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As best I can tell, this surgery center is charging 2x to 4x the price for breast reconstruction as other centers ($42k per claim per the article). Yes, it's a
by alistairSH 2y ago
As best I can tell, this surgery center is charging 2x to 4x the price for breast reconstruction as other centers ($42k per claim per the article). Yes, it's an advanced center with new techniques, but are they really providing an extra $20k-$30k in value? I don't know the answer to that, just posting the numbers because it's not a matter of a small difference in pricing.
- sneed_chucker 2y agoThe American healthcare industry is scammers and upsellers all the way down
- xrd 2y agoBut, could this be an interesting inflection point, where rich doctors and even richer executives of insurance companies are now starting to eat each other.
- gruez 2y agoDoes the policy in question have a "usual, customary and reasonable"[1] clause? If so, charging 2-4x would obviously give the insurance company grounds to deny the claim. https://en.wikipedia.org/wiki/Usual,_customary_and_reasonable https://en.wikipedia.org/wiki/Usual,_customary_and_reasonabl...
- alistairSH 2y agoWe’re talking about thousands of policies … the insurer appeared to have a blanket ban on paying claims to this surgical center.