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Politics : Formerly About Advanced Micro Devices -- Ignore unavailable to you. Want to Upgrade?


To: i-node who wrote (381506)4/30/2008 5:32:08 PM
From: RetiredNow  Read Replies (1) | Respond to of 1574471
 
OK. Take a look at one simple thing. I go to the doctor and they have my insurance card on file and all my electronic data. However, point # 1, they make me fill out another form? That's waste and that increases costs, because now someone has to take that form and re-enter that into the computer. Then I get my service. Then, point # 2, the doctor's office bills me. I ignore the bill, because they have also billed my insurance which will cover the costs. That is another waste of documentation that cost the doctor money to send it to me. Then sometimes, my insurance company may take awhile to process the bill for the doctor, so I get billed multiple times and so does the insurance company. All of that is waste. What they should have is a national clearinghouse for every insurance provider and their in-network physicians. That way, everything is paperless, automatic, and funds are transferred on a pre-approved basis to certified doctors. No need for bills or notices or re-entering of information. Focus on the billing cycle alone would save billions in paper-shuffling.

Then there is the whole hospitcal cost calculation discrepancy issue. Several studies have shown that insurance companies are routinely overcharged by doctors and hospitals. If everything was electronic, with a a clearinghouse, you could set up triggers, and automated rules to pinpoint billing discrepancies that could be audited, whereas those that seem good, go through with flying colors. Very similar to the audit techniques of the IRS, but more refined, since health insurance providers, hostpitals, and patients have all the info necessary to consummate a flawless transaction.

Anyway, I could go on, but there is plenty of waste and re-work in the process that could use a good Six Sigma Blackbelt to tackle.

Oh and btw, ask the technology companies how they can remain hugely profitable as they continue to lower prices on goods and services. It's called innovation. Lowering prices on older goods does not necessarily have to result in lower overall profits. That is antiquated thinking.