Ep. 469 Price Transparency in Healthcare with Dr. Keith Smith
Aug 2, 2024
auto_awesome
Dr. Keith Smith, founder of Oklahoma Surgery Center and the Free Market Medical Association, discusses his revolutionary approach to healthcare pricing. He outlines the journey of establishing transparent, affordable healthcare, overcoming regulatory challenges and insurance complexities. Dr. Smith shares insights on the rise of self-funding in healthcare and the value of the Free Market Medical Association in connecting consumers and providers. He emphasizes the need for price transparency to enhance patient care and plans for expanding this model beyond Oklahoma.
Dr. Keith Smith advocates for transparent pricing in healthcare to empower patients and challenge the traditional opaque cost model.
The rising trend of self-funded companies allows businesses greater control over healthcare spending, enhancing the demand for value and price transparency.
Deep dives
Rethinking Healthcare Pricing
The discussion emphasizes the necessity of attaching a price to every service offered in healthcare, advocating for transparency. This notion stems from the frustrations faced by healthcare providers as they observed the high costs imposed by hospitals on patients. A case was shared where the Surgery Center of Oklahoma started quoting prices over the phone, revealing a considerably lower cost for certain procedures compared to hospitals. The approach not only aids patients in understanding their expected expenses but also serves to challenge the traditional opaque pricing model often found in healthcare facilities.
The Rise of Self-Funded Healthcare
Self-funded companies are highlighted as a growing trend where businesses cover their employees' healthcare costs directly, effectively sidestepping traditional insurance models. This practice allows employers, especially smaller businesses, to have greater control over their healthcare spending while achieving significant cost savings. The discussion indicates that about 80% of healthcare expenses are borne by self-funded entities, underscoring the shift towards this model. Additionally, the Surgery Center of Oklahoma collaborates with self-funded companies, enabling a direct relationship that fosters transparency and competitive pricing for medical services.
Challenges of Price Transparency Legislation
Recent healthcare laws mandating price transparency are scrutinized for their effectiveness and impact on market dynamics. The sentiment is that governmental interventions often lead to complexities that can hinder, rather than help, market competition. The added burden of compliance disproportionately affects smaller healthcare providers while benefiting larger institutions that can afford to navigate such regulations. Knowledgeable providers argue that consumers still struggle with substantive price comparisons, which diminish the original intent of the price transparency movement.
Building Sustainable Health Care Models
The conversation concludes with an encouragement for healthcare professionals to adopt bundled pricing models defined by fixed prices for specific episodes of care. Emphasizing simplicity, the discussion suggests that many providers hesitate to standardize pricing due to fear of complications. The successes of the Surgery Center of Oklahoma are used as a case study, demonstrating that a straightforward pricing approach can resonate well with consumers and create a competitive marketplace. The overarching theme encourages providers to explore innovative healthcare practices while aligning with self-funded buyers, fostering a more cost-effective and transparent healthcare system.
Creating an ambulatory surgery center (ASC) with transparent, affordable pricing is possible and can go a long way in protecting our patients’ health, pockets, and futures. Dr. Keith Smith, founder of Oklahoma Surgery Center and the Free Market Medical Association, joins us to explain how to do it.
---
CHECK OUT OUR SPONSOR
Reflow Medical
https://www.reflowmedical.com/
---
SYNPOSIS
Dr. Smith shares his journey of creating transparent and affordable healthcare pricing, the challenges faced due to government regulations and insurance companies, and the rapid growth of self-funded companies seeking value in medical services. He highlights the importance of simple, honest pricing and the impact of the Free Market Medical Association in connecting buyers and sellers. Dr. Smith also discusses the expansion of his model beyond Oklahoma and into new surgical centers, emphasizing the need for price transparency in healthcare.
---
TIMESTAMPS
00:00 - Introduction
05:06 - Challenges & Growth
14:18 - Self-Funding & Price Transparency
16:47 - Free Market Medical Association
21:44 - Government & Price Transparency
26:19 - Expansion & Future Plans
---
RESOURCES
Oklahoma Surgery Center:
https://surgerycenterok.com/
Free Market Medical Association:
https://fmma.org/
Get the Snipd podcast app
Unlock the knowledge in podcasts with the podcast player of the future.
AI-powered podcast player
Listen to all your favourite podcasts with AI-powered features
Discover highlights
Listen to the best highlights from the podcasts you love and dive into the full episode
Save any moment
Hear something you like? Tap your headphones to save it with AI-generated key takeaways
Share & Export
Send highlights to Twitter, WhatsApp or export them to Notion, Readwise & more
AI-powered podcast player
Listen to all your favourite podcasts with AI-powered features
Discover highlights
Listen to the best highlights from the podcasts you love and dive into the full episode