Sunday, August 18, 2013

Medical Pricing: Lack Of Knowledge Has Big Costs

The Cure For The $1,000 Toothbrush by Tina Rosenberg.  Opinionator--Exclusive Online Commentary from The Times.  New York times.  August 13, 2013.

(1)  _________________ is a major reason medical bills are so high.

(2)  In U.S. health care, the doctors and hospitals know _____________ while the patients don't know _________________.

(3)  Employers have delegated __________________.

(4)  P.P.O's assemble ___________________ who agree to _________________.

(5)  Because they are so large, hospitals now _____________ with P.P.O's.

(6)  Price ____________ clauses are sometimes included in hospital contracts with P.P.O's .

(7)  A study cited in the article found that dominant hospital chains could get _______________.

(8)  Explain how the hospital chargemaster functions in pricing.  

(9)  The chargemaster rate is almost always at least __________ what Medicare pays a hospital.

(10)  True or False:  Insurance companies often challenge hospital charges.

(11)  ________ percent of America's insured are insured through P.P.O's.

(12)  What impact could hospital consolidation have on prices?

(13)  True or False:  Most hospital bills are paid by insurance companies only after careful  consideration of supporting documentation.

(14)  Reference pricing involves ______________________________.

(15)  One important reason that reason that businesses don't know what they are paying is ______________________.

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