I did billing for 3 hopitals and 3 doctors and we NEVER changed prices. However, and this used to really bug me, a person paying cash had to pay, say, 100.00 for their first consult where a medicaid paid out 20.00. Since the Medicaid patient neverI also think that prices are jacked for medicaid because they pay SO LITTLE to the doctor.
I know several doctors who had to stop seeing medicaid patients because they were lucky of they got $3 -$10 dollars depending on what was done. When you look at how much a doctor has to pay for insurance premiums and such (not saying there are not a hell of a lot of wealthy docs but that is not always the correct image of docs as a whole), and then how much they are reimbused from medicaid.
The Doc who used to own the PT clinic I go to had a check taped to the receptionist's desk with a note that this was how much medicaid was paying him. And out of that he had to pay staff, rent, etc. I know where he lives - nice area but far from Potomac, MD rich... Guess who pays the rest? Yup... The check was for $3.00 and he had to suck up the rest of the PT and such his staff provided for care. Each appt of mine is about $100 depending on what is done. I pay $30 and my insurance pays the balance. The clinic gets it's $100. Does not work that way for medicaid according to them.
I worked at a hospital that closed in part due to late medicaid payments, they could not make their bills, etc.
Now combine this with illegals being able to come in and demand emergency room treatment to the tune of thousands even for non emergency things...
had to pay any additional in reality the cash patient was paying 5 times more. And even the Group Ins. patients were paying far more than Medicaid. And Medicare wasn't much better although most people don't mind helping the elderly.
Here's another example that we are paying for baby machines and loosers that just don't want to work.