tag:blogger.com,1999:blog-8512362.post4318044723842372418..comments2024-03-10T13:59:19.230-04:00Comments on xpostfactoid: "Redemption" threatens the ACA marketplace (and Medicaid and Medicare)Andrew Sprunghttp://www.blogger.com/profile/17601269968798865106noreply@blogger.comBlogger1125tag:blogger.com,1999:blog-8512362.post-73209224105415237012016-11-15T06:43:41.780-05:002016-11-15T06:43:41.780-05:00As you suggest in your last paragraphs, there are ...As you suggest in your last paragraphs, there are many countries where patients have virtually no "skin in the game" and yet health care spending is relatively controlled. (Germany, Canada, Sweden, to name 3 such places)<br /><br />The Republican theorists assume that American government will always be unable to impose price controls, and therefore we must use patients as the kamikazi pilots of health reform.<br /><br />If the patients refuse overpriced treatments, and are willing to sit home and suffer (and maybe die) to protest price gouging, then by god that'll show up those greedy providers.<br /><br />I have some hope in the practice of reference pricing, where the insurer pays only a best-value amount for any procedure, and the patient must pay the difference if the provider charges more.<br /><br />I would also like to see more of mandatory assignment - where the provider must accept what the insurer pays them and cannot then go to balance billing.bob.hertzhttps://www.blogger.com/profile/09686373408419885558noreply@blogger.com