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News Trump requires all healthcare providers, insurers to publicly disclose costs of servi
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CrimsonPhantom Offline
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Trump requires all healthcare providers, insurers to publicly disclose costs of servi
Quote:President Donald Trump has signed an executive order to make healthcare costs more transparent for Americans, directing regulators to force healthcare facilities and insurance companies to publicly disclose the prices of different services.

The order "directs the Departments of the Treasury, Labor, and Health and Human Services to rapidly implement and enforce the Trump healthcare price transparency regulations," according to a fact sheet from the White House. The regulations to force transparency, the release stated, were "slow walked by the prior administration."

"The departments will ensure hospitals and insurers disclose actual prices, not estimates, and take action to make prices comparable across hospitals and insurers, including prescription drug prices," the release added.

The order stated that the "regulations require hospitals to maintain a consumer-friendly display of pricing information for up to 300 shoppable services and a machine-readable file with negotiated rates for every single service the hospital provides."

Healthcare costs typically remain unknown to consumers until after services have been provided. This is a result of negotiations between doctors, insurance companies, and pharmaceutical companies to determine the price tag on any given healthcare service.

"When healthcare prices are hidden, large corporate entities like hospitals and insurance companies benefit at the expense of American patients. Price transparency will lower healthcare prices and help patients and employers get the best deal on healthcare," the fact sheet stated.

Publicly disclosing prices would provide more competition to drive down the cost of visiting your doctor, going to the hospital for a given reason, or other services, as patients will have the ability to make judgement on costs associated with a given healthcare service, the fact sheet states.

Trump said of the order, "Our goal was to give patients the knowledge they need about the real price of healthcare services. They’ll be able to check them, compare them, go to different locations, so they can shop for the highest-quality care at the lowest cost."

"And this is about high-quality care. You’re also looking at that. You’re looking at comparisons between talents, which is very important. And then, you’re also looking at cost. And, in some cases, you get the best doctor for the lowest cost. That’s a good thing," he added.

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02-26-2025 10:26 AM
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RE: Trump requires all healthcare providers, insurers to publicly disclose costs of servi
Good start.
02-26-2025 01:09 PM
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mlb Offline
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RE: Trump requires all healthcare providers, insurers to publicly disclose costs of servi
Hospitals already do. Have had to for years.
02-26-2025 01:24 PM
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b0ndsj0ns Offline
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RE: Trump requires all healthcare providers, insurers to publicly disclose costs of servi
That's nice and all, but what are you going to tell the ambulance driver to take me to the next hospital if you don't like the prices displayed?
02-26-2025 01:25 PM
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GoodOwl Online
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RE: Trump requires all healthcare providers, insurers to publicly disclose costs of servi
(02-26-2025 01:25 PM)b0ndsj0ns Wrote:  That's nice and all, but what are you going to tell the ambulance driver to take me to the next hospital if you don't like the prices displayed?

if you can shop around for taxis, ubers, lyfts and limos, you can shop around for ambulances unless you don't think you have time...it's your choice. Not all ambulance rides are time critical, in fact a sizeable portion are not. Anyway, it should be up to you if you want to shop around.

As far as price transparency, were you aware that foot x-rays can vary from provider to provider from $43 for 3 to $2,000 for just one? Years ago, I shopped around when needing one, against the horror of some of my friends, and got the same service for $43 that some wanted to charge me over $1,000 for. Since I had to wait for the swelling to go down a bit anyway, I got on the phone. Many provider office personnel who answered my calls had NO Idea what their prices were for an X-ray, and worse, most did not even know how to find out what they charged!

Imagine going to an auto repair place and them telling you: "We have no idea what it will cost for your oil change, and you'll have to wait a month or two to find out afterwards. Meantime, it could be anywhere between $35 and $3,000... So sign here that you agree tpay whatever the he77 we say and we'll get started...what a bunch of BS the entire Medical SCAM Industry has been since the mid-1960s. It's time to get rid of the greed and graft and let the medical CONSUMERS--the patients decide what the prices they want to pay are, NOT the "Insurance (read: non-health medical Scam companies) and not what the providers (skilled in medicine, but scammers and frauds in business) or the gub'mint (useless and superfluous) says.

And the biggest area in the economy ripe for massive layoffs and downsizing: Medical "administration" i.e. the most wasteful and useless jobs in Amercia, even including government, and that's really sayin' someting!

Artist: Bananarama and Fun Boy Three
Song: "Really Sayin' Something"



(This post was last modified: 02-26-2025 02:54 PM by GoodOwl.)
02-26-2025 02:47 PM
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maximus Offline
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Trump requires all healthcare providers, insurers to publicly disclose costs of servi
I like the concept

But the amount of variables across the country and in certain markets to come up with that cost is sometimes literally a guess.

What needs to happen is incentivization of health insurers and health providers to work together in the coordination of the care of the covered lives and cohorts they serve.

I've been involved in several projects, involved with one as we speak, that is a collaboration between healthcare organization and healthcare insurer and its producing lower costs and higher quality care.

More of this will drive down costs where this isn't even needed.

Believe it or not, this causes a fairly large administrative burden to produce and meet this EO.... and maintain it. These aren't cheeseburger prices we are talking about.

100% for transparency but somewhat putting the cart before the horse on this one.





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02-26-2025 02:57 PM
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RE: Trump requires all healthcare providers, insurers to publicly disclose costs of servi
(02-26-2025 02:57 PM)maximus Wrote:  I like the concept

But the amount of variables across the country and in certain markets to come up with that cost is sometimes literally a guess.

What needs to happen is incentivization of health insurers and health providers to work together in the coordination of the care of the covered lives and cohorts they serve.

I've been involved in several projects, involved with one as we speak, that is a collaboration between healthcare organization and healthcare insurer and its producing lower costs and higher quality care.

More of this will drive down costs where this isn't even needed.

Believe it or not, this causes a fairly large administrative burden to produce and meet this EO.... and maintain it. These aren't cheeseburger prices we are talking about.

100% for transparency but somewhat putting the cart before the horse on this one.





Sent from my SM-S928U using Tapatalk

How do healthcare providers bill?

All that needs to change is that those billing numbers need to be accessible on a website.
02-26-2025 03:20 PM
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b0ndsj0ns Offline
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Post: #8
RE: Trump requires all healthcare providers, insurers to publicly disclose costs of servi
(02-26-2025 02:47 PM)GoodOwl Wrote:  
(02-26-2025 01:25 PM)b0ndsj0ns Wrote:  That's nice and all, but what are you going to tell the ambulance driver to take me to the next hospital if you don't like the prices displayed?

if you can shop around for taxis, ubers, lyfts and limos, you can shop around for ambulances unless you don't think you have time...it's your choice. Not all ambulance rides are time critical, in fact a sizeable portion are not. Anyway, it should be up to you if you want to shop around.

As far as price transparency, were you aware that foot x-rays can vary from provider to provider from $43 for 3 to $2,000 for just one? Years ago, I shopped around when needing one, against the horror of some of my friends, and got the same service for $43 that some wanted to charge me over $1,000 for. Since I had to wait for the swelling to go down a bit anyway, I got on the phone. Many provider office personnel who answered my calls had NO Idea what their prices were for an X-ray, and worse, most did not even know how to find out what they charged!

Imagine going to an auto repair place and them telling you: "We have no idea what it will cost for your oil change, and you'll have to wait a month or two to find out afterwards. Meantime, it could be anywhere between $35 and $3,000... So sign here that you agree tpay whatever the he77 we say and we'll get started...what a bunch of BS the entire Medical SCAM Industry has been since the mid-1960s. It's time to get rid of the greed and graft and let the medical CONSUMERS--the patients decide what the prices they want to pay are, NOT the "Insurance (read: non-health medical Scam companies) and not what the providers (skilled in medicine, but scammers and frauds in business) or the gub'mint (useless and superfluous) says.

And the biggest area in the economy ripe for massive layoffs and downsizing: Medical "administration" i.e. the most wasteful and useless jobs in Amercia, even including government, and that's really sayin' someting!

Artist: Bananarama and Fun Boy Three
Song: "Really Sayin' Something"




I don't think this is a bad idea, and for routine/non life threatening things having extremely transparent pricing for scans/blood work/if they have to give you oral pain meds/etc would be great. However, deciding on what you need in healthcare ain't like deciding if you need to buy a new consumer product or not, where you can just shop around and if you don't like the price anywhere you can do without. There's a whole bunch of cases where "doing without" equals death. Price transparency could be helpful in the areas where it's more elective what you need, but that's not usually the type of stuff that gives you the send you into bankruptcy type of bills. That's going to be getting cancer, getting into a serious car accident where you have to spend time in the ICU, having a pregnancy complication where you have to deliver early and your baby has to stay in the NICU. Knowing those prices doesn't change the decision you have to make, because there is no decision you are desperate.
02-26-2025 03:23 PM
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b0ndsj0ns Offline
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RE: Trump requires all healthcare providers, insurers to publicly disclose costs of servi
(02-26-2025 03:20 PM)bullet Wrote:  
(02-26-2025 02:57 PM)maximus Wrote:  I like the concept

But the amount of variables across the country and in certain markets to come up with that cost is sometimes literally a guess.

What needs to happen is incentivization of health insurers and health providers to work together in the coordination of the care of the covered lives and cohorts they serve.

I've been involved in several projects, involved with one as we speak, that is a collaboration between healthcare organization and healthcare insurer and its producing lower costs and higher quality care.

More of this will drive down costs where this isn't even needed.

Believe it or not, this causes a fairly large administrative burden to produce and meet this EO.... and maintain it. These aren't cheeseburger prices we are talking about.

100% for transparency but somewhat putting the cart before the horse on this one.





Sent from my SM-S928U using Tapatalk

How do healthcare providers bill?

All that needs to change is that those billing numbers need to be accessible on a website.

Then you'd see the scam they are running. There's a number they'll charge you if you are self paying, a number they'll try to charge private insurance companies, a number they are required to charge government insurance companies, and these numbers vary wildly.
02-26-2025 03:41 PM
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maximus Offline
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Post: #10
RE: Trump requires all healthcare providers, insurers to publicly disclose costs of servi
(02-26-2025 03:20 PM)bullet Wrote:  
(02-26-2025 02:57 PM)maximus Wrote:  I like the concept

But the amount of variables across the country and in certain markets to come up with that cost is sometimes literally a guess.

What needs to happen is incentivization of health insurers and health providers to work together in the coordination of the care of the covered lives and cohorts they serve.

I've been involved in several projects, involved with one as we speak, that is a collaboration between healthcare organization and healthcare insurer and its producing lower costs and higher quality care.

More of this will drive down costs where this isn't even needed.

Believe it or not, this causes a fairly large administrative burden to produce and meet this EO.... and maintain it. These aren't cheeseburger prices we are talking about.

100% for transparency but somewhat putting the cart before the horse on this one.





Sent from my SM-S928U using Tapatalk

How do healthcare providers bill?

All that needs to change is that those billing numbers need to be accessible on a website.

Currently, to answer that question would require about 15 volumes at 2000 pages per

If people knew the reality of how that happens, their heads would explode.

Sent from my SM-S928U using Tapatalk
02-26-2025 03:47 PM
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b0ndsj0ns Offline
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Post: #11
RE: Trump requires all healthcare providers, insurers to publicly disclose costs of servi
(02-26-2025 03:47 PM)maximus Wrote:  
(02-26-2025 03:20 PM)bullet Wrote:  
(02-26-2025 02:57 PM)maximus Wrote:  I like the concept

But the amount of variables across the country and in certain markets to come up with that cost is sometimes literally a guess.

What needs to happen is incentivization of health insurers and health providers to work together in the coordination of the care of the covered lives and cohorts they serve.

I've been involved in several projects, involved with one as we speak, that is a collaboration between healthcare organization and healthcare insurer and its producing lower costs and higher quality care.

More of this will drive down costs where this isn't even needed.

Believe it or not, this causes a fairly large administrative burden to produce and meet this EO.... and maintain it. These aren't cheeseburger prices we are talking about.

100% for transparency but somewhat putting the cart before the horse on this one.





Sent from my SM-S928U using Tapatalk

How do healthcare providers bill?

All that needs to change is that those billing numbers need to be accessible on a website.

Currently, to answer that question would require about 15 volumes at 2000 pages per

If people knew the reality of how that happens, their heads would explode.

Sent from my SM-S928U using Tapatalk

All scams are purposely confusing and hard to follow.
02-26-2025 03:52 PM
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maximus Offline
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Post: #12
RE: Trump requires all healthcare providers, insurers to publicly disclose costs of servi
(02-26-2025 03:52 PM)b0ndsj0ns Wrote:  
(02-26-2025 03:47 PM)maximus Wrote:  
(02-26-2025 03:20 PM)bullet Wrote:  
(02-26-2025 02:57 PM)maximus Wrote:  I like the concept

But the amount of variables across the country and in certain markets to come up with that cost is sometimes literally a guess.

What needs to happen is incentivization of health insurers and health providers to work together in the coordination of the care of the covered lives and cohorts they serve.

I've been involved in several projects, involved with one as we speak, that is a collaboration between healthcare organization and healthcare insurer and its producing lower costs and higher quality care.

More of this will drive down costs where this isn't even needed.

Believe it or not, this causes a fairly large administrative burden to produce and meet this EO.... and maintain it. These aren't cheeseburger prices we are talking about.

100% for transparency but somewhat putting the cart before the horse on this one.





Sent from my SM-S928U using Tapatalk

How do healthcare providers bill?

All that needs to change is that those billing numbers need to be accessible on a website.

Currently, to answer that question would require about 15 volumes at 2000 pages per

If people knew the reality of how that happens, their heads would explode.

Sent from my SM-S928U using Tapatalk

All scams are purposely confusing and hard to follow.
I'm interested to hear who you think you is doing the scamming

Sent from my SM-S928U using Tapatalk
02-26-2025 04:04 PM
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b0ndsj0ns Offline
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Post: #13
RE: Trump requires all healthcare providers, insurers to publicly disclose costs of servi
(02-26-2025 04:04 PM)maximus Wrote:  
(02-26-2025 03:52 PM)b0ndsj0ns Wrote:  
(02-26-2025 03:47 PM)maximus Wrote:  
(02-26-2025 03:20 PM)bullet Wrote:  
(02-26-2025 02:57 PM)maximus Wrote:  I like the concept

But the amount of variables across the country and in certain markets to come up with that cost is sometimes literally a guess.

What needs to happen is incentivization of health insurers and health providers to work together in the coordination of the care of the covered lives and cohorts they serve.

I've been involved in several projects, involved with one as we speak, that is a collaboration between healthcare organization and healthcare insurer and its producing lower costs and higher quality care.

More of this will drive down costs where this isn't even needed.

Believe it or not, this causes a fairly large administrative burden to produce and meet this EO.... and maintain it. These aren't cheeseburger prices we are talking about.

100% for transparency but somewhat putting the cart before the horse on this one.





Sent from my SM-S928U using Tapatalk

How do healthcare providers bill?

All that needs to change is that those billing numbers need to be accessible on a website.

Currently, to answer that question would require about 15 volumes at 2000 pages per

If people knew the reality of how that happens, their heads would explode.

Sent from my SM-S928U using Tapatalk

All scams are purposely confusing and hard to follow.
I'm interested to hear who you think you is doing the scamming

Sent from my SM-S928U using Tapatalk

Pretty much everyone involved with it on every side. A CT scan for example does not cost a hospital more to perform on a self pay patient vs a Medicare patient vs a Medicaid patient vs a private insurance patient. However, what they will try to get compensated for in all 4 of those situations is wildly different. Everyone is trying to scam everyone, and everyone knows it's a complete scam except for the patient.
02-26-2025 04:18 PM
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GoodOwl Online
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RE: Trump requires all healthcare providers, insurers to publicly disclose costs of servi
(02-26-2025 03:23 PM)b0ndsj0ns Wrote:  
(02-26-2025 02:47 PM)GoodOwl Wrote:  
(02-26-2025 01:25 PM)b0ndsj0ns Wrote:  That's nice and all, but what are you going to tell the ambulance driver to take me to the next hospital if you don't like the prices displayed?

if you can shop around for taxis, ubers, lyfts and limos, you can shop around for ambulances unless you don't think you have time...it's your choice. Not all ambulance rides are time critical, in fact a sizeable portion are not. Anyway, it should be up to you if you want to shop around.

As far as price transparency, were you aware that foot x-rays can vary from provider to provider from $43 for 3 to $2,000 for just one? Years ago, I shopped around when needing one, against the horror of some of my friends, and got the same service for $43 that some wanted to charge me over $1,000 for. Since I had to wait for the swelling to go down a bit anyway, I got on the phone. Many provider office personnel who answered my calls had NO Idea what their prices were for an X-ray, and worse, most did not even know how to find out what they charged!

Imagine going to an auto repair place and them telling you: "We have no idea what it will cost for your oil change, and you'll have to wait a month or two to find out afterwards. Meantime, it could be anywhere between $35 and $3,000... So sign here that you agree tpay whatever the he77 we say and we'll get started...what a bunch of BS the entire Medical SCAM Industry has been since the mid-1960s. It's time to get rid of the greed and graft and let the medical CONSUMERS--the patients decide what the prices they want to pay are, NOT the "Insurance (read: non-health medical Scam companies) and not what the providers (skilled in medicine, but scammers and frauds in business) or the gub'mint (useless and superfluous) says.

And the biggest area in the economy ripe for massive layoffs and downsizing: Medical "administration" i.e. the most wasteful and useless jobs in Amercia, even including government, and that's really sayin' someting!

Artist: Bananarama and Fun Boy Three
Song: "Really Sayin' Something"




I don't think this is a bad idea, and for routine/non life threatening things having extremely transparent pricing for scans/blood work/if they have to give you oral pain meds/etc would be great. However, deciding on what you need in healthcare ain't like deciding if you need to buy a new consumer product or not, where you can just shop around and if you don't like the price anywhere you can do without. There's a whole bunch of cases where "doing without" equals death. Price transparency could be helpful in the areas where it's more elective what you need, but that's not usually the type of stuff that gives you the send you into bankruptcy type of bills. That's going to be getting cancer, getting into a serious car accident where you have to spend time in the ICU, having a pregnancy complication where you have to deliver early and your baby has to stay in the NICU. Knowing those prices doesn't change the decision you have to make, because there is no decision you are desperate.

I'll agree and disagree here. There is more than one provider for things like cancer, MS, Diabetes, Cerebral Palsy, TB, et cetera.... You can and should shop around for treatments and that includes pricing. It should be up to you to decide what is most important. Now, I'll agree, if you have something acute and immediate like massive hemorrhage, gunshot wound, cut your foot off, then you will have to go to nearest place immediately....same as if your car is overheating due to radiator on a remote highway you won't have much choice to get ti fixed, especially if you're on a trip and your car is loaded with your stuff. The concepts for when it is more or less appropriate to include price at the top of your concerns are quite similar...the lie the Medical Industrial Complex WANTS you to believe is that they are somehow different to every other consumer decision you make, and that of course is complete nonsense (but they spend billions of your taxpayer dollars telling you otherwise to keep their racquet going and pocketing YOUR money for nothing.) People are quite used to discerning which decisions are critical and call for immediate action regardless of price in every other area of life...medical is no different.
02-26-2025 05:09 PM
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maximus Offline
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Post: #15
RE: Trump requires all healthcare providers, insurers to publicly disclose costs of servi
(02-26-2025 04:18 PM)b0ndsj0ns Wrote:  
(02-26-2025 04:04 PM)maximus Wrote:  
(02-26-2025 03:52 PM)b0ndsj0ns Wrote:  
(02-26-2025 03:47 PM)maximus Wrote:  
(02-26-2025 03:20 PM)bullet Wrote:  How do healthcare providers bill?

All that needs to change is that those billing numbers need to be accessible on a website.

Currently, to answer that question would require about 15 volumes at 2000 pages per

If people knew the reality of how that happens, their heads would explode.

Sent from my SM-S928U using Tapatalk

All scams are purposely confusing and hard to follow.
I'm interested to hear who you think you is doing the scamming

Sent from my SM-S928U using Tapatalk

Pretty much everyone involved with it on every side. A CT scan for example does not cost a hospital more to perform on a self pay patient vs a Medicare patient vs a Medicaid patient vs a private insurance patient. However, what they will try to get compensated for in all 4 of those situations is wildly different. Everyone is trying to scam everyone, and everyone knows it's a complete scam except for the patient.
Providers / healthcare orgs don't set the rates of what Medicare or medicaid pay... they do based on a host of variables.

Self pay rates are set by providers of care and can be negotiated down and often are, but they are normally higher than M&M because those programs pay sheeat. The kicker, if a patient really wants to see a provider and that provider doesn't take the loss of M&M they can't negotiate a self pay rate (only if M&M doesn't cover the service). So much for choice allowed by the government.

Providers and private insurers negotiate rates on a host of variables, including the market they are in. The admin fees and hands those charges touch to actually loop back around to payment to the provider are insane. A procedure that is charged out at 1k comes back around, and you might net $250 after all is said and done.

I go back to the question I asked. The answer is obviously no. Guess who contributes the most to the absolute administrative debacle that healthcare had become.... the government. They are not the solution, they are the problem.

Just like in education, the admin ratios have steadily become more lopsided, and it's for the same reason, government regulations that require a new warm body shuffling paper to meet said regulation.



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02-26-2025 05:49 PM
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Post: #16
RE: Trump requires all healthcare providers, insurers to publicly disclose costs of servi
(02-26-2025 03:47 PM)maximus Wrote:  
(02-26-2025 03:20 PM)bullet Wrote:  
(02-26-2025 02:57 PM)maximus Wrote:  I like the concept

But the amount of variables across the country and in certain markets to come up with that cost is sometimes literally a guess.

What needs to happen is incentivization of health insurers and health providers to work together in the coordination of the care of the covered lives and cohorts they serve.

I've been involved in several projects, involved with one as we speak, that is a collaboration between healthcare organization and healthcare insurer and its producing lower costs and higher quality care.

More of this will drive down costs where this isn't even needed.

Believe it or not, this causes a fairly large administrative burden to produce and meet this EO.... and maintain it. These aren't cheeseburger prices we are talking about.

100% for transparency but somewhat putting the cart before the horse on this one.





Sent from my SM-S928U using Tapatalk

How do healthcare providers bill?

All that needs to change is that those billing numbers need to be accessible on a website.

Currently, to answer that question would require about 15 volumes at 2000 pages per

If people knew the reality of how that happens, their heads would explode.

Sent from my SM-S928U using Tapatalk
Its really pretty simple. They enter a procedure code, the payee (medicare/private pay/insurance co. X, etc.) and then it generates the bill.

That database can then be reproduced on their website to find a price.
02-26-2025 06:01 PM
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Redbanksdog Offline
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Post: #17
RE: Trump requires all healthcare providers, insurers to publicly disclose costs of servi
(02-26-2025 04:18 PM)b0ndsj0ns Wrote:  
(02-26-2025 04:04 PM)maximus Wrote:  
(02-26-2025 03:52 PM)b0ndsj0ns Wrote:  
(02-26-2025 03:47 PM)maximus Wrote:  
(02-26-2025 03:20 PM)bullet Wrote:  How do healthcare providers bill?

All that needs to change is that those billing numbers need to be accessible on a website.

Currently, to answer that question would require about 15 volumes at 2000 pages per

If people knew the reality of how that happens, their heads would explode.

Sent from my SM-S928U using Tapatalk

All scams are purposely confusing and hard to follow.
I'm interested to hear who you think you is doing the scamming

Sent from my SM-S928U using Tapatalk

Pretty much everyone involved with it on every side. A CT scan for example does not cost a hospital more to perform on a self pay patient vs a Medicare patient vs a Medicaid patient vs a private insurance patient. However, what they will try to get compensated for in all 4 of those situations is wildly different. Everyone is trying to scam everyone, and everyone knows it's a complete scam except for the patient.

I hear you about the CT scan. It was a few years ago my brother wanted a CT scan after his gallbladder was removed. He had one done at some place and it only cost him a little over $500.00 cash. Now I had to go to the hospital a little over two years ago. They did a CT scan on me. When I saw the bill I couldn't believe it, they charged about $15,000.00 for that scan. Both scans were from the bottom of the neck to the waist line.
Now someone explain to me the reason for the gap between $500.00 and $15,000.00.

I forgot to mention medicare paid for most or all for the scan for me.
(This post was last modified: 02-26-2025 06:30 PM by Redbanksdog.)
02-26-2025 06:18 PM
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maximus Offline
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Post: #18
RE: Trump requires all healthcare providers, insurers to publicly disclose costs of servi
(02-26-2025 06:01 PM)bullet Wrote:  
(02-26-2025 03:47 PM)maximus Wrote:  
(02-26-2025 03:20 PM)bullet Wrote:  
(02-26-2025 02:57 PM)maximus Wrote:  I like the concept

But the amount of variables across the country and in certain markets to come up with that cost is sometimes literally a guess.

What needs to happen is incentivization of health insurers and health providers to work together in the coordination of the care of the covered lives and cohorts they serve.

I've been involved in several projects, involved with one as we speak, that is a collaboration between healthcare organization and healthcare insurer and its producing lower costs and higher quality care.

More of this will drive down costs where this isn't even needed.

Believe it or not, this causes a fairly large administrative burden to produce and meet this EO.... and maintain it. These aren't cheeseburger prices we are talking about.

100% for transparency but somewhat putting the cart before the horse on this one.





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How do healthcare providers bill?

All that needs to change is that those billing numbers need to be accessible on a website.

Currently, to answer that question would require about 15 volumes at 2000 pages per

If people knew the reality of how that happens, their heads would explode.

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Its really pretty simple. They enter a procedure code, the payee (medicare/private pay/insurance co. X, etc.) and then it generates the bill.

That database can then be reproduced on their website to find a price.
Healthcare organizations are already required to do this under the 21st century cures act....if they don't, you can file a complaint they aren't, they can get in big doodooo

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02-26-2025 07:58 PM
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maximus Offline
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Post: #19
RE: Trump requires all healthcare providers, insurers to publicly disclose costs of servi
(02-26-2025 06:18 PM)Redbanksdog Wrote:  
(02-26-2025 04:18 PM)b0ndsj0ns Wrote:  
(02-26-2025 04:04 PM)maximus Wrote:  
(02-26-2025 03:52 PM)b0ndsj0ns Wrote:  
(02-26-2025 03:47 PM)maximus Wrote:  Currently, to answer that question would require about 15 volumes at 2000 pages per

If people knew the reality of how that happens, their heads would explode.

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All scams are purposely confusing and hard to follow.
I'm interested to hear who you think you is doing the scamming

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Pretty much everyone involved with it on every side. A CT scan for example does not cost a hospital more to perform on a self pay patient vs a Medicare patient vs a Medicaid patient vs a private insurance patient. However, what they will try to get compensated for in all 4 of those situations is wildly different. Everyone is trying to scam everyone, and everyone knows it's a complete scam except for the patient.

I hear you about the CT scan. It was a few years ago my brother wanted a CT scan after his gallbladder was removed. He had one done at some place and it only cost him a little over $500.00 cash. Now I had to go to the hospital a little over two years ago. They did a CT scan on me. When I saw the bill I couldn't believe it, they charged about $15,000.00 for that scan. Both scans were from the bottom of the neck to the waist line.
Now someone explain to me the reason for the gap between $500.00 and $15,000.00.

I forgot to mention medicare paid for most or all for the scan for me.
A lot of variables

Type of insurance plan and where deductibles stood at the time, type of CT, outpatient vs admitted, and about 50 others

And that's the problem. The regulatory environment makes things so convoluted it makes more than good guesses...impossible.

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02-26-2025 08:02 PM
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Redbanksdog Offline
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Post: #20
RE: Trump requires all healthcare providers, insurers to publicly disclose costs of servi
(02-26-2025 08:02 PM)maximus Wrote:  
(02-26-2025 06:18 PM)Redbanksdog Wrote:  
(02-26-2025 04:18 PM)b0ndsj0ns Wrote:  
(02-26-2025 04:04 PM)maximus Wrote:  
(02-26-2025 03:52 PM)b0ndsj0ns Wrote:  All scams are purposely confusing and hard to follow.
I'm interested to hear who you think you is doing the scamming

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Pretty much everyone involved with it on every side. A CT scan for example does not cost a hospital more to perform on a self pay patient vs a Medicare patient vs a Medicaid patient vs a private insurance patient. However, what they will try to get compensated for in all 4 of those situations is wildly different. Everyone is trying to scam everyone, and everyone knows it's a complete scam except for the patient.

I hear you about the CT scan. It was a few years ago my brother wanted a CT scan after his gallbladder was removed. He had one done at some place and it only cost him a little over $500.00 cash. Now I had to go to the hospital a little over two years ago. They did a CT scan on me. When I saw the bill I couldn't believe it, they charged about $15,000.00 for that scan. Both scans were from the bottom of the neck to the waist line.
Now someone explain to me the reason for the gap between $500.00 and $15,000.00.

I forgot to mention medicare paid for most or all for the scan for me.
A lot of variables

Type of insurance plan and where deductibles stood at the time, type of CT, outpatient vs admitted, and about 50 others

And that's the problem. The regulatory environment makes things so convoluted it makes more than good guesses...impossible.

Sent from my SM-S928U using Tapatalk

I guess I'm a little slow on understanding this. For the CT scan me and my brother had the same kind of scan just at different places. It's the big gap in the price for the same thing. 01-wingedeagle
02-27-2025 09:21 AM
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