Protocols for Insurance to Maintain Privacy

Dave Emery die at pig.die.com
Thu Oct 30 17:57:06 PST 1997



On Thu, Oct 30, 1997 at 09:33:52AM -0700, Tim May wrote:

> Turns out that Blue Cross and Blue Shield have negotiated, through enormous
> buying power, daily rates of about $700 a day. (These numbers come from my
> memory of a "60 Minutes" report a few years ago. Details and current
> figures may vary.)
> 
	My wife is a pathologist, and she tells me that some of the more
aggressive HMOs get away with paying 15-20% of the posted "official" prices
for procedures and tests.    The difference between what insurance
organizations pay and the nominal price is usually 2 to 3 to 1 for most
things these days.   And for many years Medicare has set defined prices
for medical reimbursement that less than the gold plated bill amount
as well.


-- 
	Dave Emery N1PRE,  die at die.com  DIE Consulting, Weston, Mass. 
PGP fingerprint = 2047/4D7B08D1 DE 6E E1 CC 1F 1D 96 E2  5D 27 BD B0 24 88 C3 18







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