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Jul 30, 2010 -- Medicine needs more price transparency

When it comes to health care reform, we won't get anywhere until we become the customers again and can make informed decisions about our medical treatment based on transparent pricing.

To that end, the Cleveland Clinic has teamed up with private enterprises to develop a method to price whatever non-emergent care you need based on your insurance policy.

Their proprietary pricing tool is only available through participating insurers on their corporate intranet sites at the moment. Eventually, however, it will be available for other individuals, including small businesses. When a website becomes available, we'll share it with you.

Clark believes if we're more exposed to the cost of our medical care, it will make big difference in what we spend.

A recent story in The New York Times supports his belief. The paper reports that the state of Indiana has a high-deductible plan and another that's a traditional HMO. People in the high-deductible plan spend thousands less than those in the HMO.

"The average expense in 2009 for patients on one of these [high-deductible] plans was $6,393," the paper writes, "compared with $8,570 for patients on a more traditional health maintenance organization plan."

Here's the upshot: When we're treated like adults and empowered to make decisions about our health care, then the savings happen.

Unfortunately, our nation's new health care reform law does little in this respect. So regardless of where you stand on this key initiative of Pres. Obama's administration, we're nowhere until we can become the customers again.

Unfortunately, Clark won't be able to answer any questions submitted via commenting. If you have a question, please try posting it to our message boards.

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What others are saying

  • High-deductible may equal skipping care
    Yes, people may have lower medical expenses with a high-deductible (and therefore lower-cost) plan, but one reason may be that needed care is being skipped because they can't afford the deductible costs. Yes, many people abuse insurance, but many have to choose food or shelter when faced with high-deductible plans.
  • Medicine
    My friends.... till medicine has cleaned out the frauds, the quackery and all the falsified research data, nothing is going to get any better. We're still immersed in fetal stem cell crap which is about abortions plain and simple.

    Companies such as Bristol Myers/Squibb who maliciously and intentionally falsify research data on Plavix and Coumidin. Companies like those who produce anti-depressants and totally falsify research and pay the A.M.A. under the table to get financial backing...till these people are no longer walking the streets in freedom, nothing will get any better.
  • Buying prescriptions drugs
    I find that I often can buy at Costco Mail order pharmacy online (no membership required) for less money than using my insurance. They mail it free of charge too! I like dealing with them. Or, you could try using Walmart instore or Costco instore.
  • Call ahead
    have a regular, popular prescription - called my Wal Mart and asked how much it would cost without any insurance - the price was under $10. The month before I purchased the exact item at the same store and they charged me my full $20 copay, plus the receipt indicated $80 was the total price.
  • price schedule
    I work in the trenches and at least 4-5 times a week I hear "Oh I'll take that cause my insurance will pay for it" It's this abuse that doesn't help either....even making them pay something would make people think different....I remember when we started charging $5-$10 for clinic visits
  • Real transparency?
    Is the price schedule consistent for those with different insurance companies as well as those without? In addition to all of the local/regional negotiating that goes on, the layer of health insurance also adds a layer of obscurity. It doesn't really hit people how much it costs when they're co-pay is $20 or 10-30%. Doubly so for drugs.
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