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Both of your proposed solutions are appealing - but Medicaid and Medicare create a large problem, as both programs pay way below listed rates (~10% and ~40%. Re
by cascom 8y ago
Both of your proposed solutions are appealing - but Medicaid and Medicare create a large problem, as both programs pay way below listed rates (~10% and ~40%. Respectively) so your proposal while eloquent would create massive upheaval (perhaps well deserved) making the proposal much more radical than it seems on the surface
- Gustomaximus 8y agoNot an expert in this space so my comment comes with a shovel full of ignorance... So your comment implies that medicare/medicaid prices would go up? Is that true? Could the 'listed rate' drop 40%? I always hear listed rates are grossly inflated for those that dont have insurance and land in emergency etc When you see some of the inflated prices a >40% drop seems distinctly possible if a truly competitive market is created. Would that be fair?
- cascom 8y agoIt’s actually worse - a healthcare provider is typically paid 10%-40% of the cash pay rate for a Medicaid or Medicare patient so 60%-90% below the listed rate! I’m far from an expert as well, but my point is that a transparent everyone pays the same system is in direct conflict with the current system where certain patients pay multiples of the other patients for the exact same care/service etc.