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Aug 24, 2016
10:04
:16
pm
Zlaty Bazant
Walk-on
Tort reform and...
Loser pays in medical malpractice suits
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Zlaty Bazant
Previous username
yootie'ntheblufish
New username
A Man in Full
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Zlaty Bazant
Joined
Jun 1, 2009
Last login
Oct 17, 2016
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Messages
Author
Time
Most effective to decrease healthcare costs?
conetah
8/24/16 10:02pm
Mandatory weight limits
RC Vikings
8/24/16 10:04pm
Tort reform and...
Zlaty Bazant
8/24/16 10:04pm
Medical malpractice costs are down 27% while health care costs are up 64%
BIG XII Coug
8/24/16 11:01pm
What about the costs of the threat of malpractice claims (malpractice insurance)
BYU '80
8/24/16 11:06pm
What are you talking about?
BIG XII Coug
8/24/16 11:20pm
Was that figure included? Doctors pay those costs and it factors
BYU '80
8/24/16 11:25pm
Up front menu costs of all procedures.
tebowned
8/24/16 10:04pm
This. Everything else in life has a price tag when you buy it, why not HC?
ballen
8/24/16 10:06pm
Because health care is complex and unpredictable
Littlerich
8/24/16 10:12pm
True, but I don't see why it would be impossible for a doctor to say, "That X-
ballen
8/24/16 10:15pm
some transparency can happen but it would take a lot of changes to get there
Littlerich
8/24/16 10:19pm
I know it is more complex, but why can my mechanic tell me how much it costs to
ballen
8/24/16 10:23pm
Because the Doctor doesn't know how much it costs.
Littlerich
8/24/16 10:25pm
That just seems insane to me. Why not have a set price and insurance agrees to
ballen
8/24/16 10:30pm
Good question
Littlerich
8/24/16 10:43pm
There are set contractual prices
BYU '80
8/24/16 11:12pm
Hogwash. Whoever is in charge of the business side will know. You cannot have
Spine
8/25/16 12:35am
exactly
bald man
8/25/16 5:39am
which has nothing to do with the actual cost of running the xray machine.
bald man
8/25/16 5:39am
You should be more concerned over the markup for the radiator
BYU '80
8/24/16 11:08pm
I bet it is more than 100% markup.
bald man
8/25/16 5:40am
At least with the radiator I can call 5 different mechanics and get a quote
ballen
8/25/16 5:42am
are you a doctor?
conetah
8/24/16 10:18pm
Yep. I wish healthcare was less complicated, but outcomes are unpredictable
Littlerich
8/24/16 10:20pm
agreed.
conetah
8/24/16 10:24pm
See above, prices vary based upon the negotiated rates with insurance companies
Littlerich
8/24/16 10:26pm
That is how Medicare is starting to pay as we speak
BYU '80
8/24/16 11:14pm
bull honkey. don't bring outcome into a discussion about costs of set
bald man
8/25/16 5:46am
I wish it wasn't as complex at is, but the cost might be "set" but what they
Littlerich
8/25/16 6:07am
It's complex because of insurance. They know the cost to everything
bald man
8/25/16 5:37am
Exactly
Littlerich
8/25/16 6:08am
Sure its complex for certain procedures but it cannot be that tough.
conetah
8/24/16 10:20pm
Prices for individual things could be posted, but true bundled care will
Littlerich
8/24/16 10:21pm
what do you mean bundled care?
conetah
8/24/16 10:25pm
The govt wants to pay X dollars for a disease, no matter what happens.
Littlerich
8/24/16 10:29pm
It's actually the opposite. Doctors are insentivised to cure patients
Schultz is back
8/25/16 2:53pm
And that sounds great in theory, but medicine isn't that simple.
Littlerich
8/26/16 6:04am
I work in the business side of healthcare, and I can tell you
Schultz is back
8/26/16 8:29am
Bingo. there is no secret to fixing costs to things.
bald man
8/26/16 9:53am
Sure we can make individual costs transparent, but it will be difficult to
Littlerich
8/26/16 10:22am
No, not really. Every cost is known. Every step to diagnose a disease and then
bald man
8/26/16 10:31am
The costs might be know for individual steps, the unknown is how many steps it
Littlerich
8/28/16 12:42pm
You aren't familiar with medical coding or bundled payments are you?
BYU '80
8/24/16 11:14pm
<< Deleted >>
Littlerich
8/24/16 10:11pm
FWIW here is an article about a surgery center that started to do this.
conetah
8/24/16 11:32pm
This is a great model for low risk patients with outpatient procedures
Littlerich
8/25/16 6:09am
Right to die. Less end of life heroics. Incentives to living a healthy lifestyle/getting regular well checks/
SuperTank
8/24/16 10:05pm
I feel like this would just be a small drop in the bucket that would
conetah
8/24/16 10:27pm
I don't think so. Those aggressive cancer treatments, weeks in the hospital, etc
ballen
8/24/16 10:32pm
The last 3 months of a person's life account for like 50 percent of the total
I'mBatman
8/24/16 10:37pm
Dylan Thomas said it best.
friscokid
8/24/16 10:54pm
Correct. Lifestyle choices leading to acute illness
BYU '80
8/24/16 11:17pm
Disconnect health insurance from your employer. Make it more free market like
ballen
8/24/16 10:05pm
Not hardly. Employers make huge contributions towards the cost of employee
BYU '80
8/24/16 11:19pm
The problem is there is a HUGE tax advantage to the employer paying directly
Spine
8/25/16 12:39am
Agreed
BYU '80
8/25/16 6:32am
Employers could still contribute money to employee's healthcare as a benefit
ballen
8/25/16 5:36am
Do you not understand how expensive health insurance is?
bald man
8/25/16 5:49am
limit drug patents
CDV
8/24/16 10:05pm
I'm not sure we want to limit the incentive to improve drugs...
Lance71
8/24/16 10:38pm
I'm sure that the abuse of the current system is ridiculous and that we can
CDV
8/25/16 7:44am
what is your plan?
Littlerich
8/25/16 7:51am
for starters, no extensions based on new uses. Most abused part of the system
CDV
8/25/16 7:59am
I am typically for strong patent application, But I agree with this "loophole"
Spine
8/25/16 9:59am
repeal any laws that prohibit importation of drugs from other countries
conetah
8/24/16 10:08pm
RE: repeal any laws that prohibit importation of drugs from other countries
conetah
8/24/16 11:18pm
Death squads
Littlerich
8/24/16 10:09pm
repeal laws that require new clinics to get approval of established area clinics
conetah
8/24/16 10:09pm
That's a thing? I didn't know.
JoMax
8/24/16 10:20pm
RE: That's a thing? I didn't know.
conetah
8/24/16 11:00pm
Remove farm subsidies and eliminate tariffs on produce. Make healthy eating
yahtzee
8/24/16 10:22pm
Work camps for the aged and infirm.
cdr88
8/24/16 10:30pm
Stuff that would work. Soda Tax. Fast Food Tax. Covering less life extending
jbonita
8/24/16 10:35pm
Most people would laugh at this but
I'mBatman
8/24/16 10:46pm
We have couple big problems 1. We are fat. 2. We aggressively extend life.
jbonita
8/24/16 10:50pm
it also takes toooo long for many new, effective procedures to become FDA
Littlerich
8/25/16 7:52am
Decoupling insurance from employers would have the opposite inpact
BYU '80
8/24/16 11:21pm
Complete uncoupling including a change to the way it is taxed.
jbonita
8/25/16 12:31am
I don't know what the answer is, but it's a big problem in our country.
So it goes...
8/24/16 10:42pm
Reduce government oversight on just about everything
slowhiteguy
8/24/16 10:43pm
Bingo. The administrative costs in healthcare are enormous
BYU '80
8/24/16 11:22pm
A couple of things that would GUARANTEE cost reductions
Pacino
8/24/16 10:46pm
#2 is a pipe dream unless payments structures
BYU '80
8/24/16 11:27pm
Incentives could certainly be different but it is the current insurance
Pacino
8/24/16 11:46pm
It's the anti-Obamacare. Certainly a better direction.
Spine
8/25/16 12:43am
1) allow healthy people to sell their kidneys (I'm not kidding)
toadie
8/24/16 10:57pm
Let Market Forces Work
Celeritas
8/24/16 11:08pm
People don't understand the healthcare market concepts well enough for
BYU '80
8/24/16 11:29pm
It's an "easy to say" solution which is hard to implement.
conetah
8/25/16 12:38am
Article I believe touches on a lot of good ways to cut costs.
conetah
8/24/16 11:43pm
Dr should prescribe celery more often than pharma. In reality many of their patients just need more celery.
HarlemCoug
8/25/16 5:09am
Allow nurses to do more. Have Dr's do less.
HarlemCoug
8/25/16 5:10am
???
Littlerich
8/25/16 6:39am
Limit the number of different plans an insurer can offer. Doctors have almost as
bald man
8/25/16 5:35am
Or change it so the insurance pays the individual X amount for issues, and the
Spine
8/25/16 10:04am
Here is a real problem with that approach
bald man
8/25/16 10:14am
You example would definitely happen. There is no panacea, but over all costs
Spine
8/25/16 11:19am
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