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Would ” home medical lab testing ” alleviate some of the strain on the Canadian health care system?
Could the average layperson do her own crude home medical testing at home, using a home computer and “USB plug in contraptions? The contraptions could evaluate physiological vitals and take tests for blood sugar concentration, blood-oxygen, respiratory gas assays and such… Some of these devices would be fairly expensive, but these testing devices could be bought separately, according to affordability, and one could merely start with a small modular system and add-on later. Home medical lab tests could evaluate simple parameters such as temperature, blood pressure, blood sugar…The HoMedLab “kit” could include necessary software to tie it all together, and make available, personal medical data for the family health care provider.
Do we have the technology to design simple and relatively inexpensive medical devices, of which could be plugged-into the home computer? Is the idea feasible? Would people buy-into the technology? The devices could measure and record things like:
O2 blood level
simple gas concentration tests
The data could be sent to your family doctor’s computer file or database. Ideally, the cost of maintaining a nation’s health would decrease with such a design. Would it? Could this work? Lastly,
Would you purchase a ‘home-medical lab’ and software for a few thousand dollars? Would your doctor like such a plan?
What other test devices could be developed for such a “kit”?
While, I’m not familiar with the details of the Canadian health care system, I can offer some input about this.
With the exception of RBC and gas concentrations, none of those are a particular laboratory load. All of those can be measured by simple devices available at most pharmacies. Measuring gas concentrations in the blood can be a messy ordeal, depending on which gas you’re reading (O2 can be done easily because of the optical properties of hemoglobin).
Measuring the pH of blood would require drawing blood, something that most people are not qualified to do, especially on themselves. Risky considered the prevalence of the vaso-vagal response to needles.
Measuring RBC requires a device called a cell counter. While these operate very quickly, they are difficult to operate, calibrate, maintain and cost about $5000 USD as a starting point. This is well outside the expertise of a lay person.
Most of the strain on medical labs comes from doing such things as pathogen screening, DNA sequencing(usually specialty) and other diagnostics. These require expensive reagents and frequently dangerous chemicals, stains and so on. These are time consuming and difficult diagnostics to perform, not to mention the biohazard and mess involved in culturing bacteria and viruses.
Typical Physician Charges?
Does anyone know where I can get a current list of physican fees/charges? For example, average cost of an EKG in the office, EMG in the office, lab draw…not specifically these tests but a list where I can serach for various typical costs for in office/outpatient charges. A free site by the way. Thanks.
Here is the 2008 proposed Medicare physician fee schedule. It reads like the tax code, I wish you well if you are able to decipher it. Unfortunately once the government gets involved, there seems to be no such thing as straight forward.
In short embedded in that document is a list of services and the service’s associated “RVU’s” You just need a conversion of how they calculate RVUs to dollars and that should lead you to an answer. Finally Medicare discounts the usual and customary billing rates in the neighborhood of 30% (pays 70%), so the average consumer would see a higher rate than the Medicare rate.
What is the Variance Analysis?
“What’s going on in that lab?” asked Derek Warren, chief administrator for Cottonwood Hospital, as he studied the prior month’s reports. “Every month the lab teeters between a profit and a loss. Are we going to have to increase our lab fees again?”
“We can’t,” replied Lois Ankers, the controller. “We’re getting lots of complaints about the last increase, particularly from the insurance companies and governmental health units. They’re now paying only about 80% of what we bill. I’m beginning to think the problem is on the cost side.”
To determine if lab costs are in line with other hospitals, Mr. Warren has asked you to evaluate the costs for the past month. Ms. Ankers has provided you with the following information:
Two basic types of tests are performed in the lab–smears and blood tests. During the past month, 2,700 smears and 900 blood tests were performed in the lab.
Small glass plates are used in both types of tests. During the past month, the hospital purchased 16,000 plates at a cost of $38,400. This cost is net of a 4% purchase discount. A total of 2,000 of these plates were unused at the end of the month; no plates were on hand at the beginning of the month.
During the past month, 1,800 hours of labor time were used in performing smears and blood tests. The cost of this labor time was $18,450.
The lab’s variable overhead cost last month totaled $11,700.
Cottonwood Hospital has never used standard costs. By searching industry literature, however, you have determined the following nationwide averages for hospital labs:
Plates: Three plates are required per lab test. These plates cost $2.50 each and are disposed of after the test is completed.
Labor: Each smear should require 0.3 hours to complete, and each blood test should require 0.6 hours to complete. The average cost of this lab time is $12 per hour.
Overhead: Overhead cost is based on direct labor-hours. The average rate of variable overhead is $6 per hour.
Compute the materials price variance for the plates purchased last month, and compute a materials quantity variance for the plates used last month. (Indicate the effect of each variance by selecting “F” for favorable, “U” for unfavorable, and “None” for no effect (i.e., zero variance). Input all amounts as positive values. Omit the “$” sign in your response.)
What is the materials price variance ______ U / F / None
what is materials quantity variance _______ U / F / None
Compute a labor rate variance and a labor efficiency variance. (Indicate the effect of each variance by selecting “F” for favorable, “U” for unfavorable, and “None” for no effect (i.e., zero variance). Input all amounts as positive values. Omit the “$” sign in your response.)
Labor rate variance $________ U / F / None
Labor efficiency variance $______ U / F / None
In most hospitals, three-fourths of the workers in the lab are certified technicians and one-fourth are assistants. In an effort to reduce costs, Cottonwood Hospital employs only onehalf certified technicians and one-half assistants. Would you recommend that this policy be continued?
Yes or no
Compute the variable overhead spending and efficiency variances. (Indicate the effect of each variance by selecting “F” for favorable, “U” for unfavorable, and “None” for no effect (i.e., zero variance.). Input all amounts as positive values. Omit the “$” sign in your response.)
Spending variance $________ U / F / None
Efficiency variance $________ U / F / None
Which of the following statement(s) is true? (Select all that apply.)
If there is an unfavorable direct labor rate variance for the hospital, then there will also be an unfavorable variable overhead spending variance.
If there is an unfavorable direct labor efficiency variance for the hospital, there will also be an unfavorable variable overhead efficiency variance.
Please Explain how to do these and the answers!!!!
firstname.lastname@example.org is my email and i have a couple more! really appreciated
On average, how much would blood work cost with BCBS insurance?
I know that it depends on the doctor, but I’m sure there’s a somewhat average range for the cost of blood work. I would like to have a full blood test to check things like my hormone and blood sugar levels.
Will my Blue Cross Blue Shield insurance cover lab work? If not, how much do you think lab work from a general practitioner will cost? If you have direct experience with this insurance and/or the tests, please mention it in your answer; your opinion is very much appreciated!
You can easily check your minimal health care rates in internet, for example here – healthquotes.awardspace.info
What is the average amount of money it costs for hypothyroidism treatments?
At my last check up, the doctor told me my thyroid gland felt enlarged. I have put off getting tested for it because I don’t know how much it costs for lab fees and Dr.’s visits for that matter, also I want to know about how much the treatment is for this problem so I can get this taken care of. An idea of how much money I would need to save to get tested for, pay lab fees, and pay for pills or treatment for hypothyroidism, would be a great help. I know I have all they symptoms, and it was suggested by my OB/GYN to get tested for this. Anyone with any knowledge of this disease please help me with these answers, or what you payed when you got tested and what not, physicians that specialize in this area or endocrine medicine and such are more than welcome and preferred. Thank you so much for taking the time to read my question.
Pills for hypothyroidism are relatively inexpensive in their generic form, and are generally taken once daily. Even without insurance, the price would likely be under $30 per month. Levothyroxine (the generic hypothyroid pill commonly prescribed) is part of Wal-Mart’s $4 generic program. The testin for hypothyroidism is a simple blood draw, although without insurance I am unsure what the cost would be.
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