making any claims myself, here.
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