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Health care industry sick with medical waste
CNN ^ | 3/3/10 | John Bonifield

Posted on 03/03/2010 4:27:18 AM PST by xlib

Rich Umbdenstock, president and CEO of the American Hospital Association, says hospitals mark up prices on medical bills to make up for lower payments the government pays through Medicare and Medicaid.

"They're making up for underpayments elsewhere," Umbdenstock said. "Certainly if you're the patient to whom the cost is being shifted you feel you are paying more than you should. The public programs need to pay their fare share. At the same time hospitals are trying to lower their cost of providing care, so that they don't have as great a gap."

Consider this: For every dollar the nation spends on health care, 50 cents is wasted.

According to a 2008 report by Pricewaterhouse Cooper's Health Research Institute, wasteful spending accounts for $1.2 trillion of the $2.2 trillion spent on health care in the United States. The medical waste includes costs associated with inefficient insurance claims processing, defensive medicine, preventable hospital readmissions, medical errors, and unnecessary emergency room visits. [snip]

The way a doctor chooses to treat a patient may also contribute to waste. Variations in treatments waste the health system $10 billion annually, according to the report. When a hospital like Intermountain swaps out expensive procedures for cheaper, equally effective treatments it actually loses money. It can no longer charge for those pricier procedures.

"The old belief that better care is more care, turns out it's just not true," James says. "The big problem. It costs you money. Most of these savings go back to insurers or the government, those windfall savings. We're nearly always financially punished every time we save money."

(Excerpt) Read more at cnn.com ...


TOPICS: Business/Economy; Culture/Society; Government; News/Current Events
KEYWORDS: healthcare
Pervasive perverse incentives, courtesy of 60 years of government interference.
1 posted on 03/03/2010 4:27:19 AM PST by xlib
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To: xlib

Like Ronald said, “Government is the problem”. The difficulty is convincing the populace.


2 posted on 03/03/2010 4:35:54 AM PST by wita
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To: xlib

Medicare costs at least 25% more than the accountants say due to these types of implicit tax shifts. medicaid probably 50%.


3 posted on 03/03/2010 4:44:50 AM PST by Rippin
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To: xlib
"They're making up for underpayments elsewhere," Umbdenstock said. "Certainly if you're the patient to whom the cost is being shifted you feel you are paying more than you should. The public programs need to pay their fare share. At the same time hospitals are trying to lower their cost of providing care, so that they don't have as great a gap."

Only partially true. They are also making up for what they see as underpayment from insurance companies.

I had a kidney stone removed (it took two operations) and for the first operation that lasted 1.5 hours the total billed was almost $24,000. That works out to $1,000/hr. The aggregate billers only got about $18,000 but still the idea that it cost that much is ridiculous.

I don't think the doctor should have been paid for the first one since he didn't finish the job and I had to go back three weeks later and and they billed $15,000 for another .75 hour operation.

The "cost" of health care is obscene.

4 posted on 03/03/2010 4:53:23 AM PST by raybbr
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To: raybbr
That works out to $1,000/hr.

Sorry - that works out to $15,000/hr....

5 posted on 03/03/2010 4:54:16 AM PST by raybbr
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To: xlib

Basically the govt rips you off a couple different ways with Medicare ... first you pay taxes which don’t benefit you, but someone else; then it drives up the cost of your healthcare at work, so now you have to earn more, meaning you have to pay more taxes on the additional income; then you get less service when you do go to the doctor’s office or hospital because of the stupidity of forms you have to fill out, and that only the bare minimum of people will be hired due to them trying to keep costs down.


6 posted on 03/03/2010 4:56:07 AM PST by ikka
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To: raybbr
billers only got about $18,000 but still the idea that it cost that much is ridiculous.

You don't know if it is ridiculous until you know what the doctor's overhead was...what did it "cost" the doctor to preform the operation? And even then it's subjective.

If we truly had a free market system and you were willing to pay to have those stones removed (and the pain along with them) when what would that service be worth? Just curious.
7 posted on 03/03/2010 6:37:31 PM PST by socialismisinsidious ( The socialist income tax system turns US citizens into beggars or quitters!)
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