From the previous post’s first link:
The hope is that patients will begin to “shop around” for cheaper drugs, tests, and physicians who charge less for regular office visits.
Who knows what area doctors, hospitals, and pharmacies charge? We can comparsion shop by price and quality for cars, homes, clothes, electronics, etc. We have rating sites for many items. AND we have time to decide before we purchase. NOT SO WITH INDIVIDUAL MEDICAL SERVICES. Or am I missing something?
My wife and I are in an HMO. Our large employer negotiates the best rates it can each year with several medical providers and we get to choose a provider for the coming year based on our satisfaction with our provider in the current year. Our employer pays 80% and we pay 20% (roughly $8,000/$2000 for two per year) plus a $15 co-pay per visit and $5 co-pay per drug. We can call the advice nurse and often avoid a doctor visit. There are cheaper and more expensive providers available to us and we could pay more or less. But we like our provider and have been there 20 years.
As for HSAs - I heard that a hip replacement cost $200,000. I know that in 1995 it cost my mother $2,000 A DAY to be in the hospital plus doctor & meds and tests, etc. Doesn’t seem that HSAs will cover it.
Group insurance is based on ALL paying and SOME using. Small employers should be allowed to ban together (by industry or local area) to negotiate lower premiums. The premium split is then negotiated between employer and workers or their representative. Better coverage attracts and keeps better employees.
I think providers should be required to advertise their fees and outcome rates. I think the providers should justify fee increases to a public oversight board especially when they exceed the area Cost of Living.