Author Topic: Obamacare Master thread  (Read 87892 times)

Offline Ver hut gazugt

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Re: Obamacare Master thread
« Reply #720 on: July 20, 2021, 03:24:41 PM »
Ridiculous is an understatement.

No wonder hospitals ignore it.

Who is going to pick up this cause and make a big issue out of it?

I think Biden admin did not want to repeal this regulation because it would look really bad and on the other hand they don't agree with it. So this is the pshara they came up with.

Offline ExGingi

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Re: Obamacare Master thread
« Reply #721 on: August 22, 2021, 03:48:13 PM »
https://www.washingtonpost.com/health/2021/07/16/hospital-cost-transparency/


Who in the world came up with the $300/day figure. That isn't even a rounding error in the petty cash account of hospitals!

Let's see a $300,000/day fine with compound increases of 1% per day for delays and no ability to have it reduced.

Is it $300/day or is it just another warning.


To read NYT article: https://archive.is/e4AMt

I see nothing short of a constitutional amendment banning אונאה (@CountValentine that is the Jewish term invalidating a transaction involving essentials where the price varied by more than 20% from the market price) where it comes to healthcare as a solution to eradicate this problem.
« Last Edit: August 22, 2021, 03:52:56 PM by ExGingi »
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Re: Obamacare Master thread
« Reply #722 on: September 11, 2021, 10:44:17 PM »

« Last Edit: September 11, 2021, 10:48:55 PM by ExGingi »
I've been waiting over 5 years with bated breath for someone to say that!
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Offline aygart

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Re: Obamacare Master thread
« Reply #723 on: September 12, 2021, 01:16:16 AM »


THat is why regulated utilities love giving away money for efficiency etc too. It raises their ratables and allows for a rate hike.
Feelings don't care about your facts

Offline ExGingi

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Re: Obamacare Master thread
« Reply #724 on: September 12, 2021, 01:38:44 AM »
THat is why regulated utilities love giving away money for efficiency etc too. It raises their ratables and allows for a rate hike.

This is different (and criminal!) IMHO.

From the ProPublica article:

Quote
Under the words, DETAIL BILL, Frank saw that NYU Langones total charges were more than $117,000, but that was the sticker price, and those are notoriously inflated. Insurance companies negotiate an in-network rate for their members. But in Franks case at least, the deal still cost $70,882.

With a practiced eye, Frank scanned the billing codes hospitals use to get paid and immediately saw red flags: There were charges for physical therapy sessions that never took place, and drugs he never received. One line stood out the cost of the implant and related supplies. Aetna said NYU Langone paid a member rate of $26,068 for supply/implants. But Frank didnt see how that could be accurate. He called and emailed Smith & Nephew, the maker of his implant, until a representative told him the hospital would have paid about $1,500. His NYU Langone surgeon confirmed the amount, Frank said. The device company and surgeon did not respond to ProPublicas requests for comment.

On almost every insurance claim form I have seen (and probably on many, if not most or all, insurance applications, are warnings about insurance fraud.

Why isn't anyone serving jail time over a clearly fraudulent bill?

The shenanigans won't stop until some white collar executives (hospital executives, as well as insurance executives) serve harsh jail terms (and a lifetime ban from the industry).


On a side note, the story brings up memories of an issue we had during the pregnancy with my second child. Without going into too many details, there was an unpaid hospital bill. When they called me about it I told them they should be thankful that I am not suing them for malpractice. I never heard back from them.
« Last Edit: September 12, 2021, 01:43:24 AM by ExGingi »
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Offline eternity88

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Re: Obamacare Master thread
« Reply #725 on: Yesterday at 06:58:46 PM »
Are you able to purchase covered ca or obamacare if you currently don't have a job but will have one in Jan that pays about $2k per month