lgdub
@lgdub.bsky.social
The Watershed: https://open.substack.com/pub/lgdub
The patient with the policy from Company A will be billed more than the patient with the policy from company B, even though they were seen for the same procedure and have otherwise equivalent health plans.
Healthcare as a business is so strange…
Healthcare as a business is so strange…
December 30, 2024 at 7:56 PM
The patient with the policy from Company A will be billed more than the patient with the policy from company B, even though they were seen for the same procedure and have otherwise equivalent health plans.
Healthcare as a business is so strange…
Healthcare as a business is so strange…
For example: 2 patients have a plan with all the exact same parameters, the only difference is the insurance company they are insured by. Let’s say they both have a high, unmet deductible and go to the same provider for the same procedure. But Company A has a higher negotiated rate with the provider
December 30, 2024 at 7:53 PM
For example: 2 patients have a plan with all the exact same parameters, the only difference is the insurance company they are insured by. Let’s say they both have a high, unmet deductible and go to the same provider for the same procedure. But Company A has a higher negotiated rate with the provider
Providers like payers that pay higher which makes it easy for patients with this plan to find a doctor. But if they have any sort of financial responsibility they end up with higher OOP costs than someone with a “less desirable” insurance company.
December 30, 2024 at 7:51 PM
Providers like payers that pay higher which makes it easy for patients with this plan to find a doctor. But if they have any sort of financial responsibility they end up with higher OOP costs than someone with a “less desirable” insurance company.
I notice something similar in employer funded health insurance. One of the paradoxes of having a “good” commercial healthplan is that it often comes with higher negotiated rates.
December 30, 2024 at 7:49 PM
I notice something similar in employer funded health insurance. One of the paradoxes of having a “good” commercial healthplan is that it often comes with higher negotiated rates.
Tough… this is bad for healthcare providers (because they’re getting paid less) and bad for patients (because providers will need to continue to limit or restrict the number of medicare patients they see). The promise of Value Based Care Revenue opportunities seems to be fading too.
December 28, 2024 at 3:10 PM
Tough… this is bad for healthcare providers (because they’re getting paid less) and bad for patients (because providers will need to continue to limit or restrict the number of medicare patients they see). The promise of Value Based Care Revenue opportunities seems to be fading too.
Reposted by lgdub
Ah yes. The Radius, the Ulna, and the Santa Maria
December 24, 2024 at 6:36 PM
Ah yes. The Radius, the Ulna, and the Santa Maria
Wow, if I was that bishop I’d just be happy someone was doing it and doing it so well. Doesn’t seem like there would be much time to worry about it too much. Just let the person assigned to it figure it out if they are dedicated to it like you obviously are. Good job being so involved!
December 22, 2024 at 11:29 PM
Wow, if I was that bishop I’d just be happy someone was doing it and doing it so well. Doesn’t seem like there would be much time to worry about it too much. Just let the person assigned to it figure it out if they are dedicated to it like you obviously are. Good job being so involved!
The opposite of a Running Back is a walking forward
December 17, 2024 at 10:27 PM
The opposite of a Running Back is a walking forward
This probably isn’t the reason for the decline, but BYU’s application isn’t necessarily “frictionless”.
December 15, 2024 at 7:04 PM
This probably isn’t the reason for the decline, but BYU’s application isn’t necessarily “frictionless”.
I was thinking about applying to BYU in High School (although I was already serious about going to a different school). But then I got to the essays, and the interviews, etc. and said “nah, I don’t really want to go there.”
December 15, 2024 at 7:03 PM
I was thinking about applying to BYU in High School (although I was already serious about going to a different school). But then I got to the essays, and the interviews, etc. and said “nah, I don’t really want to go there.”
If patients all followed these medical providers and patients would both be so much happier with their visits.
December 13, 2024 at 3:59 AM
If patients all followed these medical providers and patients would both be so much happier with their visits.
Someone brought my wife and I a simple but amazing roasted butternut squash pasta that I still dream about sometimes.
December 12, 2024 at 3:23 AM
Someone brought my wife and I a simple but amazing roasted butternut squash pasta that I still dream about sometimes.
As a marathon runner… it’s probably best to not disclose the fact you run in case the hiring manager is a runner. Runners know that people obsessed with running tend to prioritize it over things like work. 🤫🤐
December 11, 2024 at 3:56 AM
As a marathon runner… it’s probably best to not disclose the fact you run in case the hiring manager is a runner. Runners know that people obsessed with running tend to prioritize it over things like work. 🤫🤐
I see haha, the change is nice. Stick season is kind of trendy right now though.
December 11, 2024 at 3:44 AM
I see haha, the change is nice. Stick season is kind of trendy right now though.