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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Replying to @MinvstrD @webdevMason and
I already did. Max out of pocket for individuals is less than their prices for most surgeries. Is that difficult?
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That's a non sequitur to anything you were saying before, though maybe not wrong, depending on the surgery — that said, I know people who've been billed at 10x what's listed on their site for specific procedures with a >10% copay. Does that surprise you?
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You not getting it is kinda surprising. Who cares what they were billed, of they have insurance there are federal limits to max out of pocket. The hospital could bill you 3 trillion dollars and if the negotiated rate is 150 bucks, that's what is paid. Stupid, but how it works.
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Not everyone has a max annual deductible under $5-15k.
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End of conversation
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