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Shaggar
Apr 26, 2006

Citizen Tayne posted:

Also Shaggar is 100% right that it's providers, not insurers causing the problem.

sorry your insurance wont pay for $20,000 of unneeded imaging, heres the bill!

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triple sulk
Sep 17, 2014



https://www.doordash.com/jobs/

Just-In-Timeberlake
Aug 18, 2003

someone in that group picture really needs to take advantage of the gym membership perk

Luigi Thirty
Apr 30, 2006

Emergency confection port.

Shaggar posted:

sorry your insurance wont pay for $20,000 of unneeded imaging, heres the bill!

my mom was head nurse of a cardiology practice

when Obamacare happened the doctors all flew to DC to protest it, closed the practice for a week, gave her a phone script about how Obamacare death panels would kill people, and told her if she wanted to get paid for the week to start calling patients

they sold 6 months later because without the unnecessary procedures Medicare paid for the place was hilariously unprofitable, what with being next door to a hospital that everyone there used to work at before they decided they weren't making enough money

Endless Mike
Aug 13, 2003



i have a friend who works for nih implementing aca and she still hasn't told me how to sign up for death panel duty.

Cocoa Crispies
Jul 20, 2001

Vehicular Manslaughter!

Pillbug

Endless Mike posted:

i have a friend who works for nih implementing aca and she still hasn't told me how to sign up for death panel duty.

they'll probably just hire from insurance comapnies' existing death panels

Pittsburgh Fentanyl Cloud
Apr 7, 2003


Luigi Thirty posted:

my mom was head nurse of a cardiology practice

when Obamacare happened the doctors all flew to DC to protest it, closed the practice for a week, gave her a phone script about how Obamacare death panels would kill people, and told her if she wanted to get paid for the week to start calling patients

they sold 6 months later because without the unnecessary procedures Medicare paid for the place was hilariously unprofitable, what with being next door to a hospital that everyone there used to work at before they decided they weren't making enough money

Doctors expect to all be millionaires now.

The Medicare reimbursement numbers are probably the most thoroughly reviewed actuarial tables that have ever existed, and they take everything into account including depreciation of equipment and the cost to educate the people performing the procedure. Medicare reimburses cost plus whatever on top so the practice or provider makes some money.

If a doctor refuses to accept Medicare payments, stay far away because his practice is run like poo poo.

hobbesmaster
Jan 28, 2008

Shaggar posted:

sorry your insurance wont pay for $20,000 of unneeded imaging, heres the bill!

sorry i'm not a medical professional qualified to know what procedures are necessary and which are not

guess i'll just declare bankruptcy

Shifty Pony
Dec 28, 2004

Up ta somethin'


I kind of don't blame medical folks for splitting off because the hospitals understaff and under compensate all while overcharging the poo poo out of the patients.

gf used to work in a large specialty not for profit hospital and they kept demanding that she "evaluate" more and more categories of patients who showed no indication that they needed her services, increased her workload by 50% by not replacing another specialist who quit, and gave jack poo poo for raises. Oh and they would charge patients (or their insurance) hundreds for those brief evaluations when if you work it out it cost them $10 worth of her time. going to private practice would quadruple her income even with the private practice taking 50% to cover facilities, insurance, administrative staff, etc and with patients (or their insurance) getting 4-5x the time for less money.

Stringent
Dec 22, 2004


image text goes here
in Japan I pay about $4 for a consultation with a specialist. doctors' salaries are about on the level with any other professional trade. 6 figure salaries exist, but the vast majority are in the mid 5 figures.

Pittsburgh Fentanyl Cloud
Apr 7, 2003


Stringent posted:

in Japan I pay about $4 for a consultation with a specialist. doctors' salaries are about on the level with any other professional trade. 6 figure salaries exist, but the vast majority are in the mid 5 figures.

I paid $450 for my eye procedure. Insurance covered $30k. lol

Luigi Thirty
Apr 30, 2006

Emergency confection port.

Shifty Pony posted:

I kind of don't blame medical folks for splitting off because the hospitals understaff and under compensate all while overcharging the poo poo out of the patients.

gf used to work in a large specialty not for profit hospital and they kept demanding that she "evaluate" more and more categories of patients who showed no indication that they needed her services, increased her workload by 50% by not replacing another specialist who quit, and gave jack poo poo for raises. Oh and they would charge patients (or their insurance) hundreds for those brief evaluations when if you work it out it cost them $10 worth of her time. going to private practice would quadruple her income even with the private practice taking 50% to cover facilities, insurance, administrative staff, etc and with patients (or their insurance) getting 4-5x the time for less money.

on the other hand my mom makes the same she did at the hospital except she hasn't gotten a raise in 6 years and her boss was a meth addict who literally tried to get someone fired with false rape accusations when they found out before getting hauled out of the building by the police

Asymmetric POSTer
Aug 17, 2005

gently caress american hospitals forever

EVGA Longoria
Dec 25, 2005

Let's go exploring!

uhc shows all kinds of fun numbers on their web app

my sleep study was billed at $5,324. uhc's "plan discount" was for $3,707 so they still paid $1,617. (I paid $0)

also, the ENT is billing about $2,000 to interpret the results without even seeing me

healthcare is hosed

Stringent
Dec 22, 2004


image text goes here
I wish people would start focusing on getting more people into medicine. I'd rather have more doctors than more programmers.

Cocoa Crispies
Jul 20, 2001

Vehicular Manslaughter!

Pillbug

Stringent posted:

I wish people would start focusing on getting more people into medicine. I'd rather have more doctors than more programmers.

the doctor's guild works hard to prevent this

TerminalRaptor
Nov 6, 2012

Mostly Harmless

Stringent posted:

I wish people would start focusing on getting more people into medicine. I'd rather have more doctors than more programmers.

The medical field intentionally limits the supply of doctors.

E: Beaten

Stringent
Dec 22, 2004


image text goes here

Cocoa Crispies posted:

the doctor's guild works hard to prevent this

well yeah but so does the programmers'. how many doctors get asked to dissect frogs in interviews?

Jonny 290
May 5, 2005



[ASK] me about OS/2 Warp

pagancow posted:

leap bus ad is well shot and has helicopter shots. is pagancow approved
https://vimeo.com/122275278

*takes pains to show the only person of color is a blipster*

this is loving awful and I hope a fully loaded leap bus drives off your Precious GOlden Gate Bridge That All Your Uncreative Designers Use To Telegraph Hey This Is SF

Pittsburgh Fentanyl Cloud
Apr 7, 2003


EVGA Longoria posted:

uhc shows all kinds of fun numbers on their web app

my sleep study was billed at $5,324. uhc's "plan discount" was for $3,707 so they still paid $1,617. (I paid $0)

also, the ENT is billing about $2,000 to interpret the results without even seeing me

healthcare is hosed

The plan discount is the insurer's big value add.

example from my health plan:

Pathologist charges $300 to biopsy a sample from a colonoscopy
Insurance says "you're full of poo poo, we know it costs $71.82 to perform a tissue sample biopsy. we're negotiating $79 for that, 10% for your margin."
the pathologist takes that because he also knows $300 is horse poo poo. plan pays $71.10 and I get billed $7.90.

without the insurer to bat for me, I get billed $300 and eat poo poo.

hobbesmaster
Jan 28, 2008

Stringent posted:

well yeah but so does the programmers'. how many doctors get asked to dissect frogs in interviews?

when i worked with an anesthesiologist that did a lot of locums (temporary placements) what they did after the general background checking/interview was do one surgery with him before committing to a full contract

basically the moral of the story is become a doctor and get paid a couple grand per job interview

Jonny 290
May 5, 2005



[ASK] me about OS/2 Warp

Citizen Tayne posted:

The plan discount is the insurer's big value add.

example from my health plan:

Pathologist charges $300 to biopsy a sample from a colonoscopy
Insurance says "you're full of poo poo, we know it costs $71.82 to perform a tissue sample biopsy. we're negotiating $79 for that, 10% for your margin."
the pathologist takes that because he also knows $300 is horse poo poo. plan pays $71.10 and I get billed $7.90.

without the insurer to bat for me, I get billed $300 and eat poo poo.

thats cause the real cash value of that fake $300 debt is $7.89 after the actuaries are done with it

inflated bills are purely used as an oppressive tool on the lower classes. they mean nothing except "your life gets extra ruined, because you weren't smart enough to get rich first and get sick second"

preaching to choir w/e just had to

leftist heap
Feb 28, 2013

Fun Shoe
Holy lol at american health care.

Jonny 290
May 5, 2005



[ASK] me about OS/2 Warp

rrrrrrrrrrrt posted:

Holy lol at american health care.

my wife got sick and had to have her gallbladder out and i had to agree to a 65,000 surgery over a brief telephone call

Subjunctive
Sep 12, 2006

✨sparkle and shine✨

Stringent posted:

well yeah but so does the programmers'. how many doctors get asked to dissect frogs in interviews?

the programmers' guild is really loving bad at restricting entrance to the profession. I looked at an apartment the other day that's coming up for lease because two doctors are moving back to Denmark: they want to see patients, but getting re-accredited in the U.S. is a nightmare. you'll never see anything like that in software, I predict.

(if software did multi-year residencies, the interview process would indeed probably be different)

Pittsburgh Fentanyl Cloud
Apr 7, 2003


rrrrrrrrrrrt posted:

Holy lol at american health care.

the first thing they ask you when you go for anything is your insurance card or payment method.

Share Bear
Apr 27, 2004

there was an old visa ad where they were rushing a guy in a stretcher to an ER and before doing anything there's a pregnant pause where they swipe his credit card and it says APPROVED and then they get to work

i hope someone has this bookmarked

Share Bear
Apr 27, 2004

ah it was discover

http://adland.tv/commercials/discover-card-emergency-room-2001-030-usa

lmao

Luigi Thirty
Apr 30, 2006

Emergency confection port.

Share Bear posted:

there was an old visa ad where they were rushing a guy in a stretcher to an ER and before doing anything there's a pregnant pause where they swipe his credit card and it says APPROVED and then they get to work

i hope someone has this bookmarked

I only remember this because the intro to theme hospital is the same thing except the credit card says REJECTED and they dump him into a pit

computer parts
Nov 18, 2010

PLEASE CLAP

Stringent posted:

I wish people would start focusing on getting more people into medicine. I'd rather have more doctors than more programmers.

like 3/4 of the women I know are going to med school

the problem isn't interest

Endless Mike
Aug 13, 2003



i ended up in the er in new orleans and gave them my info and everything and paid my copay and thought everything was kosher. a bit over a year later, i get a bill from the doctor's billing company saying i owed $2000 for the visit. i called them up to learn my insurance had denied the charge, so i checked online and there was no record of it at all, which a phone call with insurance confirmed. looking closer, i realized the billing company had put in the wrong info - it wasn't even the same company, never mind account number (i assume someone with the same name had made their way through there), so i call back the billing company who fixes it. a few days later, my insurance company denies it since it wasn't submitted by the provider in time. i had to petition to overturn this and prove that it had been submitted incorrectly, which they accepted and paid, but ugh, what a pain in the rear end

Shifty Pony
Dec 28, 2004

Up ta somethin'


Citizen Tayne posted:

the first thing they ask you when you go for anything is your insurance card or payment method.

some hospitals got into poo poo because they had billing experts dressed up like the medical staff asking patients all sorts of questions to make the debt easier to collect.

also a new and exciting way for you to get screwed is for your hospital to be in network and covered by insurance but for the various doctors to not be. that way the facility charge and x-rays will be covered but a few weeks later you get a $10k bill for services from Dr. Fuckyou LLC for ordering and interpreting them.

Shifty Pony fucked around with this message at 17:12 on Mar 24, 2015

vodkat
Jun 30, 2012



cannot legally be sold as vodka

Shifty Pony posted:

some hospitals got into poo poo because they had billing experts dressed up like the medical staff asking patients all sorts of questions to make the debt easier to collect.

jfc, gently caress america :negative:

Jonny 290
May 5, 2005



[ASK] me about OS/2 Warp
if i ran a hospital i'd offer indigent patients 10% off their bill to act as a spy on their roommate for collection purposes. "so, you got any family? oh you live over on carnahan street? so nice there!"

Pittsburgh Fentanyl Cloud
Apr 7, 2003


computer parts posted:

like 3/4 of the women I know are going to med school

the problem isn't interest

Every loving college student in America is going to "med school" when they enroll dude

Shaggar
Apr 26, 2006

Cocoa Crispies posted:

the doctor's guild works hard to prevent this

unions + guilds are immoral

Main Paineframe
Oct 27, 2010

triple sulk posted:

it's always amazing when someone so smart can be such an idiot when it comes to social and economic policy

iirc there are a bunch of nobel prize winners and other brilliant scientists who went on to obsess over crackpot poo poo like aliens or psychic powers or death rays

being smart in one thing doesn't mean you're smart about everything

Stringent posted:

well yeah but so does the programmers'. how many doctors get asked to dissect frogs in interviews?

how many aspiring programmers get told they can't enroll in programming school this year because the number of people the programmer's guild allows to enter programming school each year has already been reached? the ama controls med schools and accreditation, so you can't even become a doctor without their say-so

Farmer Crack-Ass
Jan 2, 2001

this is me posting irl

Citizen Tayne posted:

Every loving college student in America is going to "med school" when they enroll dude

wrong

Asymmetric POSTer
Aug 17, 2005


lol

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Asymmetric POSTer
Aug 17, 2005

Main Paineframe posted:

how many aspiring programmers get told they can't enroll in programming school this year because the number of people the programmer's guild allows to enter programming school each year has already been reached? the ama controls med schools and accreditation, so you can't even become a doctor without their say-so

is it that straightforward?

there are a limited number of residency spots, and residency programs are funded in a large part by medicare

you can churn out as many med school students as you want but if there are not enough residency spots to take them theres no point

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