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Originally Posted by ejfbmw
Yes, our insurance companies negotiate payment on our behalf, that is what we pay them to do for us.
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That is among the things they are paid to do, but it benefits them at least as much, and probably more, to get a good price.
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Originally Posted by ejfbmw
But what is the actual price charged by the provider for medical goods and services based on? What is driving the prices charged by the providers, and this included the pharmacals, for goods and services?
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RBRVS is the basis for determining prices, for the most part
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Originally Posted by ejfbmw
We now, by law have to buy medical insurance, and the insurance companies, by law, have to pay our medical bills. Then the insurance companies increase the price of medical insurance to cover payments for medical goods and services. But the real issue is the outrageous prices charged by medical providers for goods and services in the first place. Why is this not discussed? Why are the wages, benefits and perks enjoyed by the health care industry employees untouchable? Why are the prices charged by heath care industry contractors untouchable?
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What is charged is not what is paid. It is not discussed by anyone in the know because it does not have much to do with costs.
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Originally Posted by ejfbmw
Recently an allergy nasal spray cost $112 and six months later $234. Why? This spray is the most popular one out there right now. Is there a shortage? Probably not. A lawyer once told me it was an insurance companies job to only pay out what they, the insurance company, could be legally required to pay. OK, I get that, that makes sense. But what doesn’t make sense is why the high prices charged by the medical industry providers of goods and services in the first place are not part of the health care reform conversation?
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You don't have a very good understanding of this subject
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Originally Posted by ejfbmw
It is reasonable to pay taxes and buy insurance. It is not reasonable that the health care industry unjustly benefits from the natural circumstances of life.
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Life is hard, especially if you are angry and don't understand why.
Will you be happier when we go to the single payer system that Obamacare was designed to give us after it fails? If you pay more and have to wait longer for care, will you be more satisfied with the knowledge that it is impacting most people, so the suffering is spread out more?