Posted in Access to healthcare, advance-pricing, Affordable Care Act (ObamaCare), CPT billing, Economic Issues, Health Insurance, Healthcare financing, medical inflation, Medical Practice Models, out-of-pocket costs, Policy Issues, primary care, Uncategorized

Bastiat Society | Nashville

“Healthcare Economics 101: The Bubble is the Trouble” with Dr. Bob Nelson

ADS Security Nashville3001 Armory Dr #100, Nashville, TN 37204, USA map 

Join the Nashville chapter on November 30th at 6:00 pm for their last event of 2017.

Dr. Bob Nelson will give a talk on healthcare. The event is free and open to the public, but you are encouraged to register so that there will be enough refreshments.

About the speaker:

Dr. Robert (Bob) Nelson is the Publisher and editor of The Sovereign Patient, a blog and information resource tool dedicated to Promoting Freedom in Healthcare Using the Power of Free-minds and Free-markets.

Dr. Nelson is a founding member and spokesperson for the Georgia Chapter of the Free Market Medical Association. The FMMA is a non-partisan association that provides resources, support and education to members and to the public about the free market movement and why it is important.

He has authored of over 50 articles and essays focusing on the consequences of unwise tax laws, public policy and pricing failure which have contributed to our healthcare debacle, while proposing free-market solutions to bring down costs and improve access to care.

Dr. Nelson has spoken about healthcare economics and free-market healthcare principles to the Bastiat Society of Charleston, SC. He had the privilege of addressing the 3rd Annual Palmetto Panel at Clemson University about the importance of healthcare economic freedom within our Republic. Dr. Nelson also had the pleasure of speaking to medical students at the Philadelphia College of Medicine campus in Suwanee, Georgia about the role of Direct Primary Care.

He has been a guest on radio shows such as “Your Health Matters” 89.7 WGLS-FM, Doc Talk on WGST 640 in Atlanta and The Vince Coakley show on 103.6 FM in Greenville, SC.

Dr. Nelson received his M.D. degree at the Ohio State University College of Medicine in 1985. He is the Founder and Owner of Encompass Health Direct, in Cumming, GA; providing low-cost primary care for a flat monthly fee.

Bob lives with his wife, Tammy, in Cumming, GA.

Register Now!

Schedule:

6:00 pm Happy Hour
6:30 pm Speaker
7:00 pm Q&A

Continue reading “Bastiat Society | Nashville”

Posted in Access to healthcare, advance-pricing, Consumer-Driven Health Care, CPT billing, Economic Issues, Employer-Sponsored Health Plans, Free-Market, Health Insurance, Healthcare financing, Independent Physicians, Medical Costs, medical inflation, Patient Choice, Patient-centered Care, Policy Issues, Price Tansparency, Quality, third-party payments, Uncategorized

The Ten Free-Market Commandments to Restoring Financial Sanity in Healthcare | Robert Nelson, MD | Pulse | LinkedIn

Source: The Ten Free-Market Commandments to Restoring Financial Sanity in Healthcare | Robert Nelson, MD | Pulse | LinkedIn

Posted in Access to healthcare, advance-pricing, Affordable Care Act (ObamaCare), CPT billing, Economic Issues, Health Insurance, Healthcare financing, Individual Underwriting Standards, Insurance subsidies, Medical Costs, medical inflation, Policy Issues, Price Tansparency, Quotes from American Presidents, Self-Insured Companies, Self-Insured Plans, Subsidies, Uncategorized, Uninsured

PassionForSubro » Health Insurance is NOT Health Care

“Just as health insurance is not health care, so too health insurance reform is not health care reform.  Yet, because the ACA got so much press, and many previously uninsured individuals did secure insurance (giving us all the warm and fuzzies), the result was a nationwide misconception that affordable insurance equates with affordable health care. For many, ObamaCare is therefore viewed as a success because millions of uninsured Americans are now insured.

Yet, insurance isn’t a magical money-tree. Like a college student wielding his first credit card, a newly insured America forgets that “someone” has to pay, eventually.  What you buy – with your own money, or with insurance – and how much it costs, still matters.  Insurance just passes the buck – to other insureds, and to you, when the time comes to renew. It blows my mind.  People are involved in car accidents, get out of their vehicle, examine the minor damage, and agree NOT TO REPORT IT TO THEIR INSURANCE, because they DON’T WANT THEIR PREMIUM TO INCREASE! People actually choose to pay for car repairs out of pocket, because they fear insurance premium increases and want to save their insurance for “when they really need it.”  Yet, if we treated auto insurance the way we treat health insurance, we’d be outraged that insurance doesn’t pay for the air in my tires, or the dancing hula girl on my dashboard.”

Source: PassionForSubro » Health Insurance is NOT Health Care

Posted in Access to healthcare, advance-pricing, Affordable Care Act (ObamaCare), Consumer-Driven Health Care, CPT billing, Direct-Pay Medicine, Economic Issues, Employee Benefits, Employer-Sponsored Health Plans, Government Regulations, Health Insurance, Health Savings Accounts (HSA's), Healthcare financing, Individual Mandate, Individual Market, Individual ObamaCare Market, Individual Underwriting Standards, Insurance subsidies, Large group insurance market, Medicaid, medical inflation, Medical Practice Models, Patient Choice, Policy Issues, Portable Insurance, Pre-existing Conditions, Private Exchanges, Quality, Subsidies, Tax Policy, Uncategorized

A Path Towards a Viable Interstate Health Insurance Market | Robert Nelson, MD | Pulse | LinkedIn

Alternatives to our current over-priced and dysfunctional health insurance market are often biased, and thus limited, by our current operational and regulatory structure. These structures are so entrenched in our healthcare psyche that it makes it difficult sometimes to set these aside in our minds while entertaining how another approach might work.

If we view all alternative plans to replace the Affordable Care Act from the vantage point of “what is”, then there is little room for anything other than attempts at further regulating the problems away. If one presupposes that the current regulatory framework remains unchanged, indeed the same framework has served to suppress the very market we wish create, then of course that market will not be created.

The dilemma facing alternative healthcare plans being considered to replace the ACA is particularly evident when it comes to the issue of selling health insurance across state lines. A brief on this subject published by the American Academy of Actuaries in February of 2017 speaks to the the main challenges facing the advent of a viable interstate market for the sale of health insurance.

Source: A Path Towards a Viable Interstate Health Insurance Market | Robert Nelson, MD | Pulse | LinkedIn

Posted in Access to healthcare, advance-pricing, Affordable Care Act (ObamaCare), Consumer-Driven Health Care, CPT billing, Crony Capitalism, Deductibles, Economic Issues, Free-Market, Government Regulations, Health Insurance, Healthcare financing, Independent Physicians, Medical Costs, medical inflation, Medical Practice Models, out-of-pocket costs, Patient Choice, Patient-centered Care, Policy Issues, Price Tansparency, Quality, Re-Pricing Scams, Uncategorized

Great Moments in Healthcare Consolidation: The Hospital is Having a Sale! | Robert Nelson, MD | Pulse | LinkedIn

What does the price of gasoline and the price of a chest x-ray have in common? Not much really, except the price of both have gone up in the Atlanta area recently; but the former did so for expected reasons that are predicated on behavioral economics and the relationship of demand to price. The latter went up, well, because it could.

But the sticker shock that I’ve experience lately trying to find a price on a simple chest X-ray is not due to any shortages (either perceived or real) or any sudden increase in demand. Nor was it from a sudden increase in the cost of performing an X-ray or some phenomenal increase in quality that created a better image or less radiation exposure. Nope, none of the usual factors that go into predicting price behavior were at play.

Source: Great Moments in Healthcare Consolidation: The Hospital is Having a Sale! | Robert Nelson, MD | Pulse | LinkedIn

One of the best pieces I’ve read that exposes the real cost drivers in healthcare. Many of us have been shouting from the rooftops that the “villains” we implicate are just symptoms of a more fundamental poison in that is embedded in our third-party billing system and the cartel-like system it has created. Thanks to Dave Chase for putting the pieces together so clearly. Given the realities exposed here, we can no longer implicate something that has been virtually wholly absent from the healthcare economy which could have prevented this generational theft: A free market. 

The Sovereign Patient

Dave Chase
Dave Chase – Forbes contributor

Mike Dendy: I hear the talking heads on business TV (like CNBC) talk about stagnation of incomes for the middle class. Wrong. The additional money is there every year, it’s just going into a pool to pay for healthcare instead of into the pockets of the employees in the form of salary increases.

Americans overpay for healthcare by at least 30% and likely 50% in aggregate. For all intents and purposes, every employer in America gives every covered member on their healthcare plan a blank check every year and says….consume all the healthcare you want, anywhere you want, anytime you want, and never be concerned with or ask the price because it’s all paid for. Deductibles and co-pays are irrelevant, especially to hospitals, because pricing is so high it becomes somewhat immaterial.

Trillions Have Been Redistributed from the American Workforce to the Healthcare Industry Creating An Economic Depression for the Middle Class The Washington Post and Vox have done excellent reporting that shows U.S. spends so much more than other countries for one simple reason — price. The good news is that some […]

Source: Have PPO Networks Perpetrated The Greatest Heist In American History?

Have PPO Networks Perpetrated The Greatest Heist In American History?

Posted in Access to healthcare, Affordable Care Act (ObamaCare), CPT billing, Dependency, Economic Issues, Government Regulations, Government Spending, Healthcare financing, Insurance subsidies, Job loss, medical inflation, Policy Issues, Tax Policy, Uncategorized, Welfare State

The Perverse Economics of Obamacare: Earn Less, Get More | International Liberty

danmitchel
Dan Mitchell

The left-leaning San Francisco Chronicle has a financial advice column that inadvertently show how Obamacare discourages people from earning income.

To put it in even simpler terms, this couple has figured out that they can get almost $14,000 of other people’s money by reducing how much they earn by just $2,000.

That, in a nutshell, is the perfect illustration of the welfare state. It tells people that they can get more by producing less. And the system is based on the theory that there will always be some suckers who work hard to provide the subsidies.

Obamacare was put together by people who don’t understand economics. This is probably the understatement of the year since I could be referring to many features of the bad law. The higher tax…

Source: The Perverse Economics of Obamacare: Earn Less, Get More | International Liberty

Posted in Access to healthcare, advance-pricing, CPT billing, Deductibles, Direct-Pay Medicine, Economic Issues, Employee Benefits, Free-Market, Health Insurance, Healthcare financing, Medical Costs, Medical Practice Models, Medicare, Network Discounts, out-of-pocket costs, Patient Choice, Policy Issues, Price Tansparency, Uncategorized

Free The Patient – Forbes

257e412251dd752f730fd7cb60c52ee2
John C. Goodman

Who is likely to negotiate the lowest fee with a doctor, hospital or some other health care provider? The federal government? A large employer? An insurance company? Or, a patient spending her own money? Strange as it may seem, the answer is often the patient. One of the most persistent myths on […]

Canadians coming to the United States (and paying a cash price upfront) were paying almost half as much as US employers were paying and even less than the typical payment by Medicare. Think about that. These patients not only lacked a big bureaucracy to bargain on their behalf; they were foreigners.

The other factor is third party payment. After the deductibles and copayments are exhausted (which is almost immediately in the case of a knee replacement) the only payer is the third party. The incentive of the hospital is not to lower charges, but to raise them. In fact hospitals typically try to maximize against third-party payment formulas and they have sophisticated computer programs to help them do it.

An individual patient, paying with his own money and willing to travel to another city for care, is a different kind of buyer. If the hospital wants his patronage, it has strong incentives to compete on price.

This very large insurance company, representing tens of thousands of people and their very large employer (the state of California), achieved a remarkable reduction in costs by doing nothing more than sending patients into the hospital marketplace with the knowledge that the money they had to spend totaled no more than $30,000.

http://edge.quantserve.com/quant.js

Source: Free The Patient – Forbes

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