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Politics : Mainstream Politics and Economics

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To: Little Joe who wrote (9659)2/18/2012 11:32:57 AM
From: sm1th1 Recommendation  Read Replies (1) of 85487
 
I believe Drs. could be required to post prices in plain English for the most common services they provide

In general the list price is irrelevant, and only paid by someone uninsured and paying themselves. Every insurance company negotiates prices with each provider. In some cases, the provider has all of the leverage in others the insurer does. We had a situation about a year ago where the 3rd largest insurer in the state (Tufts Health plan) refused the payment schedule demanded by the largest hospital group (Partners Health Care). After a lot of threats, the insurer caved, they couldn't afford to lose access to several of the state's best hospitals. If it had been Blue Cross, the outcome would probably have been reversed, since no hospital could give up 60% of the population.
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