You really have no clue; but don't be offended, none of us do either.
From this morning, a story.
A man gets into a minor car accident, is taken to the ER with a "popped disk" in his neck.
The neurosurgeon is contracted exclusively to provide emergency services for this sort of thing. He operates, fixes the disk uneventfully, and presents the man with a bill for $125,000.
The hospital abets this by tacking on its own bill for $32,000 for the operation and a 2-day stay. (Anesthesia and rugs not included.)
It is not important whether or not the man had medical insurance and here is why.
The neurosurgeon knows this will come to court or to adjudication and the deep pocket here is the car insurance company. The car insurance company settles for about $30,000, and the hospital puts in its charges as well as $25,000 in consulting fees.
None of this, of course, is addressed by medical insurance regulation, Obamacare, or hospital ethics committees (remember, the hospital is in on this on both ends.) Common human decency? Is there a CPT code for that?
Whistleblowing? Remember, too, that I am called "overdramatic" and "inappropriate" by paid hospital lackeys.
So, then, now do you have an inkling? Anyone else care to tell me about their expertise in medical economics?