Medicare’s crazy payment system is creating monopolies in health care – Washington Post, July 8, 2024

For years, the price of an operation at my hospital has been radically different depending on the floor where it’s performed. Why? One spot was designated a hospital space; the other a non-hospital space. Patients were sometimes ushered to the location that generated the biggest profit based on their insurance type.

It makes no sense, but our government created this crazy game. Instead of simply paying a fixed amount per procedure, Medicare pays hospitals multiples more than non-hospital surgery centers and doctor’s offices.

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