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    Misc

    Hospital Pricing: just won't go away, will it?

    April 4th, 2006

    hospitalpricingcartoon
    Source: Modern Healthcare, by Roger Schillerstrom

    Well, this hospital pricing thing obviously ain't going away. After the 60 minutes piece on the uninsured and pricing, AHA president lambasted the show. See his letter and CBS's response here. I'm no PR man, but I think CBS got the best of 'em.

    Meanwhile, ModernHealthcare is running a poll this week on pricing transparency. Looks like 65% of respondents believe "increased transparency, especially regarding pricing practices, is critical to solving the industry's cost problems. I find that statistic quite amazing. I assumed most would agree with Paul Ginsberg of HSC who posted this opinion on the Healthcare Blog. Essentially, pricing will increase comparison shopping, but less people will shop than we think because:
    (1) 10% of folks make up 70% of costs. and most of them won't be subject to financial incentives, so they won't be shopping too much.
    (2) lots of folks just won't have time to shop given healthcare's urgency
    (3) for a lot of services that would be very "shoppable" (e.g. a nose job), a face-to-face with the doc to get an estimate is necessary, adding too much work to shop
    (4) healthcare just isn't that simple; one size does not fit all; price ranges (very big ones) seem appropriate.
    (5) well, the cartoon above says it. oh, and one minor detail, what about quality of care?

    Don't get me wrong. I think all hospitals should:
    - be more transparent w/ pricing, mostly in regards to having a more consistent uninsured & discount policy
    - report charity care and bad debt consistently (HFMA is in the process of establishing an industry standard)
    - overall, pay more attention to community & have a compelling community benefit statement.

    As I said last time, hospital pricing will continue to rise to the forefront - the story is just too easy for the mass media to tell, and hospitals are too easy of a target. But come on, this whole pricing transparency thing - if folks want real results in healthcare reform, they're barking up the wrong tree here.

    Comments:

    Comment from: Marc [Visitor] · http://mlkashinsky.com
    I know it doesn't do much good preaching to the choir, but I thought I would comment anywaze.

    I have been saying that for ever, and posting the same things on a few other blogs. People just aren't going to shop around for health care.

    You only get one life, and it's not as easy to fix botched heart surgery, like you can fix a botched transmission repair job on your car. And you can't buy a new body once the other one is screwed up.

    In the case of my car, plumbing in my house, and my body, I'm not going to the lowest bidder. I'm only going to the best. I don't care about the cost. And I don't know anybody who would.
    Permalink 04/04/06 @ 17:43
    Comment from: Peter [Visitor]
    I agree that shopping for healthcare is not like shopping for groceries, people, especially those with insurance, will choose on location and some sort of gut feeling not based on anything related to the facts. But pricing tranparency brings HONESTY to the healthcare industry. Should the cost of healthcare depend on how good a negotiator you are with the hospital as you would negotiate ,the price you pay for a car, or if your story appears on 60 Minutes? Why should different people pay different prices for the same service, especially when many people find themselves in hospital not through choice and with no insurance. Do hospitals want to be in the same cataogory as loan sharks or the pay-day lending industry?
    Permalink 04/07/06 @ 07:52
    Comment from: David Lugg [Visitor]
    The link to the industry standard for reporting charity care is 'broken' - you get a page not found error.
    Permalink 04/10/06 @ 10:43
    Comment from: hospitaltony [Member]
    thanks for the catch - I just fixed it. HFMA released their new website this past weekend, so some links were changed. should be working now.
    Permalink 04/10/06 @ 10:54
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    Hospital facilities built today do not include asbestos, but many older buildings still have asbestos components in them. Steam pipes, boilers and furnace ducts were often insulated with an asbestos blanket or asbestos paper tape because of their fireproof and insulating properties. Resilient floor tiles were made from vinyl asbestos. Asbestos cement was employed in roofing, shingles and siding materials. The hazard of this carcinogen increases when the fibers become airborne, and untrained contractors can inadvertently increase risks by cutting, tearing, sawing, scraping, or sanding asbestos materials. Elevated asbestos levels can occur in hospitals where old materials are damaged or disturbed. It is best to leave undamaged asbestos material alone if it is not likely to be disturbed. Inhaling asbestos fibers is known to cause mesothelioma and other diseases. Be sure to use an experienced asbestos removal contractor when you need to get rid of old materials that might contain asbestos.