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Committee to Protect Health Care

@protecthealthcare.medsky.social

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Doctors building a pro-patient majority in Congress & states so everyone has the health care they need. Led by @DrRobDavidson.bsky.social

https://linktr.ee/protecthealthcare

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    Committee to Protect Health Care @protecthealthcare.medsky.social

    Why are patients paying more just because the logo on the door changed? Hospital systems are buying up doctor's offices & raising prices. It's called hospital consolidation, & it's costing patients. Site-neutral payment reform can help fix it. #SameServiceSamePrice

    Patients are watching their health care bills skyrocket, even when nothing about their care has changed. Same doctor, same treatment, same location. So why the higher price tag? [Committee to Protect Health Care logo]Here's what's happening: Large hospital systems are buying up independent physician practices and rebranding them as "hospital outpatient facilities." When that happens, they can bill 2 to 4 times more for the exact same care just because of the new label. Studies have shown that nothing about the care improves, in fact, in some cases, care worsens after hospital consolidation.It doesn't have to be this way. Site-neutral payment reform means patients pay the same price for the same care--no matter who owns the building. It's a common sense step toward: Lowering patient costs, slowing harmful consolidation, preserving competition and access. Congress can act now to make it happen. Same Service, Same Price: Site-Neutral Payment ReformReal patient examples of price hikes after consolidation: allergy skin test $176 at independent physician practice (IPP)and $719 at hospital-owned outpatient facility (HOOP). Radiation therapy $156 at IPP; $377 at HOOP. Steroid injection $30 at IPP; $1,394 at HOOP (yes, this is real!). Child's psych visit at IPP $20; $523 at HOOP.
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    Committee to Protect Health Care @protecthealthcare.medsky.social

    The U.S. health care system isn't exactly user-friendly, but we're here to help translate. Swipe for the four terms that you need to know for the next open enrollment period and let us know if you have any other questions about navigating health insurance in the comments.

    Premium: paid every month. Your monthly fee to stay covered, even if you never see a doctor.Copay: flat fee at every visit. Your copay is a set dollar amount you pay at every appointment. It usually doesn't count towards your deductible. Primary care copays are typically lower than specialist copays.Deductible: pay-first threshold. The deductible is the total amount you must pay each plan year before insurance starts sharing costs. Premiums do not count towards the deductible. After the deductible is met, you'll still owe copays until you hit your out-of-pocket max.out-of-pocket max: cap on how much you pay. The out-of-pocket (OOP) maximum is the most you'll pay for covered care in a plan year. It adds up your deductible, copays, and coinsurance, but not premiums. Once you hit this limit, insurance pays 100% of covered costs until the year resets.
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