At DocSpot, our mission is to connect people with the right health care by helping them navigate publicly available information. We believe the first step of that mission is to help connect people with an appropriate medical provider, and we look forward to helping people navigate other aspects of their care as the opportunities arise. We are just at the start of that mission, so we hope you will come back often to see how things are developing.
An underlying philosophy of our work is that right care means different things to different people. We also recognize that doctors are multidimensional people. So, instead of trying to determine which doctors are "better" than others, we offer a variety of filter options that individuals can apply to more quickly discover providers that fit their needs.Got questions?
Last year, CMS (Medicare) mandated that hospitals would be required to post prices of procedures online. Kaiser Health News reported on some of the problems in using this information. One of the problems is that the procedure names are difficult to understand and not very helpful outside the medical billing industry. Another problem is that procedures are not grouped, and many procedures often require other costs (for example, surgery often involves a separate anesthesia component along with a facility fee); hence, patients do not really know how much a visit (with all of the related charges) at the hospital will actually cost.
Despite these problems, it is positive that hospitals are required to publicly post prices. Perhaps this is just one step in a much longer movement towards transparency. As a technology company in this space, we certainly appreciate the mandate that the information is in a machine-readable format.
To a wonderful 2019.
From the team at DocSpot.
We hope you all had a merry Christmas this year!
From the teams at DocSpot
Kaiser Health News published some anecdotes that highlight the cost of healthcare in the U.S. The specific stories are about families struggling with the cost of health insurance. However, underneath the cost of insurance is the cost of care. For decades, many Americans never saw the cost of insurance because their employers paid for most or all of their insurance. As health insurance costs continue to rise, businesses started to shift the cost of health insurance to their employees through higher deductibles or through larger employee portions of the premiums. While millions of Americans were still uninsured, with the passage of the Affordable Care Act, many of those uninsured could purchase health insurance through an insurance exchange. Many qualified for a subsidy and were still shielded from the true cost of insurance. The stories that were published in this article highlight how the high cost of care can affect those whose incomes are high enough to be ineligible for subsidies.
One response to the story would be to try to raise the limits under which people are eligible for subsidies. Under that scenario, the government ends up subsidizing health insurance for more people. Another approach would be to try to reduce underlying cost of care through systematic reforms such as transparent pricing and quality information.
In a follow-up to a lawsuit filed earlier this year (which the Justice Department declined to defend), Kaiser Health News reported that a federal district court judge in Texas ruled that the Affordable Care Act, with the subsequent removal of the individual mandate, was unconstitutional. An earlier Supreme Court decision ruled that Congress does have authority to enact the Affordable Care Act because it can levy taxes, which the Supreme Court considered the Affordable Care Act to be. The removal of the individual mandate removes the part considered to be a tax, and hence the federal district court judge ruled that the legislation is no longer constitutional. The current White House administration, which opposes the Affordable Care Act recognizes that nothing should change in the short-term, since the Supreme Court will most likely hear the appeal.
The Affordable Care Act was sweeping legislation that was approved by a very slim margin. Even though the political climate did not change enough to completely overturn the legislation, there was enough change for opponents to cast this uncertainty. The political instability makes it more difficult for either side to gain momentum.