Surgery Price Transparency in Charlottesville?

This is not real estate related story other than the fact that many people choose to move to Charlottesville because of our excellent health care. Also, knowing what you are going to pay for something in healthcare is an oddly radical and seemingly impossible achievement.

Graelyn Brashear at C-Ville reports that the “Monticello Community Surgery Center (MCSC), an independent outpatient center owned by 22 shareholding physicians, is embarking on a new model centered around price transparency.” (although I cannot find a website for them other than this page)

When the list price for medical care is arbitrary and obscured, nobody can make an informed decision, and cost and quality become uncoupled.

“What’s wrong with our current system is that nobody understands what the cost of services are that they’re able to obtain through insurance, unfortunately in part by design,” he said.

I’m wondering – is what they’re doing similar to what the Surgery Center of Oklahoma is doing?

The two doctors who started the Surgery Center of Oklahoma, Dr. Keith Smith and Dr. Steven Lantier, are committed to charging fair prices, and they founded their hospital with the goal of price transparency. “What we’ve discovered is health care really doesn’t cost that much,” Dr. Smith told KFOR-TV. “What people are being charged for is another matter altogether.”

They have been posting all of their prices online for the past several years, and they charge significantly less than other hospitals in the area.

Anyone who knows me knows how frustrated I’ve been whenever I’ve broken myself playing soccer. Getting injured stinks; not knowing how much an MRI or X-Ray or doctor’s visit cost adds enormous stress and frustration to the equation.

So – will more people from around the country see this progressive option and move to Charlottesville? Conveniently, they’re going to be located close to the SOCA soccer facility … surely they will be some cross marketing, right?

Related reading: Bitter Pill: Why Medical Bills are Killing Us

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Monday Morning Reads – 10 March 2014


Four reasons bikes should not pay the same fines as cars
The most revealing broadband maps we’ve ever seen
7 Essential Elements of your Home Inspection
NAR: Pending home sales index down 9% year-over-year
Why home prices are climbing again and what you should do about it
New-home building is shifting to apartments
Albemarle County Schools are building their own fiber network (search the doc for “dark fiber”.

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Albemarle County May Increase the Property Tax Rate

Assessments are up. So might be the mil rate.

From the Daily Progress:

Recommended budget value: $349.3 million

Increase over current year: 8.3 percent ($26.8 million)

Proposed real estate tax rate: 80.8 cents/$100 assessed value

Current rate: 76.6 cents/$100 assessed value

Impact: The annual tax bill on a property assessed at $300,000 would increase from $2,298 to $2,424 at the proposed rate.

Proposed raises: 2 percent for county staff

So … the tax rate cannot go higher than 80.8 cents/$100 assessed value. And it could stay at 76.6 cents. Of the proposed 4.2 cent increase, nearly half of that would be dedicated to the Albemarle County schools. This should be an interesting debate.

If you’re curious to learn even more about the Albemarle County budget, the County has a lot of information on their site.

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How’s the Weather in Charlottesville? (thanks, Charlottesville Meteorologists)

Thanks to Charlottesville meteorologists! I’ve found an awful lot of value in my Charlottesville Media Twitter list – it’s the first place I go to check on news in the Charlottesville area, and notably this year, the weather. Recently I realized just how valuable Twitter-friendly meteorologists can be. NBC29 is active on Twitter, but not to the degree as Newsplex’s weather folks.

So, thanks, Charlottesville weather people. For those not in the Charlottesville area and considering moving here, you might find value in following this list to get a sense of Charlottesville weather and news – it’s currently comprised of 43 accounts, and I think it’s up to date (it’s not uncommon for reporters to start in Charlottesville and move after a year or two).

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March 2014 Note – Coaching Soccer, Market Update, Client Thoughts

I’m aiming to publish by Tuesday or Wednesday of next week. Curious or interested in reading some stuff I’ll likely never publish elsewhere? Too many posts in a month and you want just one email a month in which I recap some of the better stories from the previous month? Two clicks and you can subscribe.

March-2014-monthly-note.jpg

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How to Pay for Albemarle County Schools?

It costs nearly $12,000 per year to educate a kid in Albemarle County Schools. This year, the County Schools are facing a proposed funding gap of nearly $7 million and the cry from many parents, administrators and citizens has been to “fully fund the schools. (including emails from the schools’ email distribution newsgroups).”

Rather than repeat myself, this is a story I wrote three years ago and it’s still relevant. Schools matter for housing values. Period. People move to the Charlottesville area all the time for the schools. Schools. Matter. (this is as good a time as any to remind folks to check your school district before you write an offer to purchase a home )

But …

How should the citizenry pay for the schools?

Would people support an Adequate Public Facilities legislation?

A schools tax?

Asking for “more!” without referencing the “how?” in my opinion diminishes the argument.

* note: one of my kids graduated from Western Albemarle schools and one is currently enrolled.

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