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You think a government payment system is going to be less complex? Won't demand correct documentation? Have you ever dealt with a government records system? Bi
by ams6110 8y ago
You think a government payment system is going to be less complex? Won't demand correct documentation? Have you ever dealt with a government records system?
Billing codes are already standardized.
- labster 8y agoYes. The Department of Defense has been running a cheaper health system for decades. Medicare billing is easier for doctors. And so on.
- killjoywashere 8y agoHey, you shut your mouth! How dare you, oh, wait ... * https://www.ncbi.nlm.nih.gov/pubmed/29660010 https://www.ncbi.nlm.nih.gov/pubmed/29660010 * https://www.ncbi.nlm.nih.gov/pubmed/30295883 https://www.ncbi.nlm.nih.gov/pubmed/30295883
- lstroud 8y agoAre you counting the VA? Cause that may be the worst in the world.
- landryraccoon 8y agoThese rhetorical questions are disingenuous given that many examples of working government healthcare already exist. You’re asking if a problem that has been solved multiple times is solvable. The answer is yes.
- losteric 8y agoWhat complexity would a unified national system introduce which is not present in the byzantine world of privatized healthcare?
- Scoundreller 8y agoYes. Canadian here. The hospitals here mostly use US systems, minus the billing modules of course.
- dv_dt 8y agoEvidence from around the world is that government plans are likely to be cheaper and more effective. Are US private plans standardized regarding what will be covered, as well as the justification of a given procedure or drug? As far as I've had direct experience every plan is different, and even within the same plan there have been inconsistent approvals, doctors have to often get re-involved to add more or different justifications for procedures that are denied then covered. It's all unnecessary added overhead as exemplified by the relative costs of more than 2x other nations with government unified healthcare. I'd much rather be paying for the time of my doctor to treat me instead of fighting my insurance company armed with a similarly high-overhead software package.
- cascom 8y agomost of the complexity around this issues is due to the fact that most private insurers follow the incredibly complex medicare billing system/codes
- dv_dt 8y agoUh medicare is more efficient than private insurance, despite having it's hands tied by current legislation keeping it from negotiating drug prices. Medicare also takes on the oldest in the population demographic, needing the most and highest cost care that the private insurance companies are then relieved from managing. https://www.healthaffairs.org/do/10.1377/hblog20110920.013390/full/ https://www.healthaffairs.org/do/10.1377/hblog20110920.01339... "The private insurance equivalent of Medicare would cost almost 40 percent more in 2022 for a typical 65-year old." Medicare for All would make medicare even more efficient.
- cascom 8y agoYou’re completely right and wrong at the same time. Since Medicare reimbursements are so much lower than private insurance - the consequence of moving to all Medicare would have immense consequences, and the dollars removed would Largely need to be replaced, or quality and access to care would be dramatically impacted
- 8y ago
- sjg007 8y agoEverybody bills off of the government CMS medicare billing codes.
- Spooky23 8y agoMedicare and Medicaid are much simpler to deal with than a large private insurer. Government workers are cheap. The UnitedHealthcare ceo made $100M a few years ago.
- ams6110 8y agoWhat the CEO made has no bearing on anything. I get that people get worked up about it, envy being what it is, but it's really irrelevant.
- Spooky23 8y agoIt impacts their cost structure. The Administrator of the US Centers for Medicare and Medicaid Services has a salary of $165,000. I don’t envy the person making that kind of money, but given that the government can do a similar task cheaper, I question the legitimacy of the boards decision to pay an excessive amount, which impacts the profitability of the firm.
- lstroud 8y agoThat hasn’t been my experience with Medicare or Medicaid and I haven’t ever spoken with a healthcare provider that agrees with that statement. I also have family that has used Medicaid and the health care is abysmal.