6 ms·

This is made possible thanks to the current administration’s CMS price transparency rule which went into effect Jan 1,2021 http://www.cms.gov/hospital-price-tra

This is made possible thanks to the current administration’s CMS price transparency rule which went into effect Jan 1,2021 http://www.cms.gov/hospital-price-transparency http://www.cms.gov/hospital-price-transparency Edit: By “current” I mean the Trump administration.

apiimporter 6y ago
And by "current" administration you mean the Trump administration because people here don't like to give credit where credit is due.
- lostcolony 6y ago
  I mean, we can discuss how much credit and where it's due, but I'm pretty sure "current administration", on a given date, makes it kinda apparent?
  - ogre_codes 6y ago
    I think the idea is that the poster wants people aware that at least once in his administration Trump has done something remotely correct. Of course the fact that he did this after spending 3 years trying his damndest to gut our already mediocre public healthcare system makes it a bit of a eye roller, but you know, even a broken clock is right and all that.
    - 11thEarlOfMar 6y ago
      For completeness, a couple of other health related actions by the current administration: - 'Most Favored Nation' drug pricing. Also as of 1/1, big pharma has to charge US payers the same price as the lowest price they charge to other countries. One example cited is insulin. Apparently, the price of Insulin from the same pharma is 10% the price in Canada as it is in the US. Now that this law is enacted, that pharma has to charge the same in the US as they charge in Canada. - 'Right to Try'. Greatly reduces restrictions on terminally ill patients' access to experimental treatments. - Removed the mandate on the affordable care act. People who do not have any health insurance were liable to pay a fine. That fine was removed. - eHealth across state lines. Doctors were not permitted to see patients via video calls across state lines. During the pandemic, that restriction was removed.
      - aksss 6y ago
        We should not ignore the attempt to relax restrictions on Association Health Plans in 2019, which would have made it easier for small businesses to band together to negotiate insurance terms using combined group numbers on par with that of larger corporations. This was struck down by a federal court[0], but would have moderately improved one of the biggest barriers to small business ownership/employment - unobtanium health insurance. This was a huge loss of something almost great. [0]https://www.shrm.org/resourcesandtools/hr-topics/benefits/pages/judge-blocks-association-health-plan-rule.aspx https://www.shrm.org/resourcesandtools/hr-topics/benefits/pa...
        deleted 6y ago
        [deleted]
        lotsofpulp 6y ago
        The better, and simpler option is to remove employers from the equation entirely. Either go with taxpayer funded healthcare, or force everyone to buy from healthcare.gov where they can choose whichever insurance company they want.
        aksss 6y ago
        In terms of moderate tweaks to an enormous problem, AHP reform for small businesses is comparatively low-hanging fruit that could help businesses today meet the minimum requirements for attracting talent - health insurance. Your proposal may be better in the long term, but the journey there is not simple by any means.
        lotsofpulp 6y ago
        My proposal could be done immediately. All the infrastructure already exists. Remove the tax deduction for employers, give it to individuals on healthcare.gov, job done. Or ban employer sponsored health insurance and don’t offer anyone a tax deduction. Either way, it’s all just a matter of changing regulation. The real problem is big business will lobby against it because it gives them an advantage over small business, and a leash on employees.
  - mynameismonkey 6y ago
    Given that all the current HHS political appointees have handed in their resignation letters for use in less than two days, "current administration" will become inaccurate during the lifecycle of these comments - maybe that's the reason for clarification
- dubcanada 6y ago
  Everyone knows who the current administration is, assigning a name of a bobble head to it doesn't mean anything. The bill [1] was introduced by Mike Braun and others. None of which have anything to do with Trump or his "administration", these are voted governs who did this all on their own. 1 - https://www.congress.gov/bill/116th-congress/senate-bill/4106/text https://www.congress.gov/bill/116th-congress/senate-bill/410...
analog31 6y ago
Out of curiosity, how much will this reduce the cost of health care? The idea, as it's been explained to me, is that visibility into the cost of medical care will result in downward price pressure. How much?
- lotsofpulp 6y ago
  Transparent pricing enabling the comparison of pricing between different sellers is only one piece of a functioning marketplace. You also need multiple informed sellers and multiple informed buyers.
  - analog31 6y ago
    So it's a step towards a complete policy. What is the complete policy? Granted we might not see it enacted now, but it would at least clarify where the administration was headed.
    - lotsofpulp 6y ago
      Increasing supply of doctors by increasing residency funding, decreasing education costs, and decreasing the sacrifice that needs to be made to become a registered doctor. I have no idea why doctors need to sacrifice their entire 22 to 30 year old lives constantly slaving away, working on call, sometimes 24 hours at a time. Relax some of the draconian, outdated hazing rules. Attract more smart people, make it so young people can have lives and become doctors. That might address the cost of labor. The cost of medicine on the other hand is simple, the government should be funding research into medicines and then offering it for sale at basically the cost of production. Only other way is to reform patents and whatnot, but it seems easier to just do the research with the top tier research facilities the US already has via the higher education system. There’s probably some other issues such as tort reform and medical equipment costs that need to be address too. But I think all prices can be brought down by increasing supply.
      - analog31 6y ago
        Indeed, bringing down the cost of med school might also have the effect of attracting people with a working class background, who see it as a form of labor, not as a return on an investment. I'm not sure what the impact of tort reform would be. It's possible to look up how much is paid in premiums, but we don't know who owns the malpractice insurance industry, and I've read that it's doctors.

apiimporter 6y ago

And by "current" administration you mean the Trump administration because people here don't like to give credit where credit is due.

lostcolony 6y ago
I mean, we can discuss how much credit and where it's due, but I'm pretty sure "current administration", on a given date, makes it kinda apparent?
- ogre_codes 6y ago
  I think the idea is that the poster wants people aware that at least once in his administration Trump has done something remotely correct. Of course the fact that he did this after spending 3 years trying his damndest to gut our already mediocre public healthcare system makes it a bit of a eye roller, but you know, even a broken clock is right and all that.
  - 11thEarlOfMar 6y ago
    For completeness, a couple of other health related actions by the current administration: - 'Most Favored Nation' drug pricing. Also as of 1/1, big pharma has to charge US payers the same price as the lowest price they charge to other countries. One example cited is insulin. Apparently, the price of Insulin from the same pharma is 10% the price in Canada as it is in the US. Now that this law is enacted, that pharma has to charge the same in the US as they charge in Canada. - 'Right to Try'. Greatly reduces restrictions on terminally ill patients' access to experimental treatments. - Removed the mandate on the affordable care act. People who do not have any health insurance were liable to pay a fine. That fine was removed. - eHealth across state lines. Doctors were not permitted to see patients via video calls across state lines. During the pandemic, that restriction was removed.
    - aksss 6y ago
      We should not ignore the attempt to relax restrictions on Association Health Plans in 2019, which would have made it easier for small businesses to band together to negotiate insurance terms using combined group numbers on par with that of larger corporations. This was struck down by a federal court[0], but would have moderately improved one of the biggest barriers to small business ownership/employment - unobtanium health insurance. This was a huge loss of something almost great. [0]https://www.shrm.org/resourcesandtools/hr-topics/benefits/pages/judge-blocks-association-health-plan-rule.aspx https://www.shrm.org/resourcesandtools/hr-topics/benefits/pa...
      - deleted 6y ago
        [deleted]
      - lotsofpulp 6y ago
        The better, and simpler option is to remove employers from the equation entirely. Either go with taxpayer funded healthcare, or force everyone to buy from healthcare.gov where they can choose whichever insurance company they want.
        aksss 6y ago
        In terms of moderate tweaks to an enormous problem, AHP reform for small businesses is comparatively low-hanging fruit that could help businesses today meet the minimum requirements for attracting talent - health insurance. Your proposal may be better in the long term, but the journey there is not simple by any means.
        lotsofpulp 6y ago
        My proposal could be done immediately. All the infrastructure already exists. Remove the tax deduction for employers, give it to individuals on healthcare.gov, job done. Or ban employer sponsored health insurance and don’t offer anyone a tax deduction. Either way, it’s all just a matter of changing regulation. The real problem is big business will lobby against it because it gives them an advantage over small business, and a leash on employees.
- mynameismonkey 6y ago
  Given that all the current HHS political appointees have handed in their resignation letters for use in less than two days, "current administration" will become inaccurate during the lifecycle of these comments - maybe that's the reason for clarification
dubcanada 6y ago
Everyone knows who the current administration is, assigning a name of a bobble head to it doesn't mean anything. The bill [1] was introduced by Mike Braun and others. None of which have anything to do with Trump or his "administration", these are voted governs who did this all on their own. 1 - https://www.congress.gov/bill/116th-congress/senate-bill/4106/text https://www.congress.gov/bill/116th-congress/senate-bill/410...

analog31 6y ago

Out of curiosity, how much will this reduce the cost of health care? The idea, as it's been explained to me, is that visibility into the cost of medical care will result in downward price pressure. How much?

lotsofpulp 6y ago
Transparent pricing enabling the comparison of pricing between different sellers is only one piece of a functioning marketplace. You also need multiple informed sellers and multiple informed buyers.
- analog31 6y ago
  So it's a step towards a complete policy. What is the complete policy? Granted we might not see it enacted now, but it would at least clarify where the administration was headed.
  - lotsofpulp 6y ago
    Increasing supply of doctors by increasing residency funding, decreasing education costs, and decreasing the sacrifice that needs to be made to become a registered doctor. I have no idea why doctors need to sacrifice their entire 22 to 30 year old lives constantly slaving away, working on call, sometimes 24 hours at a time. Relax some of the draconian, outdated hazing rules. Attract more smart people, make it so young people can have lives and become doctors. That might address the cost of labor. The cost of medicine on the other hand is simple, the government should be funding research into medicines and then offering it for sale at basically the cost of production. Only other way is to reform patents and whatnot, but it seems easier to just do the research with the top tier research facilities the US already has via the higher education system. There’s probably some other issues such as tort reform and medical equipment costs that need to be address too. But I think all prices can be brought down by increasing supply.
    - analog31 6y ago
      Indeed, bringing down the cost of med school might also have the effect of attracting people with a working class background, who see it as a form of labor, not as a return on an investment. I'm not sure what the impact of tort reform would be. It's possible to look up how much is paid in premiums, but we don't know who owns the malpractice insurance industry, and I've read that it's doctors.