How Hospitals inflate bills
1. Doctors get paid for more treatment
The fee-for-service model ties doctor bonuses and salaries to the revenue they generate. So the system rewards extra tests and procedures, even when not needed.
2. Expensive IV drugs over cheaper oral ones
Hospitals push doctors to prescribe stronger, more expensive antibiotics. IV when oral works. Sometimes antibiotics when none are needed at all. All of it done to push up the reimbursement claim from insurers, including government schemes.
3. Unnecessary scans and tests
CT scans, MRIs, PET CTs ordered for minor stuff like simple stomach pain or suspected food poisoning. A basic clinical exam would have done the job. Same with injections for fever, when reports show no infection.
4. Patients profiled for pricing
Hospitals look at how a patient is dressed, what they do for a living, where they're from. Then they decide who can be charged more. Bills get adjusted after admission based on that read.
5. Life support extended even when recovery isn't possible
Terminally ill patients, like those with severe stroke or terminal cancer, kept on ventilators just to extract more billing. Even when doctors know there's no chance of recovery. One of the worst things he spoke about.
6. In-house pharmacy and diagnostics run as profit centres
IPD prices are higher than OPD for the same service. The hospital uses this to recover infrastructure and operational cost. That's why drugs, tests and scans inside the hospital cost way more than outside. more
The fee-for-service model ties doctor bonuses and salaries to the revenue they generate. So the system rewards extra tests and procedures, even when not needed.
2. Expensive IV drugs over cheaper oral ones
Hospitals push doctors to prescribe stronger, more expensive antibiotics. IV when oral works. Sometimes antibiotics when none are needed at all. All of it done to push up the reimbursement claim from insurers, including government schemes.
3. Unnecessary scans and tests
CT scans, MRIs, PET CTs ordered for minor stuff like simple stomach pain or suspected food poisoning. A basic clinical exam would have done the job. Same with injections for fever, when reports show no infection.
4. Patients profiled for pricing
Hospitals look at how a patient is dressed, what they do for a living, where they're from. Then they decide who can be charged more. Bills get adjusted after admission based on that read.
5. Life support extended even when recovery isn't possible
Terminally ill patients, like those with severe stroke or terminal cancer, kept on ventilators just to extract more billing. Even when doctors know there's no chance of recovery. One of the worst things he spoke about.
6. In-house pharmacy and diagnostics run as profit centres
IPD prices are higher than OPD for the same service. The hospital uses this to recover infrastructure and operational cost. That's why drugs, tests and scans inside the hospital cost way more than outside. more
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Govet should manadate the prices of various services provided by the hospital. More than that the corruption would furthe go up. So no interference with privatizarion process more
May 16
The only way to get excellent medical facilities is equip all Government Hospitals for medical treatment of all kinds. This can be done by making it mandatory for all politicians of this Country to take treatment only from Government Hospitals with no reimbursement of medical expenses from private hospitals, which is there in all States. Pressure has to be built upon Government by public like you and me. more
May 15
go to nepal and see education is free no private crooks , india is most corrupt country and there is no punishment for corruption , urgent reforms in judiciary and police and , political system . more
May 15
privatization for education health security defense social care should be stopped and it has to be by Govt with no money churning business at its core . All insurance business and the racket of Doctor . tests and medicine needs immediate stop. have the basic satvic approach , should be the desi rustic approach and no to enter a 5 star Hotel (hospital) and then made to die in a AC room with tag of ICU . Medical education should be also off the clutches of privatization and the Govt setup also need to have the core elements of simple neat clean and with our traditional approach of curing than this Western ethos that is being injected across are lifelines in each area and genre! The so called well educated and literate with national and international degrees are the biggest cause of this. The upper bracket or the one which has moved to the upper bracket , it core is absolutely shaken up. Values , Character , Principles , Simplicity need to get to the core of current ecosystem and ethos to live a healthy wealthy - that is satisfying contented life with humaneness and purity more
May 15
