For decades, Americans told themselves that health INSURERS were the problem, when it was the PROVIDERS all along.
🚨New @nberpubs with @andrewolenski on major hidden profits in the healthcare sector! Bear with me as I explain how nursing homes are able to hide almost 2/3 of their profits from regulators and the public! I promise it's worth it! 🧵1/17 Paper: nber.org/papers/w32258

Mar 19, 2024 · 12:53 AM UTC

Replying to @Noahpinion
Yeah but the insurers have been acquiring / starting clinical practices at an increasing pace to hide profits in an analogous way
Replying to @Noahpinion
Health Insurers have created a set of hurdles and incentives that are driving a system that increases cost & ultimately benefits insurers.
Health insurers are supposed to be the ones driving efficiency and detecting this kind of abuse. Presumably they would have done so if it was financially in their interest to keep costs low.
Replying to @Noahpinion
Insurers literally the only link in the chain trying to reduce costs.
Replying to @Noahpinion
More complicated than that. Situation may be different for doctors. Doctors mark up prices because reimbursement by insurance is terribly low, & insurance companies like to drag their feet when paying. To keep afloat, this is what some doctors need to do.
Replying to @Noahpinion
Oh yeah 100% it’s the hospitals
Replying to @Noahpinion
We need physician assisted suicide. When dementia comes for me, as it did with my dad; I want to preserve my wealth for my kids and my grandkids, and I don't want their last memory of me being two or three years of absolute s***.
Replying to @Noahpinion
Why not both?
Replying to @Noahpinion
Regulators look to be blameworthy.