4 ms·
> From an instution standpoint there are some bad apples but a lot of organizations that are not complying are not complying because they are facing technology
by prepend 4y ago
> From an instution standpoint there are some bad apples but a lot of organizations that are not complying are not complying because they are facing technology and operational issues that are stopping them from complying. From the trenches in my consulting practice one example is an institution whose has a core element of their billing system, that is largely a black box even to them, using technologies that are decades old.
I recognize this is the reality. But it seems insane that they have not fixed this in decades and instead charge people based on a “black box.”
I’m sure the fact that they make more money this way has nothing to do with their inability to comply.
From my perspective, as a patient and taxpayer who funds these things through Medicare and Medicaid, I think those who are incompetent and shady are the same to me.
I’d almost rather have a health system try to cheat than so stupid they don’t know what’s happening. The company that cheats on billing seems more likely to be competent than the one who doesn’t know how to cost their care and hasn’t known for decades.
- mistermann 4y agoIt seems like a classic "just so" story to me, perfect for keeping the public in the dark. I'd think a serious and honest country would develop standard systems that is capable of serving the needs of the majority of users (providers and customers) and then charge proportionally for usage, or else just leave it as funded by the government.
- hattmall 4y agoYou might think that but the US couldn't even design a website to sell you insurance. Healthcare.gov is still a cumbersome nightmare.
- mistermann 4y agoIt seems to me that the US Government can get impressive things done if they set their mind to it - as examples, consider their prowess at things like propaganda and waging war.
- hattmall 4y agoIdk about the propaganda, but the US is really really bad at waging war. The US just has a ton of resources and willingness to spend outsized amount of budget on "defense."
- mistermann 4y ago> Idk about the propaganda, but the US is really really bad at waging war. Can you name any other country who can come even close to the US's (where they have substantial causal involvement) body count in the last few decades? And for the propaganda part: consider the US public's opinion on the righteousness of their behavior on the world stage, or the manner in which (from an abstract perspective) they evaluate/perceive the Russian/Ukraine conflict compared to when the US is the aggressor.