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Posts published in “Day: March 7, 2007”

Blob o’mercury

The difficulty of controlling the explosive costs of medicine by half-steps came clear this morning in the Oregon House Health Policy & Public Affairs Committee, which was hearing testimony on a simple - one page! - bill that on its surface would seem to provide for modest cost reduction and avoidance of fraud. And maybe it would. But as an insurance company lobbyist (yeah, that's right) pointed out, the matter is more difficult than that.

The measure is Senate Bill 651, sponsored by Senator Ted Ferrioli, R-John Day, and co-sponsored with 14 other senators (of both parties) and two representatives. Its summary states its point clearly: It requires insurers to "make check for payment for health care services payable jointly to provider of health care services and enrollee if provider has not contracted with enrollee's health benefit plan to provide health care services."

At present, checks from insurers cut to pay for medical services often are made out to the patient; the idea is that the patient will then sign it over to the doctor or other provider, such as an imaging clinic. Many do. Quite a few others do not, instead either holding the check for a long time - what's the incentive to hurry? - or in quite a few cases, cashing it and never paying the provider. Thereby, in the end, driving up the cost of business, and so the cost of medical care.

The bill, which is backed by a number of medical providers (notably clinics), would make the check jointly payable so it could be sent straight from the insurer to the provider. Which seems to, maybe does, make good general sense.

But as so often in these things, there's a catch.


Chat tonight

Our weekly reminder, that our regular Wednesday chat is on for tonight at 6 pm Pacific, 7 pm Mountain, accessible off this page. (Scroll down to the right to the “nickname” box, enter your name, click the button, and you’re in.) It lasts about an hour; feel free to jump in or out any time.

So far we've had enjoyable discussions with an eclectic group of people. Greg Smith, a co-founder, should be back on board this evening. Along with, well, who knows who.