Tag Archives: health care costs
The raging health reform debate has completely obscured recent disclosures by some medical providers of shocking information that has long been held among their most closely guarded secrets: their prices. These innovators are responding to the rapid four-year growth of high-deductible health plans that incentivize consumers to demand cost-effective solutions for their medical problems. Stated simply, a lot more patients want to know the prices of medical services before they buy them.
I recently discovered one striking example of this trend that promises an entirely different and brighter future for American health care than the one currently fermenting its way through the legislative bowels of our nation’s capital. It is the website for The Surgery Center of Oklahoma in Oklahoma City. Click on the link and see something extraordinary: a leading-edge medical facility that actually tells you its prices up front—but only for patients who pay them in full and in advance. Otherwise, if you want the Center to bill your insurance company and fight through its bureaucratic layers for uncertain payment at some distant time, the price will be higher.
Thursday’s (10/08/09) much heralded CBO report telling us that the Senate Finance Committee health care reform bill will cut the federal deficit by $81 billion over the next ten years is a diversion at best and accounting fiction at worst. Any way you slice it, this health reform bill is going to cost you more.
First of all, any second year accounting student could drive a homecoming float through the loopholes in the CBO’s numbers. Just one example: the analysis includes ten years of increased government taxes and fees, but only six years of health reform expenses. It also assumes that Medicare will cut Medicare doctor fees by a whopping 25% in 2011 and then make below-inflation-rate adjustments after that. The reality is that the Congress has scheduled cuts every year since 2003 but has cancelled them all at the last minute in the face of massive physician lobbying. But what if this time is different and these cuts actually do go through? If past is prologue, then doctors will simply intensify what many have already done in the face of Medicare’s increasingly punitive reimbursement rates: