Articles & Publications
Business Insider: There is a growing number of surgery centers and specialists that list their prices and don’t take insurance
by by Lydia Ramsey
When Cheryl Millican found out she needed surgery, her Dallas-based doctor told her it would cost roughly $38,000 out of pocket. Millican, who doesn’t have insurance, needed a hysterectomy, a procedure that removes all or part of the uterus. It wasn’t an emergency situation, so when a friend told her about a place in Oklahoma that could perform the surgery for $8,000, she decided to look into it. That included the cost of the procedure itself, an overnight stay, a follow-up appointment, and any other meetings ahead of time.
A new kind of doctor’s office charges a monthly fee and doesn’t take insurance — and it could be the future of medicine
by Lydia Ramsey
Dr. Bryan Hill spent his career working as a pediatrician, teaching at a university, and working at a hospital. But in March 2016, he decided he no longer wanted a boss. He took some time off, then one day he got a call asking if he’d be up for doing a house call for a woman whose son was sick. He agreed, and by the end of that visit, he realized he wanted to treat patients without dealing with any of the insurance requirements.
Then he learned about a totally different way to run a doctor’s office. It’s called direct primary care, and it works like this: Instead of accepting insurance for routine visits and drugs, these practices charge a monthly membership fee that covers most of what the average patient needs, including visits and drugs at much lower prices.
‘Good Faith Estimate’ Could Prepare you for Huge Medical Bills
Most Americans think their biggest lifetime purchase will be there their home. But, a growing number of patients are facing medical bills twice as expensive as their home. Price transparency is an idea that is catching on around the country.
Jay Kempton featured on ShiftShapers Podcast Series
Jay Kempton, president & CEO of The Kempton Group has been described as “the personification of a disruptive force in the self-funded world.” In The ShiftShapers Podcast Series, Episode 65, Jay talks about everything from what buying a truck would be like if we applied today’s insurance purchasing rules to why Health Savings Accounts do not represent a real long-term solution.
Health Care Switch Saving Oklahoma County Thousands
A switch in health care saves Oklahoma County hundreds of thousands of dollars and could be millions by the end of the year, but those on the other end of the switch claim there’s more than meets the eye. Charts show patients cost savings on a variety of surgeries. Each one with a difference of several thousands of dollars. The reason? A switch to self-funded healthcare coverage.
How To Bend the Cost Curve Down for State Employee Health Care
By Oklahoma Council of Public Affairs
Oklahoma has the opportunity to save state employees and state taxpayers money while ensuring high-quality health care, by embracing health insurance reforms implemented by Oklahoma County for state employees.
Self-Funding Myths vs. Facts
This document, created by the Society of Professional Benefit Administrators (SPBA), compares myths and facts when it comes to self-funding.
More Employers Will Self-Insure if States Let Large Firms on Exchanges in 2017
Beginning in 2017, states have the option of allowing large employers (i.e., more than 100 employees) to purchase a fully insured health plan through public insurance exchanges. H that happens, fully insured large group coverage sold through the exchanges must include the 10 essential health benefits (EHBs) and comply with other standards that now apply only to the individual and small-group market plans.
Transparency & Free Market Healthcare in the Face of the ACA
This article, published in the Journal of Free Standing Emergency Medicine, outlines the concept of Transparency and Free Market Healthcare in the face of the Affordable Care Act.
Surgery Center Network Partners With Third-Party Administrator Kempton Group
SCN provider members gain access to more surgical cases, Kempton Group clients receive high-quality, low-cost, transparent care.
The Cost of Price Transparency
“If you can’t beat them, join them.” This nugget of 1930s political wisdom of indeterminate origin is no less true in a wide variety of situations than it was nearly 80 years ago. While it may be the only option for hospitals faced with growing demands for price transparency, the problem is this: knowing who to beat and where to join isn’t so clear. At this point, however, it’s looking like hospitals may be out of options.
Disruption of the Health Care Syndicate Continues
by G. Keith Smith, M.D.
Dr. Keith Smith discusses how his early experiences with mentoring surgeons who utilized fair and transparent health care practices are showing that the modern day transparency movement cannot happen fast enough.
Okla. Surgical Center Reveals Prices to Patients
by ABC News
When Ira Horner, 62, found out how much his knee surgery for a torn meniscus was expected to cost, he worried that he would spend the rest of his life in debt.
A floor associate at Hutchinson Oil, in Woodward, Okla., Horner had health insurance through his employer, but it was unclear as to what he would ultimately be expected to pay.
After talking to friends and nurses at the medical center where he was being treated, Horner estimated the surgery would cost at least $16,000, and he’d end up paying about 20 percent of that plus his $1,000 deductible.
Revealing a Health Care Secret: The Price
by The New York Times
Pulitzer-winner Tina Rosenberg of The New York Times profiles the Surgery Center of Oklahoma and delves into their unique approach with regards to price transparency.
DIY Health Reform Reduces Surgery Costs 50-90%
It is well documented that high deductible health plans (HDHP) are rapidly growing (see here, here, here, and here). It is indisputable that HDHPs have an effect on consumer behavior (not all positive… improperly designed HDHPs result in lower use of preventive screenings). Personally, I have gone from a Cadillac health plan where I paid nothing (literally) to a $10,000 deductible for my family. Let me give you an example. One of my kids needed to have their adenoids removed. Before, we would have blithely gotten the procedure done oblivious to the costs. Instead, I tried mightily to get a price ahead of time so I could negotiate a cash price. Only the surgeon was willing to give me a price for his services. I paid him out of my HSA prior to the surgery and we both came out ahead. Unfortunately, the hospital was unwilling to give me this information. The final bill was close to $10,000. In contrast, the Surgery Center of Oklahoma would have charged $2,695 for the entire procedure.
Health Insurers Warn on Premiums
Health insurers are privately warning brokers that premiums for many individuals and small businesses could increase sharply next year because of the health-care overhaul law, with the nation’s biggest firm projecting that rates could more than double for some consumers buying their own plans.
How much will surgery cost? Good luck finding out
Hip replacement can cost $10,000 – or $125,000, depending on the hospital, study finds
New trend in the Sooner State: Paying cash for health care
Waves of patients continue to travel from around the country to an Oklahoma surgery center for the promise of affordable health care.
Oklahoma City hospital posts surgery prices online; creates bidding war
An Oklahoma City surgery center is offering a new kind of price transparency, posting guaranteed all-inclusive surgery prices online. The move is revolutionizing medical billing in Oklahoma and around the world.
Oklahoma Doctors vs. Obamacare – Surgery center provides free-market medicine
The video below talks about how The Kempton Company and The Surgery Center of Oklahoma have partnered to promote free market transparency in healthcare pricing.
Rep. James Lankford and Dr. Keith Smith Discussed a Market-Based Approach to Health Care
Rep. James Lankford and Dr. Keith Smith of the Surgery Center of Oklahoma discuss a market-based approach to health with more transparent prices to reduce costs. (December 7, 2011)