Transparency

Transparency

Transparency

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It’s the healthcare word of the year and the biggest cultural change in healthcare we have seen in decades.

Let’s talk…

We know the cost of healthcare has increased dramatically over the last few years.

The reasons for the increase are many or, depending on your political leanings, one. If nothing else positive has come out of this, the ability for the consumer to actual see where their healthcare dollars are going is a big step forward. Transparency means the ability to see through something. Healthcare costs have been one of the biggest secrets in this country, not just from the consumer, but between physicians and insurance companies and large medical companies and their employees. With all the new transparency laws, we are all learning and saving more.

If you have ever been a part of a large healthcare company, you know that they are constantly preaching savings and cost control. How do you do this if the people who use the supplies don’t know how much anything cost? It’s like sending a child into a store and saying “don’t spend too much but make sure all your friends are happy”. It doesn’t work.

Now hospitals are starting to post the cost of supplies either on the packaging or on order lists. Seeing that price is making people more thoughtful about use and waste. If that child knew he could get 5 candies for a dollar or one (almost the same) for the same price, we know which deal he would go with.

We don’t change that much.

Transparency between the healthcare providers and their patients is bringing on a whole new set of determined and educated consumers. They can now see what they are paying for consults, procedures, surgeries, and rehab care before they make a decision who to treat with. This helps regulate the costs, prevents price gouging and above all, gives the patient the feeling of control over their care. They will be much less likely to have complaints, or poor outcomes, if they have the physician, facility and service they chose themselves. One rather interesting outcome of all this has been the fact that patients are learning how much their physician actually makes per procedure and they are shocked. Not by how much, but by how little.

For physicians still participating in government and managed care plans, their compensation is surprisingly low. For example, a patient saw a comprehensive bill for a hip replacement and assumed their physician was receiving a large portion of the payment . They are now aware that in many cases the physician gets approximately 2-3 % of that initial charge. That includes a pre-op visit, the surgery, the hospital visits and 3 months of post-op visits. No wonder these physicians see 45pts/day and you are given so little time to discuss your concerns.

This is where personalized medicine comes in. You may pay more up front but you save money and time avoiding unnecessary treatments, tests and procedures. When a surgeon has time, and your trust, they can actually personalize a plan just for you. Knowing your cost and saving up front makes transparency one of the best things to happen to a consumer in a long time.

Citations

  • Sadigh G, Carlos RC, Krupinski EA, Meltzer CC, Duszak R Jr. Health Care Price Transparency and Communication: Implications for Radiologists and Patients in an Era of Expanding Shared Decision Making. AJR Am J Roentgenol. 2017 Jul 25;:1-6. PubMed PMID: 28742372

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Author and Contributor to www.Spine-Health.com – July, 2015

www.Spine-Health.com/author/john-h-shim-md-facs

Chief of Surgery, Mease Countryside and Mease Dunedin Hospitals, Safety Harbor and Dunedin, Florida. 2014-2016.

Orthopaedic Section Chief Mease Countryside Hospital; Safety Harbor, Florida Mease Dunedin Hospital; Dunedin, Florida.2008-2013

Board Member Morton Plant Mease Research Council

Co-Director of Mease Neuro-Ortho Spine Center Mease Dunedin Hospital; Dunedin, Florida.

One of “6 Spine Physicians Ranked #1 on Google” – December 2016

Top Ten Most Liked Spine Surgeons on the Internet – July 2016

2016 Spine Surgeons to Know list – January 2016

2014 Spine Specialists to know list – September 2014

One of Ten Leaders of Certified Spine Programs – December 2011

 

The Best Orthopedics in Tampa

The information provided on this website does not provide or should be considered medical advice. It is not a substitute for diagnosis or treatment of any condition. The information provided is for informational purposes only. You should not rely solely on the information provided on this website in making a decision to pursue a specific treatment or advice. You should consult directly with a professional healthcare provider.

As a condition of using the information on this website, ShimSpine and its physicians are not responsible for any advice, diagnosis, treatment or outcome you may obtain.

ShimSpine.com is completely self-funded. No outside funds are accepted or used. This website does not utilize paid advertising as a source of revenue.
Outpatient Spine Surgery Considerations. www.Spine-Health.com. January 2016.

What is Spinal Stenosis? www.Spine-Health.com. October 2015.

Surgeon insights on the Changing Landscape of Orthopedic Care. OrthopedicToday. June 2014

Chapter 33: Interspinous Spacers. Shim JH, Mazza JS, Kim DH Published in Minimally Invasive Percutaneous Spinal Techniques. Elsevier Health Sciences, Philadelphia, Pennsylvania. (Published 2011)

Chapter 35: Minimally Invasive Percutaneous Lumbar Fusion Technique.Shim JH, Mazza JS, Kim DH Published in Minimally Invasive Percutaneous Spinal Techniques. Elsevier Health Sciences, Philadelphia, Pennsylvania. (Published 2011)

March 2010 Minimally Invasive Transforaminal Lumbar Interbody Fusion American Academy of Orthopaedic Surgeons Annual Meeting New Orleans, Louisiana February 2010

February 2010 A Review of Dynamic Stabilization in the Lumbar Spine Selby Spine Symposium; Park City, Utah

November 2009 Lumbar Spinal Stenosis Community Based Lecture; Tampa, Florida

September 2009 Instructor/Proctor Minimally Invasive Lumbar Cadaver Lab; Tampa, Florida

February 2009 New Spinal Technology: Cervical Disc Replacement and Interspinous Spacers. Selby Spine Symposium; Park City, Utah

February 2008 The Degenerative Spine: The Role of Dynamic Lumbar Stablization and Interspinous Spacers Selby Spine Symposium; Park City, Utah

October 2008 Emerging Technology and Techniques in Spinal Surgery Orthopaedics in the 21st Century Symposium; Morton Plant Mease Healthcare; Largo, Florida

September 2007 Emerging Technology in Spinal Surgery Orthopaedics in the 21st Century Symposium; Morton Plant Mease Healthcare; Largo, Florida

October 2006 Emerging Technology and Techniques in Spinal Surgery Orthopaedics in the 21st Century Symposium; Morton Plant Mease Healthcare; Largo, Florida

May 2005 The Role of Kyphoplasty in the Treatment of Vertebral Compression Fractures Mease Neurosciences Symposium; Clearwater, Florida
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