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Rexicon1 posted:no no no youngin, why would anyone want to be a doctor if you don't receive the maximum most efficient amount of money for the time spent! money is the only thing that is making me go into debt for tens of thousands of years after med school! try hundreds of thousands (right now the average is $275k) tho it was 10s of thousands as little as 15 years ago lol
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Oct 27, 2014 16:22
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H.P. Hovercraft posted:lol if you think that doctorpay is at all a significant cost to providing care part of how they get paid is directly related to significant costs though (like medicare being unable to negotiate rates)
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Oct 27, 2014 16:23
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H.P. Hovercraft posted:try hundreds of thousands (right now the average is $275k) no im saying i'm going to be paying off my loans for tens of thousands of years
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Oct 27, 2014 16:24
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Rexicon1 posted:no im saying i'm going to be paying off my loans for tens of thousands of years 
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Oct 27, 2014 16:25
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carry on then posted:i like how he has pasted the same thing in response to everyone he thinks is a contractor, as if that doesn't make him look exactly like the reviews do haha, i like how that too!
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Oct 27, 2014 16:26
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Oct 27, 2014 16:28
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computer parts posted:part of how they get paid is directly related to significant costs though (like medicare being unable to negotiate rates) i mean yeah you can't ignore it esp since it's a driver for the absolutely huge explosion in school cost/loans but for overall procedural cost or w/e it accounts for something like below 3% even professional/malpractice insurance is not much more than that, tho that has much larger ramifications like all of the defensive medicine bullshit that happens now in order to cover your rear end, like testing/imaging honestly if you want to point at one thing that's buttfucking costs for
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Oct 27, 2014 16:30
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graph posted:haha, i like how that too! lol you left that one hangin for awhile there
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Oct 27, 2014 16:31
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Citizen Tayne posted:I can't wait until 90% of the GDP is spent on keeping their desiccated husks alive. disband medicare and social security now.
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Oct 27, 2014 16:31
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for this to be accurate the single payer iv would need to be the size of an oil pipeline
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Oct 27, 2014 16:33
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Shaggar posted:for this to be accurate the single payer iv would need to be the size of an oil pipeline no its p accurate as is
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Oct 27, 2014 16:36
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not for the us
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Oct 27, 2014 16:36
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the us government is totally excellent at cost controls and single payer will definitely result in savings. just like how it works in our military procurement system!
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Oct 27, 2014 16:37
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this is terribly written and loops back around on itself
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Oct 27, 2014 16:42
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H.P. Hovercraft posted:honestly if you want to point at one thing that's buttfucking costs for i read somewhere that some insane percentage of the admin staff is just there for insurance filing and billing. like every single different plan of every single insurance provider has a different procedure for properly pre-approving and filing for reimbursement so you need a large number of staff there to make sure that you don't get a denial because you didn't first try to put a bandaid over a 5" gushing wound before breaking out the sutures. mandating uniform forms and procedures would cut down on it of course but that's socialism (and most hospitals would game the system like crazy and pocket the money).
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Oct 27, 2014 16:44
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Shifty Pony posted:i read somewhere that some insane percentage of the admin staff is just there for insurance filing and billing. like every single different plan of every single insurance provider has a different procedure for properly pre-approving and filing for reimbursement so you need a large number of staff there to make sure that you don't get a denial because you didn't first try to put a bandaid over a 5" gushing wound before breaking out the sutures. mandating uniform forms and procedures would cut down on it of course but that's socialism (and most hospitals would game the system like crazy and pocket the money). and they hire physicians to do this work at some steps too
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Oct 27, 2014 16:46
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Shifty Pony posted:i read somewhere that some insane percentage of the admin staff is just there for insurance filing and billing. like every single different plan of every single insurance provider has a different procedure for properly pre-approving and filing for reimbursement so you need a large number of staff there to make sure that you don't get a denial because you didn't first try to put a bandaid over a 5" gushing wound before breaking out the sutures. mandating uniform forms and procedures would cut down on it of course but that's socialism (and most hospitals would game the system like crazy and pocket the money). that's how it works with medicare right now. with private insurance its mostly a battle of insurers trying to keep costs down while providers are loving poo poo up with their improper documentation. Standardizing procedure codes + billing is definitely a thing the government has the right to do thanks to the commerce clause, but they wont ever do it because it would make single payer less attractive.
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Oct 27, 2014 16:53
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have people been following the currentc rollout going on that some retailers are blocking apple pay in favor of? it is like every awful payment app idea rolled into one:quote:Rather than NFC, CurrentC uses QR codes displayed on a cashier’s screen and scanned by the consumer’s phone or vice versa to initiate and verify the transaction. The system is also designed to automatically apply discounts, use loyalty programs, and charge purchases to a variety of payment methods ah yes, a clunky to use qr-based app using direct ACH access to your checking account which only benefits the merchant and leaves you the customer holding the bag in the case of fraud or the merchant loving up. bitcoin people have got to be pissed about it because it has stolen all of their bad ideas.
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Oct 27, 2014 17:15
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H.P. Hovercraft posted:and they hire physicians to do this work at some steps too they actually hire retired physicians to work as consultants on these compliance panels because its not bloated enough. Shaggar posted:that's how it works with medicare right now. with private insurance its mostly a battle of insurers trying to keep costs down while providers are loving poo poo up with their improper documentation. I'm not sure if this was always the case, but my school shoves it down the med students throats that they need to keep proper documentation. like, professors are denying referrals to residencies if the students gently caress up too much paperwork Rexicon1 fucked around with this message at 17:23 on Oct 27, 2014 |
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Oct 27, 2014 17:19
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Shifty Pony posted:ah yes, a clunky to use qr-based app using direct ACH access to your checking account which only benefits the merchant and leaves you the customer holding the bag in the case of fraud or the merchant loving up.
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Oct 27, 2014 17:20
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FMguru posted:what steve jobs said about the stylus is 100x as true when it comes to qr codes what did he say about the stylus?
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Oct 27, 2014 17:20
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prefect posted:what did he say about the stylus?
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Oct 27, 2014 17:22
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Avenging Dentist posted:dude just gtfo oh no, i did, two years ago. now i work for a customer that uses epic and i'm in charge of the epic windows-side infrastructure, vmware / citrix stuff in general as well as a million other terrible enterprise healthcare apps it's definitely better, but still not something i'm excited to tell people about and yeah, most providers flip their poo poo over epic because the other software they have had to deal with is a million times worse. every other thing i have to work with is measurably worse to manage than epic stuff. but the hilarious thing is that orgs spend millions and millions on an epic implementation, then fly out implementers for a year so that everything gets configured exactly how the old terrible system worked before. don't want to confuse nurse betty though!
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Oct 27, 2014 17:23
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FMguru posted:what steve jobs said about the stylus is 100x as true when it comes to qr codes http://picturesofpeoplescanningqrcodes.tumblr.com/
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Oct 27, 2014 17:28
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lol irl
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Oct 27, 2014 17:29
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Shaggar posted:the us government is totally excellent at cost controls and single payer will definitely result in savings. just like how it works in our military procurement system! It actually is. For an organization its size, the us gov't is really good at cost controls. If you think things like $700 toilet seats don't happen in for-profit land, you're delusional.
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Oct 27, 2014 17:33
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why would it have to be an issue of federal procurement anyway seems like the sort of thing individual states could administer decently imo, they've still got pretty huge purchasing power local corruption is easier to deal with than federal corruption which is basically completely and utterly entrenched at this point
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Oct 27, 2014 17:35
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Mr Dog posted:why would it have to be an issue of federal procurement anyway never ever let states decide anything, it'll just end up super racist in the end
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Oct 27, 2014 17:38
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DEUCE SLUICE posted:oh no, i did, two years ago. ok good DEUCE SLUICE posted:but the hilarious thing is that orgs spend millions and millions on an epic implementation, then fly out implementers for a year so that everything gets configured exactly how the old terrible system worked before. don't want to confuse nurse betty though! my fave was when a hospital asked us if we could have the software ensure that the doctors read the charts
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Oct 27, 2014 17:43
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Rexicon1 posted:like, professors are denying referrals to residencies if the students gently caress up too much paperwork As someone that writes residency management software, I wish they all did this. "Why is my dashboard all weird?" Because you typed in the code number in the quantity box.
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Oct 27, 2014 17:44
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rotor posted:It actually is. For an organization its size, the us gov't is really good at cost controls. If you think things like $700 toilet seats don't happen in for-profit land, you're delusional. people only get to make a big stink about the toilet seats because you can sometimes get to look at the government's records. companies have much more privacy
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Oct 27, 2014 17:46
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lol at anyone anyone who thinks a for profit company with a fiduciary duty to its shareholders is a way to reduce healthcare costs or has fewer costs than a government-run program. lol at shaggar for blaming the government for cost overruns in military procurement when the reason those happen is because for profit corps are literally stealing from the government
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Oct 27, 2014 17:48
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Avenging Dentist posted:ok good Tell them your working on a chart screen with builtin webcam that scans their iris to ensure that they read the whole thing but it won't be ready for 2020
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Oct 27, 2014 17:48
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RZA Encryption posted:As someone that writes residency management software, I wish they all did this. if its any consolation to you, our residency placements have gotten really really good over the past couple of years and a lot of people say that one of the reasons is because our graduates don't gently caress up paper work as much and other schools are starting to catch on.
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Oct 27, 2014 17:50
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rotor posted:It actually is. For an organization its size, the us gov't is really good at cost controls. If you think things like $700 toilet seats don't happen in for-profit land, you're delusional. the one i like to point to is your local ISP or cellphone provider
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Oct 27, 2014 17:51
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One of the commenters makes an interesting claim that everyone's favorite valleywag may have made them a lot of enemies waiting to pounce: "Personally, I do believe that Nick Denton's media "empire" is on shaky ground. They've burnt an enormous amount of bridges, particularly with their ValleyWag coverage and many people are opportunistically waiting for a moment for the long knives to come out (several C-level's at my company would love nothing more than to take him to the woodshed)."
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Oct 27, 2014 17:52
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theflyingexecutive posted:lol at anyone anyone who thinks a for profit company with a fiduciary duty to its shareholders is a way to reduce healthcare costs or has fewer costs than a government-run program. lol at shaggar for blaming the government for cost overruns in military procurement when the reason those happen is because for profit corps are literally stealing from the government you can't even limit it to that. many of the religiously or university affiliated not-for-profit hospitals are some of the worst about costs and fee cramming.
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Oct 27, 2014 17:53
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theflyingexecutive posted:lol at anyone anyone who thinks a for profit company with a fiduciary duty to its shareholders is a way to reduce healthcare costs or has fewer costs than a government-run program. lol at shaggar for blaming the government for cost overruns in military procurement when the reason those happen is because for profit corps are literally stealing from the government its not theft in the least. its exactly what those legislators wanted for their districts. insurance companies have a clear motive to decrease costs and when it comes to profits most are already regulated wrt the amount of profit they're allowed to make. This is the opposite of the single payer system which doesn't aim to solve any problems, just to make sure there arent any problems funneling money into hospitals. we need more focus on process controls in healthcare to fix these problems before we worry about payment, because once you start assuring these guys they have unlimited funds the desire to fix real problems will disappear.
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Oct 27, 2014 17:54
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a final lol at the people itt who work for those medical corps and think those evil evil doctors and their corrupt non-profit hospitals are to blame for healthcare costs and not he labyrinthine regulations and paperwork that they create on a daily basis to suck out more shareholder profits and like daedalus I hope you are cast into the labyrinth to be devoured by the minotaur
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Oct 27, 2014 17:54
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theflyingexecutive posted:a final lol at the people itt who work for those medical corps and think those evil evil doctors and their corrupt non-profit hospitals are to blame for healthcare costs and not he labyrinthine regulations and paperwork that they create on a daily basis to suck out more shareholder profits and like daedalus I hope you are cast into the labyrinth to be devoured by the minotaur lol where did you c/p this from? whoever wrote it is a moron.
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Oct 27, 2014 17:55
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