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Category: Health Economics & Costs

Why a Telephone Consult is Billed as a Hospital Visit

Posted on April 4, 2023 by Devon Herrick

I have often told the story about the time my wife unknowingly tried to schedule a CT scan at a nearby hospital outpatient department. As luck would have it, prior authorization is all that saved us from a huge bill, of which her share was going to be $2,700. I quickly found a free-standing radiology clinic that had a contract with Blue Cross Blue Shield (BCBS) of Texas for $403. Oddly enough, BCBS was willing to approve a scan at either facility. Nobody called her to explain the huge mistake she was about to make by getting a diagnostic scan at a hospital-owned facility. Here is the thing: Health insurers, Medicare and Medicaid pay hospitals higher prices for the same services that are available elsewhere for a fraction of the cost. Neither do payers alert patients that cheaper alternatives exist.

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Tuesday Links

Posted on April 4, 2023 by John C. Goodman
  • Tyler Cowen: Against banning TikTok.
  • JAMA meta study analyzing 107 other studies debunks alcohol’s health benefits.
  • Study: people who get free money are less likely to work.
  • Sweden was the one country that refused to lock down during the pandemic. The result: it has the lowest excess deaths in all of Europe.
  • Health Affairs Study: Medicare Advantage plans record of limit discretionary utilization while delivering higher-quality care than traditional Medicare – but the difference has narrowed.
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Monday Links

Posted on April 3, 2023April 4, 2023 by John C. Goodman
  • Trustees: Social Security to run out in 2033; Medicare runs out in 2031.
  • The earth’s population just passed 8 billion. Why some scholars think that’s good.
  • Awards for dysfunction in health care.
  • Judge: Obamacare preventive medicine freebies are out: Five things to know. Why the mandates were a waste of money anyway.
  • What preventive procedures would patients pay for with their own money?
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Equal Occupational Fatality Day

Posted on April 2, 2023 by John C. Goodman

“Equal Pay Day” calculates how much longer women must work going into this year, to earn what men earned last year, on the average. It occurred on March 14 this year, and was highlighted in Washington, D.C. with the usual liberal fanfare.

Naturally, the calculation ignores the fact that men and women work in very different occupations.

To demonstrate how much that matters, American Enterprise Institute scholar Mark Perry has calculated how many more years women would have to work in their selected occupations before they achieve the same death rate that men endured last year.

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For many years, our health care blog was the only free enterprise health policy blog on the internet. Then, when the NCPA closed its doors, the health blog stopped as well.

During this five-year hiatus no one else has come forward to claim the space. So, my colleagues and I have decided to restart the blog in connection with the Goodman Institute. We invite you and others to use this forum to share your views.

John C. Goodman,

Visit www.goodmaninstitute.org

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