Trump plan to reveal true health care costs spurs fight with hospitals and insurers - T... - 0 views
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t should tell you everything you need to know that insurers and hospitals have joined together to oppose new rules proposed by the Trump administration last month that would require them to disclose the prices they now negotiate in secret. Their fear is that disclosure will confirm what many have long suspected: that the biggest insurers and hospitals already have the power to raise hospital prices and insurance premiums, increasing their profits and making it easier to drive smaller hospitals and insurers from the marketplace.
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In today’s market for medical care, the cost for an MRI or a hip replacement at the most expensive hospital in one region can be three times the cost at the least expensive hospital somewhere else. Even within regional markets, the prices paid to the most expensive provider can be twice as much as the least expensive. And within the same hospital, the price for an uninsured patient can be five or seven times what is charged for a patient covered by the largest private insurer.
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There are various reasons for this “price dispersion,” as economists call it, but surely one is that prices are treated as trade secrets. The only time most patients find out the price is after the treatment has been delivered — and even then it often requires an accounting degree to figure it out
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