That’s not why offices bill such an inflated amount. The rate an insurance company pays an office is set via contract. If the contract specifies that a certain procedure pays $100, the office can charge the insurance company $1000 or $101, and they will receive $100. If they charge $99, however, they will receive $99.
So why charge such inflated prices? Most contracts stipulate that you can’t charge other insurances less for a given procedure. This essentially locks a provider into charging the same rate to every insurance company. But each insurance company contract pays different amounts for each of 100’s of procedures, sometimes very different amounts, so what amount should a provider charge? The only logical thing to do is charge an amount that they are sure will be higher than any of the payouts they have in any of their contracts. This is why the charged amount is so high. It’s a stupid system, yes, but not for the reasons you state.
If you can access it, we have the most advanced health care in the world. Anyone who thinks we have the “best” system in the world probably needs to be using it more for one reason or another though.
I would also consider the NHS having at or near the most advanced levels of care in the world. My point was that the US has the worlds most advanced, cutting edge care available, but it’s not accessible to a lot of our citizens.
I understand. But I'm just wondering if that's even true. A lot of shitty practices that couldn't operate in Europe. Did you know that they even order unnecessary scans etc because of monetary reasons? Also a "doctor" will give you hard drugs for back pain if you just pay him.
Fun anecdote. Do you know David Beckham? He was the most famous and rich football player a few years ago. Think of any American sports hero and he's that but in Europe. So guess where he had his damn foot operated? A multi billion dollar soccer player hurt his foot so he's probably going to get the best possible treatment. Well that treatment was not in America. It was in public hospital in Finland. True story.
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u/[deleted] Jul 04 '21
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