Case 15.1 Should Governments Participate in Price Negotiations? Cardiac catheterization, which…


Case 15.1

Should Governments Participate in Price Negotiations?

Cardiac catheterization, which involves inserting a hanker, ductile tube into an artery or state and threading it through to the disposition, is used to diagnose and handle cardiovascular provisions. Patients who are having a disposition invasion repeatedly entertain cardiac catheterization. In the United States, the medium acquittal negotiated by secret insurers for cardiac catheterization is 5,061 (International Federation of Vigor Plans 2016). The medium acquittal in Australia is 487, and the medium in the United Kingdom is 4,046. The medium Mediconcern fee for outpatient cardiac catheterization is 2,549 plus a physician fee ranging from 149 to $448 (depending on the naturalness of the proceeding).

High secret security prices illustrate a fundamental discuss that vigorconcern is so rich in the United States. Switzerland also has secret security, relatively exalted prices, and the second highest vigorconcern costs in the globe. However, an abdominal CT (computed tomography) overlook mediums $461 close in Switzerland than in the United States, a colonoscopy mediums $697 close, and an appendectomy mediums $9,890 close (International Federation of Vigor Plans 2016). With some oppositions, most healthconcern prices are abundantly exalteder in the United States than in other rich countries. (This discourse is about amounts compensated, not amounts abounding.)

These exalted prices and the mode that leads to them entertain frequent consequences. Out-of-pocket costs are abundantly exalteder in the United States, and thoughtful illnesses can effect in medical stagnation. High prices growth secret vigor security premiums, and frequent Americans cannot afford secret security. Furthermore, secret insurers increasingly believe on narrow networks of providers to get rectify prices. This trust on narrow networks makes getting concern further close and can betray patients to exalted out-of-pocket costs if they get concern from an out-of-network provider.

Discussion Questions

• Why are secret prices so exalted in the United States?

• How are marketable security prices set for hospital services?

• How are Mediconcern prices set for physicians’ services?

• How are Mediconcern prices set for hospital services?

• Should governments be concerned in secret price negotiations?

• Would consumers be rectify off if healthconcern prices were nationally negotiated?

• Are other countries’ governments concerned in vigorconcern pricing?