so there's really zero political will to crack the monolith, and why things like Obama care go forward, because they're bandaids.
then there's the who employer leverage that businesses live having to immobilize a significant portion of their work force.
it's absolutely not complicated to understand why nothing has moved the needle.
The most useless middleman to ever exist, in my opinion.
A while ago I asked my employer to just give me the money they give to Optum so I can buy insurance via ACA but they wouldn't do it.
Execs would lose their jobs. Billing specialists (who do a 4 year degree in medical billing, which is in and of itself fucking absurd) would lose their jobs.
You know who wouldn't lose their jobs? Doctors and nurses. The actual people who the system's outcome is dependent on.
What? I have never heard of such a thing, and I worked in the claims benefit management industry for nearly a decade.
So I searched this, "bachelor medical billing" and while I got plenty of results, all of them were for certificate courses, which I'd expect. "Top rated medical billing courses" were all at community colleges.
I am yet to find a Bachelor degree in medical billing.
Indeed, on ... Indeed:
> Can you get a bachelor's degree in medical billing and coding?
> While a bachelor's degree in medical coding and billing isn't an option, people interested in pursuing this career can earn a degree in a related field instead. For example, you might consider earning a bachelor's in health care management or health information management.
A certificate/diploma is going to be 9 months to 1 year. An associate diploma? 2 years. I also can't find any four year courses in medical billing.
That is why Medicare pays doctors more than Medicaid for the same work (old people are worth more since they vote more than poorer and younger people).
You can endlessly bucket people into infinite changing tiers based on their political power using reimbursement, deductible, out of pocket maximum, in and out of network providers, formularies, and prior authorization protocols.
For example, you can give members of the military a different quality/quantity of healthcare than US federal Senators, who have a different set of policies, who in turn have a different set of policies from a highly profitable white collar firm’s employees, and yet again different from a less profitable business with lower paid employees, and so on and so forth.
You can adjust reimbursements so that some people can immediately see doctors whereas others have to go to Physician Assistants or Nurse Practitioners.
The system is a thing of beauty from a political point of view, and I bet countries with nationalized healthcare like UK and Canada move closer and closer to the US system as the population pyramids go upside down and cuts have to be made.
And the whole time, people will waste their time being mad at managed care organizations, when the government leaders are the ones hiring them to be the “bad guy”.