https://www.npr.org/sections/health-shots/2018/04/09/598794123/bill-of-the-month-a-tale-of-2-ct-scanners-one-richer-one-poorer “Hynden was shocked when he got the second CT scan in January, and the listed price was $8,897 — 33 times what he paid for the first test. Gulf Coast Medical Center is part of his Cigna insurance plan’s …
Category: Network Discounts
The Urban Myth of PPOs | LinkedIn
“Preferred Provider Organization (PPO) A type of health plan that contracts with medical providers, such as hospitals and doctors, to create a network of participating providers. You pay less if you use providers that belong to the plan’s network.” Oh …
Healthcare costs…time to rethink the calculus!
For anyone still laboring under the myth that insurance carriers are motivated to hold down costs in healthcare OR that health insurance is expensive BECAUSE health-care is expensive OR that insurance helps PROTECT us from high billed charges, consider the …
Improving Hospital Competition: A Key to Affordable Health Care
In 2011, James Robinson of the University of California reviewedhospital prices charged to commercial insurers for six common procedures: angioplasty, pacemaker insertion, knee replacement, hip replacement, lumbar fusion, and cervical fusion. He found that, on average, procedures cost 44 percent …
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A Brief History of the Free Market Healthcare Movement: A discussion with Jay Kempton & Dr. Keith Smith
by Megan Freedman – Editorial Manager, Free Market Healthcare Solutions magazine These names are, in many ways, synonymous with the current free market movement, and for good reason. These men are the mavericks of healthcare. When Dr. Smith and Mr. Kempton were …
Carrier Networks and the Cartel-ization of Healthcare
by Robert Nelson, MD When we have a situation, as we do in healthcare, where the networks have cornered the market and control the pipeline of patients, along with the magnitude & directional flow of money in the system, …
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Why the healthcare industry will eliminate PPO networks parts 1 and 2 | Michael (Mike) Dendy | Pulse | LinkedIn
Since PPOs make their revenues off access fees with absolutely no responsibility to screen claims for accuracy and since their market value is directly tied to the number of physicians and facilities they have inside their networks, employers and their …
