What Patients Deserve to Know: Even Casinos Post The Odds

[depakid]

Since millions of American patients face medical debt they didn't know they'd have - and many if not most of them purchased insurance to protect against that debt - it seems logical to me that patients should be fully informed up front of the financial risks they are taking on when they seek medical care. Doctors and others providers should publish and post in their offices their methods of debt collection and the numbers of patients they sue in an average practice year. They can put the disclosures of medical debt collection practices right next to the little signs that tell patients they must pay their co-pays prior to receiving medical care.

I shared the idea with my University of Chicago educated son, and he liked it. He said, "Even Vegas has to disclose the odds of winning." True enough. Even those who love the market economy like to know as much as possible about their financial entanglements before they enter them.

Disclosure. Disclosure. Disclosure. (Much like the old real estate advice - location, location, location.) Financial. Debt collection practices. Health condition outcomes.

So, along with the releases and privacy statements and risk assignment forms I must sign before I am accepted as a patient, providers should also publish their outcomes evidence as well. How am I to know if a given provider is just good buddies with the referring physicians or if they truly have a success record with the condition for which I require care?

I'd feel better about reform that promised those things than I do about a reform measure that simply forces me to purchase the defective financial product sold as private health insurance. Private health insurance is marketed to me to protect my health and wealth, and yet it may or may not do either. It's a crap shoot.

Did you know some medical providers in Pennsylvania go to what's known as "collectors' universities" to learn how to collect their medical debt from the families of deceased patients? They study two legal documents offered by the collection experts: the "Doctrine of Necessities" and "Collecting from the Deceased." Ouch. Imagine that after your loved one's for-profit private insurance company fails to pay all the bills when a child or spouse or parent dies. And Pennsylvania providers are no different than many others around the nation. Collecting medical debt is big, big business.

So regardless of what this Congress does or what this President celebrates in the Rose Garden framed by the billowing cherry blossoms, I'll still be slugging it out in the front offices of providers, at the admissions desks in hospitals and at the pharmacy counters to try to secure the care I need and pay for. Nothing has been done to improve my chances of getting what I bargained for as a patient. I am to accept on good faith what the providers secure as a legal guarantee from me.

More: http://www.commondreams.org/view/2010/03/09-6

Basic free market principles.

[Donnachaidh]

1. my surgeon actually told me what he was going to charge for a carpal tunnel

surgery beforehand and I have to admit, I was gobsmacked - because I'd NEVER had a doctor admit anything like that before. And no one since LOL.

[leftstreet]

2. K&R

[elehhhhna]

3. I'll see you that & raise you this:

also, the HC INSURANCE COMPANIES should post their data.

Not sure what all the data points should be but :


ANNUAL:

# of cancelled due to "pre-exsting"
# & type of procedures denied
SURVIVAL RATES for insureds w/ certain conditions
etc.

[depakid]

4. These ought to be posted side by side on the net on an official site.

[Joe the Liberal]

5. Perfeclty logical and reasonable suggestion, which is why it won't happen in a million years. n/t