{"id":1317170,"date":"2019-12-08T20:04:01","date_gmt":"2019-12-09T03:04:01","guid":{"rendered":"https:\/\/www.postindependent.com\/shannon-column-hospitals-play-pin-the-price-on-the-donkey\/"},"modified":"2019-12-08T20:04:01","modified_gmt":"2019-12-09T03:04:01","slug":"shannon-column-hospitals-play-pin-the-price-on-the-donkey","status":"publish","type":"post","link":"https:\/\/alwaysmountaintime.com\/kske\/local-news\/shannon-column-hospitals-play-pin-the-price-on-the-donkey\/","title":{"rendered":"Shannon column: Hospitals play pin the price on the donkey"},"content":{"rendered":"<div><img decoding=\"async\" src=\"https:\/\/cdn.postindependent.com\/wp-content\/uploads\/sites\/6\/2019\/03\/facebook-thumbnail-1200.jpg\" class=\"ff-og-image-inserted\"><\/div>\n<p class=\"STND-STND BodyText DropCap\">Consumer knowledge is consumer power. That is why hospitals fight tooth-and-toenail against any efforts to post turnkey prices for medical procedures.<\/p>\n<p class=\"STND-STND BodyText\">Hospitals want to maintain price opacity. If you ask a hospital what it costs to have your appendix removed, you get one of three replies: uproarious, table-pounding laughter; thinly veiled contempt at such an ignorant question; or dead silence.<\/p>\n<p class=\"STND-STND BodyText\">In theory, health insurance companies should be staunch allies of consumers in this fight for price transparency. Unfortunately, health insurance companies are basically utilities run by bureaucrats who move paper instead of electricity. They\u2019re content to be wards of the Obamacare state.<\/p>\n<p class=\"STND-STND BodyText\">Fortunately, the Information Iron Curtain has been under assault by at least three local efforts.<\/p>\n<p class=\"STND-STND BodyText\">The Dallas Morning News reports Crystal Roberts was rushed to an emergency room after a car crash. Fortunately, she was home in only three hours. Unfortunately, lacking insurance, she was billed at the \u2018This Is Gonna Hurt\u2019 rate and charged $11,037 for procedures that didn\u2019t require hospitalization.<\/p>\n<p class=\"STND-STND BodyText\">This exemplifies the greed and sadism that typifies hospital administrators. They attempt to charge the highest prices to people who have already demonstrated they are either broke or idiots because they don\u2019t have health insurance in the first place.<\/p>\n<p class=\"STND-STND BodyText\">It\u2019s literally adding insult to injury.<\/p>\n<p class=\"STND-STND BodyText\">Crystal found a personal injury lawyer working on commission and sued the hospital. The state supreme court, bless its heart, ruled if the hospital intends to prove its $11,000 walletectomy is \u201creasonable\u201d it must \u201cshare \u2026 details about the discounted rates it had with health insurers.\u201d<\/p>\n<p class=\"STND-STND BodyText\">That\u2019s real progress, but the danger is the rats will see their hospital ship is sinking and settle out of court without releasing the prices.<\/p>\n<p class=\"STND-STND BodyText\">The Maryland Health Care Commission is our second example. It published a limited list of turnkey prices for medical procedures. Limited because the prices cover operations on women or the elderly or elderly women. But it\u2019s a start. The numbers cover 21 different hospitals in the state and along with prices the percentages of medical errors are also posted.<\/p>\n<p class=\"STND-STND BodyText\">Finally, the private sector has done its part. Kaiser Health News covered the North American Specialty Hospital company that offers its business clients a program where employees leave the country for less expensive surgery.<\/p>\n<p class=\"STND-STND BodyText\">Donna Ferguson had a knee-replacement done in Mexico by a surgeon from the Mayo Clinic. You\u2019re no doubt thinking, yeah Mexico this year but it\u2019ll be Somalia in 2020 if greedy capitalists can save a dime. Our suspicion is misplaced. Donna had the option of staying in Mississippi. What made the difference was the $5,000 check she received from her employer for agreeing to the lower-priced package.<\/p>\n<p class=\"STND-STND BodyText\">Now the Trump administration has joined the fight. If you doubt the importance of access to pricing information, the response of hospitals to the Trump administration\u2019s Hospital Price Transparency Rule makes my point eloquently.<\/p>\n<p class=\"STND-STND BodyText\">They sued to block implementation. That\u2019s because if it were up to hospital administrators, patients wouldn\u2019t be able to find out what it cost to park until they tried to exit the parking garage.<\/p>\n<p class=\"STND-STND BodyText\">The New York Times explains, \u201cThe nation\u2019s hospital groups sued the Trump administration over a new federal rule that would require them to disclose the discounted prices they give insurers for all sorts of procedures.\u201d Including the cash price it will accept from individual patients.<\/p>\n<p class=\"STND-STND BodyText\">It\u2019s interesting that while hospitals have no compunction about forcing Crystal to hold bake sales to make the monthly payment on her hospital bill, the effort involved in publishing price information would bring the friendly folks in hospital billing to their knees. \u201c\u2018The sheer volume of data that the government is proposing health plans disclose is staggering \u2014 dollar amounts for every single item or service, for every single provider and facility, for every single individual and employer plan,\u2019 wrote executives from America\u2019s Health Insurance Plans and the Blue Cross Blue Shield Association.\u201d<\/p>\n<p class=\"STND-STND BodyText\">If that\u2019s really the case, how do hospitals calculate the bill? Is it by taking the total overhead and anticipated profit for the month and divide it by the number of procedures? Or does the information already exist and they are simply lying through their lawyers?<\/p>\n<p class=\"STND-STND BodyText\">Hospital price transparency has been one of the few sustained efforts on behalf of normal people from the Trump administration.<\/p>\n<p class=\"STND-STND BodyText\">This fight is too important to leave to lawyers and judges. Consumers need to be heard. Call your congressman and tell him you support the Hospital Price Transparency Rule. And send an email to the Department of Human Services in support, too.<\/p>\n<p class=\"STND-STND BodyText\">If consumers don\u2019t make their voice heard you can be sure the vacuum will be filled by the blandishments of hospital lobbyists.<\/p>\n<p class=\"STND-STND BodyText Tagline\">Copyright 2019 Michael Shannon, distributed by Cagle Cartoons newspaper syndicate. Michael Shannon is a commentator and public relations consultant, and is the author of \u201cA Conservative Christian\u2019s Guidebook for Living in Secular Times.\u201d He can be reached at <a href=\"mailto:mandate.mmpr@gmail.com\">mandate.mmpr@gmail.com<\/a>.<\/p>\n<p><a href=\"https:\/\/www.postindependent.com\/opinion\/columns\/shannon-column-hospitals-play-pin-the-price-on-the-donkey\/\" target=\"_blank\" rel=\"noopener noreferrer\">via:: Post Independent<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Consumer knowledge is consumer power. That is why hospitals fight tooth-and-toenail against any efforts to post turnkey prices for medical procedures. Hospitals want to maintain price opacity. If you ask a hospital what it costs to have your appendix removed, you get one of three replies: uproarious, table-pounding laughter; thinly veiled contempt at such an [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[160],"tags":[],"class_list":["post-1317170","post","type-post","status-publish","format-standard","category-local-news"],"acf":[],"publishpress_future_action":{"enabled":false,"date":"2026-09-06 10:04:46","action":"change-status","newStatus":"draft","terms":[],"taxonomy":"category","extraData":[]},"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"distributor_meta":false,"distributor_terms":false,"distributor_media":false,"distributor_original_site_name":"KSKE Ski Country","distributor_original_site_url":"https:\/\/alwaysmountaintime.com\/kske","push-errors":false,"_links":{"self":[{"href":"https:\/\/alwaysmountaintime.com\/kske\/wp-json\/wp\/v2\/posts\/1317170","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/alwaysmountaintime.com\/kske\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/alwaysmountaintime.com\/kske\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/alwaysmountaintime.com\/kske\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/alwaysmountaintime.com\/kske\/wp-json\/wp\/v2\/comments?post=1317170"}],"version-history":[{"count":0,"href":"https:\/\/alwaysmountaintime.com\/kske\/wp-json\/wp\/v2\/posts\/1317170\/revisions"}],"wp:attachment":[{"href":"https:\/\/alwaysmountaintime.com\/kske\/wp-json\/wp\/v2\/media?parent=1317170"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/alwaysmountaintime.com\/kske\/wp-json\/wp\/v2\/categories?post=1317170"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/alwaysmountaintime.com\/kske\/wp-json\/wp\/v2\/tags?post=1317170"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}