"Hospitals complaining about the loss in revenue since Americans no longer go to the ER for a sniffle"
Hospitals and Pharmaceuticals may have some legitimate issues somewhere, but we’ve recently seen two that definitely aren’t.
Hospitals complaining about the loss in revenue since Americans no longer go to the ER for a sniffle?
Pharmaceuticals complaining about high deductible health plans, because now consumers, instead of insurance, are expected to pay their exorbitant prices?
Novo Nordisk, the Danish company known best for its diabetes care products, is funding a backlash against insurance companies "cost--shifting...to patients," trying to keep the spotlight off of their high prices?
The good news here is that getting more Americans insured and giving them the wheel with consumer-driven, high-deductible health plans is getting results!
Poof! CDHPs are pulling back the curtain on the provider/pharmaceutical wizards, and exposing pricing that consumers will not tolerate. Health care providers and pharmaceuticals now must deal directly with consumers, instead of hiding behind insurance carriers — who have been voices in the wilderness about unsustainable health care costs — until now.
We’re not saying insurance carriers are lily white in the scheme of things. Insurance carriers have had their own bag of tricks. Hopefully, the gig is up for them, too!
We believe it will be, if we can continue down the consumer-driven path.
Look how quickly consumers started hollering at their representatives in Congress to DO something, and wa! la! investigations and hearings abound!
Of course, we believe more in consumers’ and business’ ability to swiftly turn this ship around then in Congress. Less government involvement, more free enterprise is the most elegantly simple solution!
Do the hospitals and pharmaceuticals have any idea how they sound?
Hospitals identified inappropriate ER visits by uninsured Americans as a big factor in defending their high cost of health care — as they raked it in! Now, that it’s being fixed, they’re complaining about the loss of those ill-gotten gains. Actually, KevinMD predicts it’s lose the fat time, and that one-third of hospitals will close by 2020. Hopefully, lean, quality health care providers will be all that is left.
Pharmaceuticals haven’t even really ever had to address the skyrocketing costs of their drugs in any significant way, when only the insurance carriers (and employers) were complaining. What did employees care — insurance and their employer paid for it.
Now, facing the consumer having to reach into their pocket, pharmaceuticals have no where to hide — and no plausible explanation!
Makes me think of an interview with a pharmaceutical rep I heard on the radio (believe it was NPR). I’m afraid I didn’t catch the name of the program or the people. The host was relentless in coming back around every time and asking the question again when the rep. tried to weasel out of a direct answer to why the drug prices were so high, and how they could justify $$$$% increases. The rep. kept responding “discounts,” that no one actually pays those prices because of the discounts they offer the insurance companies. Huh? The gig is up! Consumers are not going to play that silly game with pharmaceuticals and insurance carriers ought be heaving a sigh of relief, though we’re sure there is still a ways to go.
"Pharmaceuticals complaining about high deductible health plans, because now consumers, instead of insurance, are expected to pay their exorbitant prices"
FILL THE GAPS
With transparency starting to happen, someone needs to shout from the rooftops to let consumers know they need to focus on unsustainable prices, not going back to letting high prices hide behind first dollar insurance. That's one big reason we got to $3 trillion dollars in the first place. If it has to be me, so be it!
But it is true that consumers have something to holler about. There is one potential train wreck on the very near horizon in all of this. High deductibles may be putting consumers in the driver’s seat, but consumers don’t have the money to pay the high deductibles. The result? They are not seeking medical care.
In fact, many say their high deductible makes their health insurance all but useless.
The fix? As Americans transition to that kind of savings, (if they can), gap insurance is a necessity. An HSA is fine, and the tax break is great — but that is not going to magically create more savings. If consumers don’t have it, they just don’t have it!
It is vital to pair CDHPs with either voluntary insurance that consumers pay for, which is a lot cheaper than a $6,000 deductible, or supplementary insurance that employers decide to pay for, or a blend of the two.
We’re on the right track! Make sure your employees are able to fill in the gap, then, as Dory said in Finding Nemo, we need to “just keep swimming!”
Let us know how we can help.
Alicia Caramenico, Fierce Healthcare, February 9, 2012
“Hospitals lose reimbursement for 'unnecessary' ER visits”
David Houle and Jonathan Fleece, KevinMD, March 14, 2012
“Why One-Third of Hospitals Will Close by 2020”
Harris Meyer, Modern Healthcare, December 3, 2015
“Drugmakers make valid point about insurers' role in high drug costs”
Lenny Bernstein, Washington Post, December 4, 2015
"New patient coalition aims to take on cost of health care, access to quality treatment"
Rene Letourneau, for HealthLeaders Media , November 25, 2015
“Red Flags for Hospitals in Medicaid Expansion States”
Robert Pear, New York Times, Nov. 14, 2015
“Many Say High Deductibles Make Their Health Law Insurance All but Useless”
Susan McBride, Randy Notes, Managed Healthcare, April 01, 2014
“Hospitals Must Mitigate ACA Revenue Loss”
Rylan Klaseen & Associates
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