It is telling the blurb was sent out by anesthesiologists as they are the biggest participants in SURPRISE!!! got cha Billings.

The re-imbursement game was changing long before Obamacare.
When medical providers started adjusting the charges to make up for the reduced percentage amount reimbursed , the cost game started to spiral upward.
Insurance companies and their network providers manipulate the contracted rates, Provider gets 70-80% of contracted rate from X and the "consumer patient" pays the 20-30% . As the fee structure increased so did patient responsibility.

The consumer got left out of establishing the fee structure, the "Premium" game went crazy when Insurance companies tried to offset losses.

I would think the laundry list of lab work and tests has to be up there on the list. Every year I have the same conversation when I get physical regarding only the tests that are covered and invariably I get a bill for three or four more test the insurance company deemed unneeded and I end up with a bill from a lab bigger than everything else. This is not by accident. By the way dentists and orthodontist tell you right up front usually. I know exactly what I was spending to the nickle when both my kids got braces.

There are certainly some issues with out of network. The out of network ambulance or helicopter ride to the hospital comes to mind.

Ah yes ...... Negotiated rate...........consumer was not included.


Looks to me the Executive Order is for the scenario of honest folks not being balance billed from an ER doctor who declined to participate but DID agree to work at the hospital ER that is IN-Network because I delayed seeking immediate care to check the BCBS provider list. My focus on my injured child didn't allow me to see the "NOT In-Network" designation on his name tag. The EOB from BCBS was nice enough to put a note that I could contact the TDI about questionable billing charges.

I'd vote for just about anything that would bring transparency to medical costs, you can call that socialist if you'd like. This price gouging has gone on for way too long.

Yep
I am hard core conservative, but I would vote for single payer or government ran if it forced doctors and hospitals into bidding wars. Pharma also needs to be cut off at the knees. 7 11 needs to sell my drugs, prescription free

I will never vote for single payer or government-run healthcare. It’s too expensive, it will lead to higher taxes, it will lead to poorer care and less advancement, and it’s not a function of the government that needs to be added, out of principle.

There are other ways to lower the cost of healthcare. Adding more government to an issue government created is not the answer.

We already have a government run health care system with the VA
It works only if you are healthy requiring preventative care and a yearly check up
Government run anything (except tax collection and military) is slow, monetarily inefficient, bureaucratic, out dated, and low quality.

Do you ever wonder why insurance companies don't negotiate a better deal with hospitals, pharma, medical device companies and docs? If you were restricted to 20% of the pie and wanted more pie what would you do?

That industry was a mess before Obama. I have very little confidence it will do anything except get worse.

My opinion is that people need to have insurance for catastrophic events. Everything else should be out of pocket. That cuts insurance out of a lot of it. It also will force doctors to act like other businesses where they need to quote prices. Too many folks, me included, don’t worry about it because insurance is involved. It’s a terrible system, and has been for a long time. There is a lot of blame to go around.

The guy at WellCare looks a little suspect. Must’ve hit the pub prior to the photo.

I say it would be this...[img]https://texasfishingforum.com/forum...ae5e440_5c17_4342_aa18_350e849dcae8.jpeg[/img

The government is the answer. There is no other way.