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I guess that’s the difference between Wikipedia and using it :) How the French government finances insurance is orthogonal to how consumers purchase outpatient
by coredog64 7y ago
I guess that’s the difference between Wikipedia and using it :)
How the French government finances insurance is orthogonal to how consumers purchase outpatient care.
The capsule summary is that patients go to the doctor. The pay 100% of the visit cost. The insurance company reimbursement is 80% of “reasonable and customary “ value that is widely known. Et voila, functioning price discovery without a dystopian society.
(There are some caveats. If you’re indigent, the government gives you a special card that allows the provider to bill the insurance directly. You can buy private insurance that covers your 20% and doesn’t require as much reimbursement hassle at the cost of constraining your provider choice. And naturally none of this applies to inpatient hospital admissions)