Sunday, December 7, 2008
Consumer-driven health care - FAIL
How can you expect the patient to make good health care purchasing decisions if they can't find out the price of a service?
My patient has a $3500 deductible before insurance will pay anything. She is young and mainly needs preventive care so she is paying out of pocket for everything until she hits $3500 (which certainly didn't happen this year).
She was charged $308 for a blood test for Vit D level. Yes $308 for one test. (Vit D found to be abnormally low so supplements were prescribed by me.)
$308 is no small hunk of change for a working woman. In fact, it is an outrageous charge for a simple blood test. She needs a follow-up test to see if her levels are improving and she has been calling around to other labs to price compare.
SHE CANNOT GET A PRICE QUOTE! I am serious. The labs are annoyed at the question and said they need a "client number" and a "request from a physician" and they will not give her a price estimate so she can be a "good consumer of health care". Without transparency in pricing, we can't expect patients to make good purchasing decisions.
Outrageous!
Toni Brayer, MD, FACP
ACP Internist hosted Grand Rounds on June 16, wrapping up the best of the medical blogosphere. Click here for the complete wrap-up.
Contact ACP Internist
Send comments to ACP Internist staff at acpinternist@acponline.org.
Previous Posts
- Want more patients? Charm the ones you've got.
- Internship years often trigger depression
- The catch-22 of catching z's
- Is health care the new Hummer?
- Insurance insurance (no, that's not a typo)
- Sermo launches flu tracker
- Obama should read the NEJM
- The power of the personal touch
- Ever wonder what people are saying about you on th...
- Medical news of the obvious
Blog log
American Journal of Medicine
Also known as the Green Journal, the American Journal of Medicine publishes original clinical articles of interest to physicians in internal medicine and its subspecialities, both in academia and community-based practice.
Clinical Correlations
A collaborative medical blog started by Neil Shapiro, ACP Member, associate program director at New York University Medical Center's internal medicine residency program. Faculty, residents and students contribute case studies, mystery quizzes, news, commentary and more.
db's Medical Rants
Robert M. Centor, FACP, contributes short essays contemplating medicine and the health care system.
Everything Health
EverythingHealth is designed to address the rapid changes in science, medicine, health and healing in the 21st Century.
Getting Better with Dr. Val
Getting Better is the continuation of Dr. Val Jones' previous blog at Revolution Health. It is devoted to helping people understand health issues from a balanced, scientifically sound perspective.
HealthHombre
A roundup of health policy news drawn from a database of hundreds of Web sites.
Interact MD
Michael Benjamin, ACP member, doesn't accept industry money so he can create an independent, clinician-reviewed space on the Internet for physicians to report and comment on the medical news of the day.
Kevin, MD
The alter ego of Kevin Pho, ACP Member, is the closest thing to royalty in the medical blog world.
LSUHSC-S Medical Library Evidence Alert
Major guidelines, systematic reviews, meta-analyses and/or major reviews by national and international organizations.
PLoS Blog
The Public Library of Science's open access materials include a blog.
White Coat Rants
One of the most popular anonymous blogs written by a doctor.

0 Comments:
Post a Comment
<< Home