Join Early Retirement Today
Reply
 
Thread Tools Search this Thread Display Modes
Old 03-04-2016, 08:23 AM   #21
Give me a museum and I'll fill it. (Picasso)
Give me a forum ...
Midpack's Avatar
 
Join Date: Jan 2008
Location: Chicagoland
Posts: 11,967
Quote:
Originally Posted by MichaelB View Post
Price transparency can lead to many positive developments and is badly needed in health care.
+1. That was my overriding point. What other essential product or service is there where pricing is actively concealed from the customer? I've asked my doctors on several occasions, they say they have no idea even for routine procedures. And how many developed countries have published lists for medical expenses?
__________________

__________________
No one agrees with other people's opinions; they merely agree with their own opinions -- expressed by somebody else. Sydney Tremayne
Retired Jun 2011 at age 57

Target AA: 60% equity funds / 35% bond funds / 5% cash
Target WR: Approx 2.5% Approx 20% SI (secure income, SS only)
Midpack is online now   Reply With Quote
Join the #1 Early Retirement and Financial Independence Forum Today - It's Totally Free!

Are you planning to be financially independent as early as possible so you can live life on your own terms? Discuss successful investing strategies, asset allocation models, tax strategies and other related topics in our online forum community. Our members range from young folks just starting their journey to financial independence, military retirees and even multimillionaires. No matter where you fit in you'll find that Early-Retirement.org is a great community to join. Best of all it's totally FREE!

You are currently viewing our boards as a guest so you have limited access to our community. Please take the time to register and you will gain a lot of great new features including; the ability to participate in discussions, network with our members, see fewer ads, upload photographs, create a retirement blog, send private messages and so much, much more!

Old 03-04-2016, 08:23 AM   #22
Give me a museum and I'll fill it. (Picasso)
Give me a forum ...
pb4uski's Avatar
 
Join Date: Nov 2010
Location: Vermont & Sarasota, FL
Posts: 16,410
Quote:
Originally Posted by travelover View Post
I could not agree more. The medical industry is regulated with respect to basic standards and coupled with the power of the internet feedback (think Yelp), one can make an informed choice, especially for products that are essentially commodities like lab tests, generic drugs, and minor ailment treatment. The current opaqueness of medical costs is pretty unique, given that it costs Americans about $9000 a year.
+1 I think it would be interesting to look at the range of prices charged by one provider for the same procedure... I'm thinking it would be really wide... from the rack rate on the high end to the lowest negotiated rate or perhaps even the Medicare or Medicaid rate on the low end.
__________________

__________________
If something cannot endure laughter.... it cannot endure.
Patience is the art of concealing your impatience.
Slow and steady wins the race.
pb4uski is offline   Reply With Quote
Old 03-04-2016, 08:28 AM   #23
Thinks s/he gets paid by the post
 
Join Date: May 2014
Posts: 2,973
I tried this link and although it's a step in the right direction, I'm not thrilled. I've got an upcoming colonoscopy and the facility where I booked the appointment will tell me a month before what it's going to cost. (I have a high deductible and it's diagnostic so not covered as preventative.)

First of all, there seem to be a lot of local eye surgery centers in the area doing colonoscopies. It did list the facility I'll be using but when I clicked on it I just got a pop-up saying they'd get a quote and asking for a phone number. I may try it if I get an outrageous number directly from the facility.
__________________
athena53 is online now   Reply With Quote
Old 03-04-2016, 09:52 AM   #24
Thinks s/he gets paid by the post
 
Join Date: Mar 2011
Posts: 3,697
Quote:
Originally Posted by MichaelB View Post
I think the choice between price and quality is a red herring. There is no correlation between the two, just as there is no readily available source of data that assesses quality in a meaningful way.

Price transparency can lead to many positive developments and is badly needed in health care.
Good point, but [bolds mine] why isn't there data that assesses quality v price? Seems to me there's folks out there tracking data on everything; one would think this would be a valuable effort.
__________________
Living well is the best revenge!
Retired @ 52 in 2005
marko is offline   Reply With Quote
Old 03-04-2016, 10:29 AM   #25
Recycles dryer sheets
mn54's Avatar
 
Join Date: Sep 2007
Location: mpls, mn
Posts: 440
Quote:
Originally Posted by rodi View Post
I would love for this to happen with medical and dental.

(It's our first year going without dental insurance and DH needs a filling, and younger son needs 2 - I looked at old EOBs and we're being charged DOUBLE the price they took from the insurance company. I will be changing dentists.)
Make sure you are comparing apples to apples. The cost of a filling is determined by the material used for the filling and the size of the filling, i.e. the number of surfaces on the tooth.
__________________
mn54 is offline   Reply With Quote
Old 03-04-2016, 01:04 PM   #26
Give me a museum and I'll fill it. (Picasso)
Give me a forum ...
travelover's Avatar
 
Join Date: Mar 2007
Posts: 9,874
Quote:
Originally Posted by mn54 View Post
Make sure you are comparing apples to apples. The cost of a filling is determined by the material used for the filling and the size of the filling, i.e. the number of surfaces on the tooth.
Getting quotes on dental costs is like pulling teeth.
__________________
Yes, I have achieved work / life balance.
travelover is online now   Reply With Quote
Old 03-04-2016, 04:54 PM   #27
Thinks s/he gets paid by the post
 
Join Date: May 2014
Posts: 2,973
Quote:
Originally Posted by marko View Post
Good point, but [bolds mine] why isn't there data that assesses quality v price? Seems to me there's folks out there tracking data on everything; one would think this would be a valuable effort.

Angie's list offers reviews of doctors and dentists but frankly, I don't know if I trust the average Joe or Jane to evaluate a doctor's or dentist's competence. I can certainly comment on whether they run on time, whether they answer questions, even whether any surgery or treatment was effective, but I'd be concerned that bad reviews of others might not have all the pertinent facts. Did they follow the doctor's recommendations to lose weight, stop smoking, take all the medication?

I trust hotel and restaurant reviews more!
__________________
athena53 is online now   Reply With Quote
Old 03-04-2016, 08:07 PM   #28
Give me a museum and I'll fill it. (Picasso)
Give me a forum ...
 
Join Date: May 2005
Posts: 13,259
Quote:
Originally Posted by travelover View Post
Getting quotes on dental costs is like pulling teeth.

I do not know why... our dentist will tell us what every procedure costs... I have asked...
__________________
Texas Proud is online now   Reply With Quote
Old 03-04-2016, 08:52 PM   #29
Give me a museum and I'll fill it. (Picasso)
Give me a forum ...
travelover's Avatar
 
Join Date: Mar 2007
Posts: 9,874
Quote:
Originally Posted by Texas Proud View Post
I do not know why... our dentist will tell us what every procedure costs... I have asked...

I was referring to costs across a variety of providers, not necessarily one's current dentist.


Sent from my iPad using Early Retirement Forum
__________________
Yes, I have achieved work / life balance.
travelover is online now   Reply With Quote
Old 03-05-2016, 12:02 AM   #30
Thinks s/he gets paid by the post
walkinwood's Avatar
 
Join Date: Jul 2006
Location: Denver
Posts: 2,676
Quote:
Originally Posted by MasterBlaster View Post
I wonder about this cost revolution...

Do you really want your important medical operation done by the low-cost bidder ?
If it works like any other online marketplace, the providers and consumers will be rated and develop an online 'reputation'. Then, it isn't just price any more.

The medical industry is opaque in regard to pricing as well as in success metrics.
__________________
walkinwood is offline   Reply With Quote
Old 03-05-2016, 07:17 AM   #31
Thinks s/he gets paid by the post
 
Join Date: May 2014
Posts: 2,973
Quote:
Originally Posted by walkinwood View Post
The medical industry is opaque in regard to pricing as well as in success metrics.
Our local newspaper used the National Practitioner database, which includes many details of medical malpractice claims but no doctor names, and did thorough searches of civil records, to identify docs who had licenses suspended in one state but were practicing in our area and still making mistakes. Boy, did that cause a stink.

A year later when I used the database for a work project, I had to agree not to use it with any other database to get the names of the doctors.
__________________
athena53 is online now   Reply With Quote
Old 03-05-2016, 09:25 AM   #32
Give me a museum and I'll fill it. (Picasso)
Give me a forum ...
travelover's Avatar
 
Join Date: Mar 2007
Posts: 9,874
Quote:
Originally Posted by athena53 View Post
Our local newspaper used the National Practitioner database, which includes many details of medical malpractice claims but no doctor names, and did thorough searches of civil records, to identify docs who had licenses suspended in one state but were practicing in our area and still making mistakes. Boy, did that cause a stink.

A year later when I used the database for a work project, I had to agree not to use it with any other database to get the names of the doctors.
Oh well, it is not like a lot of people die due to medical errors.

Hospital Errors are the Third Leading Cause of Death in U.S., and New Hospital Safety Scores Show Improvements Are Too Slow
__________________
Yes, I have achieved work / life balance.
travelover is online now   Reply With Quote
Old 03-05-2016, 09:47 AM   #33
Thinks s/he gets paid by the post
imoldernu's Avatar
 
Join Date: Jul 2012
Location: Peru
Posts: 4,616
Medical cost seems to be a vicious circle.
For the most part, not optional but necessary.
Most of the profession is relatively high price. Not just the Doctor, but the specialists and the offices and equipment... Overall a high overhead.
Medical lawsuits are expensive, thus high insurance costs.
This leads to abundance of caution. No prescriptions or treatment without extensive, all inclusive tests of all kinds, as well as (usually) full blood tests.

Add to that the influence of the pharmaceutical companies (perks) and the "good health" bonuses from associated health plans, and we're left with a "take it or leave it option", as a patient.

Perhaps, some time in the future, a more level playing field, but I fear, not in my lifetime. Even the so called advances, such as "talk to the doctor" calling, come with a high price tag.
__________________
imoldernu is offline   Reply With Quote
Old 03-05-2016, 12:48 PM   #34
Give me a museum and I'll fill it. (Picasso)
Give me a forum ...
 
Join Date: May 2005
Posts: 13,259
Quote:
Originally Posted by travelover View Post
I was referring to costs across a variety of providers, not necessarily one's current dentist.


Sent from my iPad using Early Retirement Forum
Yes, I do not know of any location where you can find the cost of procedures by various dentists around you... BTW, my dentist does call around and gets others prices and will share if you ask... I do not care so I do not ask...


But then again, there are very few items for sale that you can easily get pricing... you have to call each location and ask...

My point was that at least they can give you a price... most doctors cannot tell you what anything would cost if you paid cash...
__________________
Texas Proud is online now   Reply With Quote
Old 03-05-2016, 02:32 PM   #35
Give me a museum and I'll fill it. (Picasso)
Give me a forum ...
travelover's Avatar
 
Join Date: Mar 2007
Posts: 9,874
Quote:
Originally Posted by Texas Proud View Post
Yes, I do not know of any location where you can find the cost of procedures by various dentists around you... BTW, my dentist does call around and gets others prices and will share if you ask... I do not care so I do not ask...


But then again, there are very few items for sale that you can easily get pricing... you have to call each location and ask...

My point was that at least they can give you a price... most doctors cannot tell you what anything would cost if you paid cash...
Yep, I'd like to be able to type in "cavity filling near zip code XXXXX" and get the cost of 10 dentist within 10 miles of my home or "MRI" and get the cost of 10 facilities nearby.
__________________

__________________
Yes, I have achieved work / life balance.
travelover is online now   Reply With Quote
Reply


Currently Active Users Viewing This Thread: 1 (0 members and 1 guests)
 
Thread Tools Search this Thread
Search this Thread:

Advanced Search
Display Modes

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is On
HTML code is Off
Trackbacks are Off
Pingbacks are Off
Refbacks are Off


Similar Threads
Thread Thread Starter Forum Replies Last Post
Beginning Yoga for back care? MovingtotheCove Health and Early Retirement 15 01-06-2013 07:34 PM
RE Forum lowers cost of Health Care RonBoyd Life after FIRE 15 10-19-2009 10:55 AM
Modelling health care cost in early retirement? maldini Health and Early Retirement 37 10-10-2007 02:53 PM
What do you think are the biggest reasons for health care cost increases maddythebeagle Other topics 20 09-29-2006 08:36 PM

 

 
All times are GMT -6. The time now is 12:21 PM.
 
Powered by vBulletin® Version 3.8.8 Beta 1
Copyright ©2000 - 2017, vBulletin Solutions, Inc.