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Old 05-09-2007, 08:32 AM
 
Location: By the sea, by the sea, by the beautiful sea
68,326 posts, read 54,350,985 times
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Quote:
Originally Posted by LeavingFlorida05 View Post
I would assume that's because people without insurance rarely pay.


Do you have anything to base that assumption on?

From what I've read it's mostly due to the bargaining power of the insurance companies.
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Old 05-09-2007, 08:34 AM
 
Location: Journey's End
10,203 posts, read 27,112,167 times
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I don't know about the non-payment inflation. I do know in NYC, the public hospital system has or had a fund for the uninsured when I worked in their hospital/medical school program, and the system is huge by national standards.
Thus, non-payment was less of an issue, and services always provided at the same cost regardless of ability to pay.
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Old 05-09-2007, 09:12 AM
 
Location: Naples
1,247 posts, read 925,721 times
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Quote:
Originally Posted by burdell View Post
Do you have anything to base that assumption on?

From what I've read it's mostly due to the bargaining power of the insurance companies.
Nope, it's just an assumption. If the uninsured were less risky, I would assume there wouldn't be as many superfluous charges. If an insurance company gets charged $1000 for a procedure, I can't imagine that the hospital is losing much money, if any. If they charge an individual without insurance $3000 for the same procedure, it's reasonable to assume that $2000 of that is superfluous. I would assume that 1 in 3 uninsured pay their bill. Maybe the ratio is a bit off, but there's my logic.
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Old 05-09-2007, 09:27 AM
 
Location: By the sea, by the sea, by the beautiful sea
68,326 posts, read 54,350,985 times
Reputation: 40726
Quote:
Originally Posted by LeavingFlorida05 View Post
Nope, it's just an assumption. If the uninsured were less risky, I would assume there wouldn't be as many superfluous charges. If an insurance company gets charged $1000 for a procedure, I can't imagine that the hospital is losing much money, if any. If they charge an individual without insurance $3000 for the same procedure, it's reasonable to assume that $2000 of that is superfluous. I would assume that 1 in 3 uninsured pay their bill. Maybe the ratio is a bit off, but there's my logic.
I have my doubts that trying to apply logic to this system is a reasonable thing.

I know damn well if I was billed $3 for something many others are billed $1 for I'd send them $1 and tell them to stick it
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