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upaloopa

(11,417 posts)

1. I don't understand why an insurance company

Reply to truth2power (Original post)

Sat May 17, 2014, 11:59 AM

May 2014

Would price a medical procedure. The insurance company is the payer not the provider. The provider sets the cost then bills the insurance company. The patient does not pay an insurance company for a procedure.
This smells fishy to me.
Insurance companies already determine what they will reimburse a provider for a procedure. That is nothing new.

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Highlight:

"New Obamacare Loophole Shows Failure of For-Profit Health System: Critics".. [View all] truth2power May 2014 OP

I don't understand why an insurance company upaloopa May 2014 #1

Yes, right now a patient pays the deductible (or nothing) and the provider and the insurer work out djean111 May 2014 #2

It sounds like you have a sense of what's really involved here... truth2power May 2014 #5

The insurance companies WROTE the ACA Doctor_J May 2014 #8

I think there's some confusion here... truth2power May 2014 #3

I was a controller of a medical clinc upaloopa May 2014 #4

It will apply to the ACA... truth2power May 2014 #6

We billed a patient's insurance company upaloopa May 2014 #9

As I said, if the reimbursement rate was too low, yu took the money anyway... truth2power May 2014 #11

Medical pricing makes absolutely no sense at all IronLionZion May 2014 #10

I really thought that the the insurance companies would play fair once Heritage Care passed Doctor_J May 2014 #7