vpb: No surprise. Doctors jack up prices so they can offer the discounts that insurance companies demand.I suspect he is just charging the public what he would charge the insurance companies.
BarkingUnicorn: Indeed, a significant portion of a PCP's services (and his costs) is handling insurance companies on behalf of patients. Perhaps some geek will make that function as superfluous as travel agents or H&R Block.DIY insurance claims can't be any scarier than doing your own taxes, can it? Yeah, I know, most people do taxes just once a year. But still...
SlothB77: I have over $5000 sitting in my HSA investment account right now.
midigod: So he's admitting he's been overcharging his patients and the insurance companies?Well, at least he decided to start being honest.
Dejah: If I have insurance, I won't visit a doctor who doesn't accept it. Nice going on cutting charges by 50%, but the problem isn't insurance companies. It's hospitals.
flucto: I will have to do some digging but I think this practice is illegal under Obamacare.
Lord Dimwit: You know what else would save time and money in dealing with medical insurance? Single-payer.
Nonrepeating Rotating Binary: As long as he'll take chickens, pigs, zuccini, "services" etc as payment, I think we're good.
Zasteva: flucto: I will have to do some digging but I think this practice is illegal under Obamacare.Let us know what you find out. I for one would be *shocked* (no sarcasm) if that is true.Obamacare is focused on reducing costs by regulating the health insurance industry, not regulating doctors.
Bendal: My old doctor did this. She charged a flat fee of $100 for each visit, but she would take as long as necessary with each patient to deal with whatever they needed taken care of. Follow up visits, if within a week or so, she waived the fee. Lab work was still processed through insurance though since it was just her and her receptionist (who doubled as the 'take your BP and temp' nurse). She's the one that detected my prostate cancer before it spread, and if it wasn't that she practices 20+ miles from my house I'd still keep her as my GP.
scanman61: midigod: So he's admitting he's been overcharging his patients and the insurance companies?Well, at least he decided to start being honest.No, he's admitting that a significant part of his office staffing costs was dealing with insurance BS. SInce he's not doing that anymore he doesn't have to pay for office staff.
Dinki: He's a GP. The vast majority of large medical expenses are for specialists, surgical or diagnostic procedures, and prescriptions. So his patients would still have to carry insurance.
sycraft: Insurance companies are no small part of the problem. They add a lot of overhead with stupid shiat but also force stupid pricing. If you've ever looked over the stuff they send you, you'll see something like "Visit cost: $200 Negotiated Discount: $90." What they are saying is your doctor charged them $200, but they only paid out $90. Now clearly, if what you had done cost $200, that wouldn't be sustainable. What goes on is doctors have to inflate their prices to get the insurance companies to pay what they actually need. The problem is that the doctors then have to charge the full amount to cash patients. If they don't, the insurance companies will come after them and pay them even less.
Z1P2: Dinki: He's a GP. The vast majority of large medical expenses are for specialists, surgical or diagnostic procedures, and prescriptions. So his patients would still have to carry insurance.Patients of his that have insurance simply file claims for his services themselves and so the patient gets reimbursed by the insurance company for what they paid the doctor. You didn't know that was possible, did you? Used to be the way insurance was done a long time ago. This whole doctor's office doing it themselves bit was only started recently actually, but probably still before you were born.
SlothB77: here's one way to get around it:get a high deductible insurance plan with an HSA. Put the money saved on health insurance premiums in the HSA. Make sure the high deductible plan covers everything or almost everything over a certain amount (say over $2500 or $5000) in the rare event you have some very expensive malady. Go to doctors like this for regular checkups and pay for it from money in your HSA. Use the high-deductible plan if you need a surgery or get cancer or something.I have over $5000 sitting in my HSA investment account right now.
CptnSpldng: scanman61: midigod: So he's admitting he's been overcharging his patients and the insurance companies?Well, at least he decided to start being honest.No, he's admitting that a significant part of his office staffing costs was dealing with insurance BS. SInce he's not doing that anymore he doesn't have to pay for office staff.And a couple more people lose a decent paycheck (and possibly health insurance as well). That's OK, they can stock shelves part-time in Walmart.
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