How to get the most bang for your buck in the health care system
The health care industry is in the midst of a renaissance.
For the first time in its history, there’s more money flowing in from the government and private investors to build new hospitals, expand outpatient services and invest in other areas.
And the incentives to do so are starting to increase.
But what about the cost?
As the health sector evolves, it will need to continue adapting to new and changing technologies and regulations.
And it may not have a clear path forward.
Here are five tips to help you navigate the transition.
Find a partner.
If you want to move into the health field, it helps to have a network of partners who can help you figure out how to get there.
These are often known as “health partners.”
They can include employers, insurance companies, health care providers and others.
Find your niche.
For example, in the early years of the health insurance marketplaces, insurers were the biggest players.
If a patient wanted to see a specialist in their town, they had to pay premiums and pay a lot of time to see the doctor.
That was hard for many families, so insurers made a lot more money from premiums than they did from referrals.
Pay for the services.
For years, many insurers charged the same rates for each service.
But as they started to negotiate better prices with each other, they started negotiating higher rates for those services.
They could also negotiate lower rates for referrals.
For instance, if a health insurer wanted to provide a referral service to a person with diabetes, they might charge $200 a referral, while a health care provider might charge them $150.
This could change the amount of money that they charge for a referral and how much they can charge for services.
Choose a good provider.
Health insurance companies are often not very good at finding and keeping doctors who have expertise in their specialty.
For some patients, that could be a good thing.
But for others, a health plan may have trouble finding doctors who specialize in the same condition as the patient.
That’s when a health partner might recommend a provider who can do more than one or two things.
For a health insurance company, finding a health provider with expertise in a specialty can be an important part of their decision-making process.
Don’t get discouraged.
While many health insurers will charge more for referral services than they do for services like routine checkups, it’s possible that a provider with an outside perspective on the patient’s health will be able to negotiate a lower price for a routine checkup or routine care.
For this reason, some health insurance plans are offering a free referral service, such as a referral to a physical therapist.
This service can be especially valuable to people with diabetes because they can have their doctors refer them to a qualified provider and not have to worry about billing insurance companies or waiting for them to pay for their care.
If health insurers are able to lower the price of referrals, it could reduce the cost of health care overall.
For those with diabetes and their family, the transition into the new health care world will be a lot easier than the transition to the old one.
For more health policy news, visit recode.com/health.