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View Diary: Post exposes an inconvenient truth - insurers will still cherry pick (168 comments)

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  •  Oh, yeah ok (3+ / 0-)

    I would take issue though with the notion that private insurance is expensive because of Medicare payment rates. Yes, it's true providers overcharge insurance. There is a systemic imbalance there and calchala is correct but a causal relationship, not so sure that that is really correct. Private insurance has so much gigantic admin waste in its system.

    •  And besides, Medicare for All (2+ / 0-)

      necessarily implies an improved, expanded and fully funded version.
      Once we reclaim the private insurer waste, there will adequate funding.

      Let's never forget that we still spend close to twice per capita than countries like France, England, Germany, that provide universal, high quality care.

      The money's already there, it's just being wasted.

    •  If providers are overcharging insurers (1+ / 0-)
      Recommended by:

      Then what they charge cash customers amounts to extortion. Large insurers get large discounts from list prices, in the case of Regence Blue Shield here in Washington as much as 50% depending on the provider. Are toy companies overcharging every retailer whose wholesale cost is higher than the one Wal Mart negotiated?

      This kind of thinking never seems to be applied in any other sector, instead the contracted price IS the market price.

      •  Well the crazy thing is that inflation in (0+ / 0-)

        health care pricing runs rampant in all sorts of manners, for example now medical offices tack on multiple procedure codes to get higher reimbursement for what amounts to a simple visit, for example when I last had ear wax cleaned at my gen prac dr ofc, they charged for an office visit, and two separate charges for each ear coming to about $180. Secondly, why are dental bridges $3-4000, it's because labs charge higher and higher and higher prices that insurance is willing to pay, if there were no insurance, such procedures would be a quarter or even a tenth of the price because the consumer patient market couldn't bear such prices. Those are just only 2 examples of how insurance creates giant inflations in pricing and there many, many other ways it happens. It is isn't as simple as providers extorting, it's more a systemic series of failures with the wrong incentives and the wrong controls, the whole pricing system needs an overhaul and most of the bills in Congress address that.

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