Alan M. Garber, MD, PhD
Potential Financial Conflicts of Interest: Dr. Garber is a member of the Medical Advisory Panel, Blue Cross Blue Shield Association, and a former Chair of the Medicare Evidence Development and Coverage Advisory Committee.
Requests for Single Reprints: Alan M. Garber, MD, PhD, Center for Health Policy, Stanford University, 117 Encina Commons, Stanford, CA 94305; e-mail, mailto:email@example.com.
Garber A.; A Menu without Prices. Ann Intern Med. 2008;148:964-966. doi: 10.7326/0003-4819-148-12-200806170-00223
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Published: Ann Intern Med. 2008;148(12):964-966.
For the well-insured, obtaining health care in the United States is like dining in a sumptuous restaurant that has menus without prices. A price-free menu encourages diners to ignore cost when making their selections. Similarly, well-insured patients usually don't know the prices of medical services at the time they receive them. Even for common procedures, few hospitals list their charges, much less the accompanying professional fees and the out-of-pocket costs; these are only revealed weeks or months later, when the explanation of benefits statement arrives. Without prices, motivated patients cannot “shop around” for lower-cost providers of care—and even patients who knew the price could not easily learn whether the care represents good value.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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