Transparency is Bad? Please.

The administration wants full disclosure on healthcare prices. What other industry hides their costs? It surreal. It’s ridiculous. But not if that is how you make your money, which is by fooling people and then gouging them. Here is what the critics say:

But critics say it wasn’t clear whether enough consumers would use price information to seek out lower-cost treatment and bend the cost curve. And the proposals would likely be met with stiff industry opposition, including lawsuits challenging the White House’s authority to mandate cost disclosures.

Tom Nickels, executive vice president of the American Hospital Association, has said a broad proposal requiring price disclosure wouldn’t give consumers an accurate picture of out-of-pocket costs under their insurance plans.

What? Consumers use price information EVERYDAY to seek better costs. It’s called Amazon. And why won’t it give an accurate picture? Because the industry succeeds by keeping the customers ignorant.

It’s time to change all that.

Douglas Farrago MD

Douglas Farrago MD is a full-time practicing family doc in Forest, Va. He started Forest Direct Primary Care where he takes no insurance and bills patients a monthly fee. He is board certified in the specialty of Family Practice. He is the inventor of a product called the Knee Saver which is currently in the Baseball Hall of Fame. The Knee Saver and its knock-offs are worn by many major league baseball catchers. He is also the inventor of the CryoHelmet used by athletes for head injuries as well as migraine sufferers. Dr. Farrago is the author of four books, two of which are the top two most popular DPC books. From 2001 – 2011, Dr. Farrago was the editor and creator of the Placebo Journal which ran for 10 full years. Described as the Mad Magazine for doctors, he and the Placebo Journal were featured in the Washington Post, US News and World Report, the AP, and the NY Times. Dr. Farrago is also the editor of the blog Authentic Medicine which was born out of concern about where the direction of healthcare is heading and the belief that the wrong people are in charge. This blog has been going daily for more than 15 years Article about Dr. Farrago in Doximity Email Dr. Farrago – [email protected] 

  4 comments for “Transparency is Bad? Please.

  1. RMG
    June 26, 2019 at 11:36 am

    I am a self-pay/cash patient and I cannot tell you how frustrating it is to try to get pricing before having a procedure done–then there’s the additional billing afterwards (even when I pay “everything” on the day of service) and it’s never done right. I always have to call multiple times to get things fixed. Then there’s the snobby attitude when I nicely ask if and why an additional test is being requested (you know, because I have to PAY for it) and the hospital doctor doesn’t have the courtesy to tell me herself–she sends the technician to tell me (whose response is, well the doctor requested it so you must need it). Yes, post pricing! And, yes, I will make an informed decision that includes pricing consideration!

  2. sudha manjari prasad
    June 24, 2019 at 1:44 pm

    You know, Doug, Amazon Health Care is just around the corner…From your lips to their hearing/scanning/data trolling bots….Thanks so much!

  3. Jennifer Hollywood
    June 24, 2019 at 8:29 am

    For FFS it is hard to post pricing. Payments from insurers for level 99213 vary from $78 to $130. What price should I post??

    • PW
      June 24, 2019 at 9:05 am

      Of course, those prices are what the insurance companies actually pay you, not necessarily what the encounter should actually cost. Don’t you love the way this works?

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