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A Crowdfunding Site To Help Pay Patients' Medical Bills

Lucas123 writes: A start-up financial services company called Someone With Group has just completed a pilot of a crowdfunding service that allows hospitals to set up campaigns to help patients pay their medical expenses. The website, which is HIPAA compliant in terms of privacy and security, allows patients facing medical debts to inform family, friends and even strangers of their need for funds versus flowers or cards. The crowdfunding service also addresses a systemic debt issue in the healthcare industry. Each year, the U.S. healthcare industry writes off $40 billion in bad debt from unpaid medical bills. "Then you consider that $6 billion is spent on cards and flowers for patients every year. Why can't we redirect that money and put it into a debit instrument restricted to medical spending only?" said Jagemann-Bane, CEO of Someone With Group. One hospital group, Pinnacle Health Systems in Harrisburg, Penn., routinely writes off $40 million to $50 million a year in unpaid medical bills from patients. The hospital set up a crowdfunding site via Someone With Group and so far has seen a couple dozen patients use it. ... After a one-year pilot of the crowdfunding service, patients who've used it on average have raised $2,315.

33 of 285 comments (clear)

  1. The Bake Sale Model by crunchy_one · · Score: 5, Insightful

    I've got a better idea: Single payer.

    1. Re:The Bake Sale Model by nightcats · · Score: 2

      Agreed: George McGovern's single-sentence addition to the Constitution is the best ("Medicare is hereby extended to cover all American citizens"); but nevertheless this is an outstanding common sense liferaft to throw in these troubled waters until this dying Empire somehow awakens from its cultural coma.

      --
      Development is programmable; Discovery is not programmable. (Fuller)
    2. Re:The Bake Sale Model by sycodon · · Score: 4, Insightful

      I have a better, better idea.

      1. Use real costs. The fact that there is an "insurance cost" and a "self pay costs" tells us all we need to know about medical bills. They aren't tied to the actual cost of service in any meaningful way.

      2. Make it transparent. How can anyone plan for non-emergency care when the prices are hidden behind a wall of Insurance red tape? I had an elective procedure done. I was quoted one price before and then presented with a bill for 5 times that later.

      --
      When Fascism comes to America, it will call itself Anti-Fascism, and tell you to give up your guns.
    3. Re:The Bake Sale Model by damn_registrars · · Score: 3, Informative

      1. Use real costs. The fact that there is an "insurance cost" and a "self pay costs" tells us all we need to know about medical bills. They aren't tied to the actual cost of service in any meaningful way.

      The problem with that is that a lot of people who end up in bankruptcy over medical costs have insurance. Their rates are already discounted for their insurance, but they can't afford their deductibles, copays, or uncovered expenses. Even if everyone paid the same price, that problem wouldn't go away.

      On top of that, as the primary mission of every insurance company in the country is to make money - not to provide coverage for the patient (as that costs money) - the insurance companies are constantly searching for clever new ways to deny claims. Being as the federal government essentially gave the insurance industry a license to print money back in 2010 with the affordable care act, they now have free reign to try whatever they want to "bring costs down".

      --
      Damn_registrars has no butt-hole. Damn_registrars has no use for a butt-hole.
    4. Re:The Bake Sale Model by Trailer+Trash · · Score: 2

      I have a better, better idea.

      1. Use real costs. The fact that there is an "insurance cost" and a "self pay costs" tells us all we need to know about medical bills. They aren't tied to the actual cost of service in any meaningful way.

      2. Make it transparent. How can anyone plan for non-emergency care when the prices are hidden behind a wall of Insurance red tape? I had an elective procedure done. I was quoted one price before and then presented with a bill for 5 times that later.

      This is *exactly* the issue. That $40B that is "written off" is actually paid by the suckers who pay without insurance. Hospitals literally only collect something like 10% of what is "owed" to them, so they simply charge 10x as much.

      I often buy medical services without insurance because it's cheaper if you're a good negotiator. Reread that. I use a simple tactic that goes like this: "I need ______ done and I will pay cash up front at the medicare reimbursement rate." The response is then "we don't make money at that rate." Ah, I have a better response: "And you're not guaranteed payment, which is why you lose money because some end up as denials. I will give you cash up front - you are guaranteed payment. It's a take-it-or-leave-it offer." Usually they take it and if not I simply move on.

      As an example of last time I did that, my wife needed an MRI on her knee. I negotiated with an independent MRI place here in town to do it for $490, which is the Medicare rate. My wife didn't believe I could get it cheaper and went to the place the insurance company said to go. Our "out of pocket" ended up being around $950, with the insurance company paying that much again. Exact same procedure.

      Anybody in this country can save up money and do this. Anybody. I have friends who are illegal aliens working for minimum wage (and paying federal income taxes) who saved up $30,000 for a downpayment on a house over the course of 5 years, so don't bother telling me about how *you* can't do it. Don't even bother.

      After you have some cash you'll find that negotiating is a whole nother ballgame, and one in which you can score much easier. That applies in medical services as much as anywhere else, and, in fact, it's even easier in medical services because medicare and insurance companies are already setting prices for procedures.

    5. Re:The Bake Sale Model by kilfarsnar · · Score: 4, Insightful

      BTW I agree, but was using it to get to a point: A free market solution (using real costs) can't work if you can't refuse to do business based on that price.

      And that's one of the reasons why health care has no place in the Free Market.

      --
      "What the American public doesn't know is what makes them the American public." -Ray Zalinsky (Tommy Boy)
  2. Just have medicare for all and get rid of the over by Joe_Dragon · · Score: 3, Insightful

    Just have medicare for all and get rid of the overpriced priced bills that have A single aspirin for $25

  3. Still ignoring the issue by ComputerGeek01 · · Score: 5, Insightful

    The problem isn't that these people got sick. It's that they have incurred these radical medical bills as a result of contracts between the hospitals and the insurance companies to intentionally drive up the prices. This is the definition of collusion and for the insurance companies it borders on racketeering. Every hospital in the US is just as guilty as every medical insurance broker and until we call them on their shit you're only going to make things worse by enabling them.

    But who cares as long as you can go to bed feeling all warm and fuzzy inside, right?

    1. Re:Still ignoring the issue by Nidi62 · · Score: 4, Funny

      But who cares as long as you can go to bed feeling all warm and fuzzy inside, right?

      You don't even want to see the cost of the tests they do when you come in with those symptoms.

      --
      The only thing necessary for evil to triumph is for it to be pitted against a slightly greater evil
  4. Interesting Concept by organgtool · · Score: 5, Insightful

    While this is an interesting concept, I can't help but feel like this props up our predatory privatized health system which focuses more on profits than it does on treatment. If we're all going to pay for each other's medical bills via private insurance and crowdfunding, why not change to a public system rather than expect sick people to become beggars of their family and friends?

  5. Only in the US... :-( by Anonymous Coward · · Score: 5, Insightful

    Only in the US would something like this be required.

    Please pick one of the healthcare models here in Europe instead - around here we don't consider the value of a person's life to be based on how rich they are.

  6. Re:Repeal and Replace. by Anonymous Coward · · Score: 2, Insightful

    "Mr Scrooge, ... it is more than usually desirable that we should make some slight provision for the Poor and destitute, who suffer greatly at the present time. Many thousands are in want of common necessaries; hundreds of thousands are in want of common comforts, sir."
    "Are there no prisons?"
    "Plenty of prisons..."
    "And the Union workhouses." demanded Scrooge. "Are they still in operation?"
    "Both very busy, sir..."
    "Those who are badly off must go there."
    "Many can't go there; and many would rather die."
    "If they would rather die," said Scrooge, "they had better do it, and decrease the surplus population."

  7. Re:Just have medicare for all and get rid of the o by Richard_at_work · · Score: 5, Insightful

    This is why I love living in the UK and will defend the NHS until my death.

    Here in the UK I don't have to worry about the cost of my healthcare, and if I want it quicker or I want a nicer bed then I always have the option of paying privately anyway.

    This is also why Jeremy Hunt can fuck off and keep his slimy mitts to himself.

  8. no need for crowdfunding by Anonymous Coward · · Score: 3, Insightful

    or you could get with the rest of the civilized world and not have health care a for profit venture.

  9. Re:What?!?! Obamacare didn't fix US healthcare? by Fire_Wraith · · Score: 2

    From what I understand, it wasn't so much about making healthcare actually cheaper, so much as slowing the projected rate of increase from "Ludicrous" to merely "Ridiculous" or less.

    Actually making it cheaper would probably have required a lot of things that were just not politically feasible at the time (like single payer/Medicare for all), considering how difficult even the messy patchwork of fixes that comprise the ACA/Obamacare was to get passed to begin with.

  10. Re:big numbers not so big. by rmdingler · · Score: 2

    Indeed, and it's necessary to factor in the huge percent of the unpaid medical bills that belong to people forced to wait until their symptoms are bad enough to be seen be an emergency room... the health care program of too many Americans.

    --
    Happiness in intelligent people is the rarest thing I know.

    Ernest Hemingway

  11. In saner societies by sinij · · Score: 3, Insightful

    In saner societies this service called universal healthcare and it is run by the government.

  12. Re:Just have medicare for all and get rid of the o by Richard_at_work · · Score: 2

    My mother suffers from Chromic Lymphatic Leukaemia, started treatment within two weeks of being diagnosed in 2005, received all the drugs necessary and went into remission. Ten years on, she still has regular checkups, tests and support from the same doctors.

    All for free.

    Don't think that the few cases that come up in the news are indicative of all cases.

  13. Re:Just have medicare for all and get rid of the o by Richard_at_work · · Score: 2

    In the UK, Accident and Emergency has a 4 hour waiting restriction on patients - if the patient has not been seen and treatment is not underway within 4 hours of them presenting at A&E, it becomes a major incident that needs to be investigated.

    We do have an issue at several hospitals currently where there has been an upsurge in breaches in waiting time where A&E departments have reached capacity, but having private hospitals wouldnt help there as its a max capacity issue brought around by a step change in public behaviour rather than departments being underfunded.

    No, a cold is not a valid reason to come to A&E. No, an ingrowing toe nail is not a valid reason to come to A&E. If you come to A&E drunk and need to sleep it off, you are a fuck tard because you are now blocking an A&E bed because you cannot legally be discharged.

    If you are awaiting an operation, you are low risk and the waiting list is too long, then the NHS will pay for you to have the operation in a private hospital just to cut the waiting list.

  14. Tell me why I should care.. by bfpierce · · Score: 4, Insightful

    About an industry that can write off $40 billion and still make massive profits.

    It's not like getting all $6 billion of our 'card and flower' money is going to make them drop prices one dime.

  15. Re:Just have medicare for all and get rid of the o by Chrisq · · Score: 3, Insightful

    But you're in the UK and have never used the US system. How long does it take to get a appointment at the local surgery.

    If I phone in the morning and it sounds important usually a couple of hours. If I say something like "can I review my hayfever tablets, I hear that there are some newer and better drugs", then its days, sometimes into next week.

    Now add the weeks or months it takes to see the specialist you're referred to. Now add many more months to find a slot to be treated.

    The NHS being great is a myth. It takes forever to get seen, scanned and treated.i

    Again, it depends. My wife had a clicking and achy knee and waited two weeks to be seen and another 10 to be treated. My brother had a small stroke and, wha given an MRI and a treatment within hours.

    And as to your "private" option bullshit. Guess what? When they're over booked for operation type or birth, you get told to fuck off back to the NHS, but you get a small refund on your BUPA premium. Been there, done that, seen it with friends and colleagues.

    That concurs with what my dad says, that the best use of a company healthcare plan is to get a nicer room in an NHS hospital.

  16. Re:Just have medicare for all and get rid of the o by Richard_at_work · · Score: 3, Insightful

    Yes, I would. If you can wait 4 hours to be seen, is it really an emergency?

    Go in with a cardiac arrest and you will be seen straight away.

    Go in with a broken nose, you wait your turn.

  17. Re: Repeal and Replace. by Anonymous Coward · · Score: 5, Insightful

    Great, but what about the 3-year-old daughter of a colleague of mine with a brain tumor? Is that because she does drugs, or maybe she smokes?

  18. Re: Repeal and Replace. by ShanghaiBill · · Score: 4, Informative

    health is not something that can or should be traded on the free market.

    America's healthcare system is about as far as you can get from a free market. Patients have no ability to compare prices, or even know what services cost when they are provided. If socialized medicine was the sole answer, America would have a wonderful healthcare system, because our government spends more on healthcare than any other country in the world, and is near the top in per-capita government medical spending as well. Our medical system is bloated, inefficient, and bureaucratic, and at 18% of GDP it is bigger than the entire economy of Canada. If our medical system became as efficient and effective as other developed countries, it would wipe out 10% of our economy, and eliminate the jobs of more than 7 million well paid people. There is a huge amount of inertia and resistance to change.

  19. Re: Repeal and Replace. by Anonymous Coward · · Score: 2, Informative

    Obviously you have perfect health, were not born with generic issues and have never needed to have your appendix removed, or never had emergency surgery for an anatomic issue that caused a medical emergency. Not all medical bills are caused by not taking care of yourself.

  20. Re: Repeal and Replace. by BarbaraHudson · · Score: 5, Insightful

    Health is the responsibility of the person, not the community. Since the community has no say in how a person lives their life, whether that person smokes, gets drunk, uses drugs or is obese, why should the community be responsible to pay the medical bills for that person? Obviously the person doesn't care about their health or they wouldn't have chosen the lifestyle they lead.

    A civilized society wouldn't force its citizens to hand over their money to protect those who choose to kill themselves through their own bad choices, especially when that society has endlessly informed its citizens about the dangers of such lifestyles choices.

    Really - society bears no responsibility? Tell that to the people of Flint who have been poisoned by lead. Or the person walking down the street who just happens to be in the wrong place at the wrong time and gets shot/hit and run/raped?

    These are not lifestyle choices.

    --
    "Transparent" is a shit show that trades on every stereotype going. A man in drag is NOT a transsexual.
  21. Comment removed by account_deleted · · Score: 2

    Comment removed based on user account deletion

  22. Re:Just have medicare for all and get rid of the o by BarbaraHudson · · Score: 2

    This is SO full of sh*t. Yes, during an outbreak of c. difficile or flu, the hospital is running over capacity. So you end up on a gurney in the hallway in ER. But you still get the treatment you need, and when a room opens up, it's not left empty.

    Your grandmother could have asked to be transferred to another hospital. Problem solved.

    If more people didn't go directly to an ER for minor things, but went to one of the clinics, that would go a long way to solving the problem of waiting times.

    Oh, btw, if you don't have either $300,000 or some form of insurance to cover your cost in the US, you will not get the equivalent treatment that you would havel with the money or coverage available. Minimal treatment, and out you go.

    --
    "Transparent" is a shit show that trades on every stereotype going. A man in drag is NOT a transsexual.
  23. Re:DNR ignored. $300,000 win. by Anonymous Coward · · Score: 2, Informative

    If the DNR was legally executed, then this is Medicare fraud. Did your family report this to the government or even to the local media?

  24. Re:Just have medicare for all and get rid of the o by Attila+Dimedici · · Score: 2

    Yes, and that clock starts ticking when the patient gets out of the ambulance (or otherwise enters the Emergency Room). As a result, there are stories about hospitals in the UK where the ambulances are backed up waiting for hours for the hospital to allow them to unload the patient into the Emergency Room.

    --
    The truth is that all men having power ought to be mistrusted. James Madison
  25. Blatant ripoffs by Erbo · · Score: 4, Insightful
    So, the health care industry, not content with sucking down one dollar in every five in the U.S. economy, wants to grab a few extra billion?

    When you take your car in to be serviced, the law requires that you be given a binding estimate of the costs involved before any work is done, and the mechanic is forbidden to exceed that estimate (within a small margin, like 10%) without getting your permission first. Mechanics who violate that law go to jail. Why do we not have those same kinds of consumer protections in the health care industry?

    Pharmaceutical companies routinely charge people in the U.S. more for their products than in other countries, such that a drug which costs $100,000 for a full course of treatment in the U.S. costs only $5,000 in India, or scorpion antivenom that is billed at $40,000 a vial in the U.S. is available for $100 a vial in Mexico. Yet, if you were to go outside the country, buy those drugs, and bring them back to the U.S., you would go to prison, thanks to a law bought and paid for by the pharmaceutical industry, a blatant infringement on the Doctrine of First Sale (which is that, once you buy something, it is yours to do with as you wish). The Supreme Court recently ruled (Kirtsaeng vs. John Wiley & Sons, Inc., 568 U.S. ___ (2013), Docket No. 11-697) that this practice was impermissible in the textbook industry. Why, then, should it be permissible in the pharmaceutical industry?

    If we were to get rid of all the special exemptions that the health care industry has under law, and force it to abide by the existing law of the land (such as the Sherman, Clayton, and Robinson-Patman Acts), including prison time for health care and insurance executives where applicable, the cost of health care would drop by 80% or more. Most people could then pay cash for their health care needs for about the same as they pay in a deductible today...meaning "health insurance" would no longer be necessary (except for "catastropic care" policies for unforeseen circumstances, which would cost about the same as your car insurance). Some form of Medicare and Medicaid would still be required for the truly less fortunate, but would cost a lot less. Obamacare would no longer be needed and could be trivially repealed. The economy would experience a massive boost because health care would no longer be draining it, and every government budget deficit problem, Federal, state, and local, would be instantly solved. (Leading to secondary effects such as stopping the erosion of your purchasing power because the government keeps "printing money" to fund its deficit spending.)

    --
    Be who you are...and be it in style!
  26. Re: Repeal and Replace. by ewibble · · Score: 5, Interesting

    Actually Americans as a proportion of there GDP spend more on health (2013 17.1%) than any other country exception of Tuvalu (19.7%) and America is one of richest countries in the world, per person it only it spends more any other country than except Switzerland and Norway (they obviously have a higher GDP per capita) yet Americans life expectancy is ranked 34th, Norway 9th, Switzerland 2nd. Clearly Americans are spending just more to get a worse health care. So who is squandering their money? Insurance companies by definition take their cut, of health care spending, it is in there interest to keep health care cost high so that they can sell insurance in the first place.

    Ref: http://data.worldbank.org/indi... , http://data.worldbank.org/indi... , https://en.wikipedia.org/wiki/...

    These are not extreme cases at all, these are normal cases, people get sick, mostly through no predictable fault of their own. Yes people could save and plan for something happening, but with 11 out of 12 cancer drugs costing more than $100,000 per year (http://www.nerdwallet.com/blog/health/medical-costs/how-much-does-chemotherapy-cost/). The cost of a heart bypass surgery (which is not uncommon surgery) is $70,000-$200,000 without insurance, the main contributing factor to heart disease is genetics. Even the most fugal saver on an average income would probably be ruined by these expenses. This is not the cost of a luxury goods, unless you mean a Ferrari, and staying alive is not a luxury, it is by definition a necessity.

    Providing health care to the poor, benefits everyone, rich included. Having a population with lots of unhealthy people can infect the rich as well, a virus does not look at the size of your bank balance before infecting you.

  27. Re: Repeal and Replace. by ewibble · · Score: 2

    Like requiring a politicians to implement a decent health care system.

    Anyway, that would be society's as a whole fault wouldn't it? So society as a whole should pay for it.