Determining Medical Costs
As I mentioned in my last post, the wife is now attending Duke to get her MBA. At the beginning of this term, she signed up for a class related to the medical industry called Health Sector Management, or HSM for short. During that class she was exposed to a plethora of information about the health industry, mainly being exposed to the current problems and ideas to how we might solve them. This was a great introduction to the industry, and even though it doesn’t look like she’s going to be trying to get a job in health care, we had some great discussions about it.
One of the main problems as everyone knows is the fact that health care costs are rising at a very high rate. While there are many reasons for this, one of them is that the industry is treated like a free market, but there is one missing component: information. Customers (patients) don’t have a clue what the actual price is for the medical treatments they’re receiving.
When I go to the doctor, I really just assume that either a) it will be covered by insurance or b) I will have to pay a small amount like a co-pay or co-insurance. The true cost is never even exposed to me. Behind the scenes, the doctors and insurance companies have negotiated ahead of time what they are going to charge and pay for certain services. This price can even be different depending on what insurance company you have or what groups your doctor is a member of. And to top it off, if you don’t have insurance, the doctor is going to charge you even more than they would the insurance company!
I thought about what could be a way to help lower these costs and shed some light on how this whole industry is operating, and I decided to do something about it. I created a website to allow everyday people to share no only how much medical care they received cost, but also which doctor charged them that amount, and what insurance actually paid to the doctor. If enough people start using this website, eventually we’d be able to come up with serious tools to help insured and uninsured patients lower their bills.
If an uninsured person wanted to go to the doctor, but they were worried about how much it would cost, they could look it up and find the cheapest doctor in their area.
On the other hand, if an insured person gets a new job, how do they know what insurance plan to pick of the 3 or 4 their company offers? They could look up and compare the different plans according to their age/health and projected medical costs, and pick the one that would mean less money out of their pocket.
Does this sound good? Check it out and help shed some light on how much medical procedures are really costing by posting your own information. And if you have any comments or suggestions, post them on this blog and let me know.
The new website: www.ProceedYours.com

