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The Paradocs Podcast


The Paradocs is a fun and lively discussion with a couple of docs on the practice of medicine. Occasionally serious, usually lighthearted, and accidentally informative. A show for physicians to learn more about what is going on and a great place for them to direct their friends and family to better understand the challenges they face.

Feb 20, 2020

 

Real health care price transparency is a an elusive goal for many in the medical community.  Whether it is employers or individuals there is a real demand for people to want to know the prices of care before it is delivered. It might be imaging or common surgical procedures or laboratory work but ultimately, very few know how much their bills will be when they arrive a few months later. This lack of price transparency makes it difficult to be a conscientious consumer and drives people crazy.

That's where my guest today comes in, Dr. Bill Hennessey. Dr. Hennessey is the CEO of Pratter which is a medical consulting company that helps self insured companies/groups find affordable care. By using millions of claims in their database with government and commercial payers they provide their clients easy to understand reports on ways to save on their employees or member's medical care. This is accomplished mainly by redirecting people to lower cost options for imaging, surgery, and laboratory testing.

The main focus so far for the company has been to self insured employers and unions but Dr. Hennessey expects to launch a direct to consumer product of Pratter either later this year or early 2021. This release of prices for easily comparable services will revolutionize the health care market and disrupt the current system of multiple contracting with insurance carriers. I suspect even before the presidential executive order makes its way out of the courts it will already be moot as the market has shifted towards greater transparency from market pressure.

One example mentioned by Dr. Hennessey of the craziness of pricing is for inguinal hernia repairs by payer and location.

  • Medicare for in hospital outpatient is $2783.
  • Medicare for free standing surgical center is $2487
  • Avg. Commercial payer for free standing surgical center is $2586
  • Avg. Commercial payer for hospital outpatient is $5869! Dr. Bill Hennessey is a PM&R physician by training and the CEO of Pratter, Inc.
show notes

Pratter, Inc.

Pratter on LinkedIn

Health Care consumer tips: This is the link to the tip page with ways consumers can protect themselves from outrageous hospital bills. The first tip is be aware before you get care.

Episode 002: My discussion with Dr. Belen Amat on why she chose direct primary care. This is an example of the types of ways of saving on health care given by Dr. Hennessey.

Made Simply Web Site Creations: This is the great, affordable website service that built my wife's podcast site. I cannot recommend this company more to someone looking for creating a website.

Always Andy's Mom: Home of my wife, Marcy's, podcast for parents grieving or those looking to help them.

YouTube for Paradocs: Here you can watch the video of my late son singing his solo on the Paradocs YouTube page.

Patreon - Become a show supporter today and visit my Patreon page for extra bonus material. Every dollar raised goes towards the production and promotion of the show.

Listen to The Paradocs on RadioPublic