[HN Gopher] Hospitals Have Started Posting Their Prices Online. ...
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       Hospitals Have Started Posting Their Prices Online. Here's What
       They Reveal
        
       Author : Black101
       Score  : 41 points
       Date   : 2021-07-02 10:16 UTC (12 hours ago)
        
 (HTM) web link (www.npr.org)
 (TXT) w3m dump (www.npr.org)
        
       | ipspam wrote:
       | The real question is, how much does this policy cause prices to
       | fall?
       | 
       | That's what Trump promised, to lower the cost of healthcare, and
       | this was one of the key pieces.
        
         | huitzitziltzin wrote:
         | Health economist here. I'm not convinced it will cause prices
         | to decline at all. Under some circumstances it could cause them
         | to rise ("insurer X gets how much? We want the same." -insurer
         | Y). It's going to depend on the distribution of bargaining and
         | market power among hospitals (which have aggregated into
         | powerful systems) and insurers (which don't seem to get all
         | that much pushback about prices from the large firms they act
         | for).
         | 
         | I could be wrong but I expect the effect to at best very small.
         | More likely around zero. Worst case it raises prices.
         | 
         | Though I do like the policy myself bc I am interested in these
         | prices for research purposes.
        
         | Hydraulix989 wrote:
         | Perhaps it will help with the uninsured by giving them
         | negotiation power and the ability to compare prices between
         | hopsitals, as the article mentions. Insurance companies, on the
         | other hand, won't change their premiums -- but is healthcare
         | expensive for someone with insurance?
        
       | patricklorio wrote:
       | I am so happy this is happening. Though the fine for
       | noncompliance seems laughable at $300/day.
        
         | jazzyjackson wrote:
         | It's certainly not punitive but I can imagine at some point an
         | administrator will notice a $9,000 / month expense and wonder
         | if they should be posting prices.
        
           | jasonhansel wrote:
           | The cost associated with having patients potentially switch
           | to a cheaper hospital could be >$9000/month, at least if the
           | data becomes more accessible. For hospitals that charge
           | exorbitantly high rates, it might actually be worth it to pay
           | the fine.
        
       | Pick-A-Hill2019 wrote:
       | Alternate link for those hitting NPR's Cookie Wall
       | 
       | https://text.npr.org/1012317032
       | 
       | (for some reason the usual trick of substituting the www with
       | text didn't work and kept on redirecting to their cookie pop-up)
        
       | ilaksh wrote:
       | This is a start.
       | 
       | It should be possible to eventually get a unified clean data
       | format and up-to-date prices with some kind of mandated
       | networking protocol or URL or API or something. Pick or defin
       | some kind of medical coding standard.
       | 
       | Then there will need to be enforcement and real penalties for
       | those not complying.
       | 
       | If they can somehow get to that point, it will make a big
       | difference.
       | 
       | And I believe that enforcing data standards and interoperability
       | should be one of the primary functions of governments or other
       | similar organizations.
       | 
       | Also, interested to see how this stuff intersects with the new
       | surprise medical costs rules.
        
       | [deleted]
        
       | z3ugma wrote:
       | The article references the MyChart Estimates feature which I
       | would recommend, having worked closely with it in the past.
       | 
       | You're getting an actual price from the hospital's billing system
       | directly, from an on-prem website run by the hospital and not the
       | game of telephone or billing dept > website > scraper > 3rd party
        
         | Hydraulix989 wrote:
         | Thanks. Is it true that it is missing basic procedures like
         | "colonoscopy", as the article implies?
        
       | throwawaysea wrote:
       | The Trump administration's price transparency rule seems like a
       | good start but this article makes it seem like compliance is
       | inconsistent and typically the bare legal minimum (rather than
       | meeting the intentions of the law). In reality pricing should be
       | up-front, before you visit a provider, with clarity on exactly
       | what services are being provided, what the cost of those services
       | will be, and what the cost is elsewhere in the area. If
       | additional services could be necessary based on diagnosis, the
       | highest likelihood "add ons" should also be advertised up-front
       | similarly. When care is provided in the moment, the same should
       | apply. The prices also need to fit some standard that is
       | reasonably easy to interpret, unlike the mess of codes that exist
       | today, resulting in dubious insurance claims.
       | 
       | I know that's a lot and I'm sure those suggestions could use some
       | refinement - but my worry is that the increased price
       | transparency we're getting now is not something customers can put
       | to use in practice. That is, it may have no effect on improving
       | competition in healthcare. Lastly, any new rules we put into
       | place need to have real consequences attached - like fines and
       | jail time that would serve as actual deterrents to non-
       | compliance.
        
       | peter303 wrote:
       | This might help with [semi]elective procedures. But not with
       | emergencies. For the latter the best I hope for is an ER on my
       | insurance list.
        
         | huitzitziltzin wrote:
         | You should read HHS's recently issued rule on exactly that
         | issue for some good news - though I am not exactly clear what
         | it will mean in practice:
         | 
         | https://www.hhs.gov/about/news/2021/07/01/hhs-announces-rule...
        
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       (page generated 2021-07-02 23:02 UTC)