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This is kind of what we have in The Netherlands. Insurers make standard prices in collaboration with a large part of the healthcare providers. Healthcare provid
by spockz 8y ago
This is kind of what we have in The Netherlands. Insurers make standard prices in collaboration with a large part of the healthcare providers. Healthcare providers have to bill using the exact code of the treatment and that amount cannot be more than the agreed amount.
This leads to funny things like there being Treatment X variant A-E for getting a different price for the same treatment based on some arbitrary thing. It also means that now the insurer knows exactly what has been done because the bill says replaced filling on 3rd upper molar with this and that material etc. Before it was just “filling”.
Also if you want to provide better care and need more time or better materials to do that you can only do it within the determined budget and they are quite tight.
- zaroth 8y agoI don’t necessarily want to standardize care, I want to standardize pricing. Of course there will always be minute variations in a procedure, but the law is not an algorithm. You can have different levels of materials with different prices, but two people still need to see the same price if they choose the same thing, or substantially the same thing. Of course some people will game the system trying to make infinite variations, but at least that one apply to common blood tests and office visits, MRIs, X-rays, plenty of stuff is standardized. So what you are describing sounds a step beyond what I am thinking, which is just a standard published price list which is actually the price, and not a published book price which is an absurd ripoff, and then a secret price which everyone with insurance x, y, or z pays.