Nurse Deb - FIXING the broken US HealthCare System 1 patient and 1 employer at a time! President at AIMM, Ault International Medical Management
Here's a real-life case our team is tackling today: How what should cost $76k ends up costing $5m. Key Figures: - Total Anticipated Billed Charges (ABC) per dose: $896,966.27 - Total Wholesale Acquisition Cost (WAC) per dose: $12,716.63 - Markup per dose: $884,249.64 (6,953%) For a 6-cycle request: - Total ABC: $5,381,797.62 - Total WAC: $76,299.78 - Markup: $5,305,497.84 Resulting in a $5.3 million price-gouge. No PPO discount can make this end spend reasonable. Adding to the chaos, the group believes using RBP will suffice. But will this known RBP Obstinate facility lead to patient access challenges or worse, balance billing? This situation is simply INSANITY... #Healthcare #CostTransparency #PriceGouging
