Healthcare Revenue Cycle Management, ICD-10, Claims Reimbursement, Medicare, Medicaid

Healthcare Transparency

WA Makes Healthcare Price Transparency Consumer-Friendly

August 2, 2018 - How much does a knee replacement surgery cost at MultiCare Auburn Medical Center in Auburn, Washington versus St. Anthony Hospital in nearby Gig Harbor? Does EvergreenHealth Medical Center in Kirkland deliver the highest value birthing experience compared to other hospitals in its zip code? These are the types of questions Washington policymakers and enforcers are trying to answer for...


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Industry Orgs Express Concerns with Healthcare Price Transparency

by Jacqueline LaPointe

Industry groups are cautioning a bipartisan group of Senators on the challenges and limitations of healthcare price transparency from the provider organization perspective after the policymakers called for more information on the topic...

Senators Ask for Help with Quality, Healthcare Price Transparency

by Jacqueline LaPointe

A bipartisan group of six senators recently penned a letter to healthcare stakeholders calling for more information on healthcare price transparency to guide and inform a new legislative initiative. Senators Bill Cassidy, MD (R-LA),...

New CO Law Requires Providers to Give Patients Healthcare Prices

by Jacqueline LaPointe

A new healthcare price transparency law in Colorado now requires providers to give patients the costs of the most common procedures they perform. Patients should receive a list of the prices for the 15 most common services delivered at...

Hospitals Maintain Test Use Despite Healthcare Price Transparency

by Jacqueline LaPointe

Increasing healthcare price transparency for providers did not result in fewer laboratory tests ordered or lower healthcare costs, a recent JAMA Internal Medicine study found. “In this year-long randomized clinical trial conducted...

CMS Adds 2 Compare Websites to Boost Healthcare Transparency

by Jacqueline LaPointe

In effort to increase healthcare transparency, CMS recently added two new healthcare organization Compare websites and updated performance data for existing hospice care, hospital, and physician Compare websites. “At CMS, one of our...

Value-Based Care, Price Transparency Drive Hospital Mergers

by Jacqueline LaPointe

Healthcare system and hospital mergers will likely increase as new value-based care models emerge, according to a recent Healthcare Financial Management Association (HFMA) report. But the rise in value-based reimbursement and price...

How to Adopt a Retail Approach to Boost Healthcare Transparency

by Jacqueline LaPointe

More hospitals are implementing healthcare transparency strategies that borrow from the retail industry in order to retain and attract consumers, according to a recent PricewaterhouseCoopers Health Research Institute report. The report...

GAO: Healthcare Spending Data from CMS Inaccessible, Unreliable

by Jacqueline LaPointe

CMS should make healthcare spending data for skilled nursing facilities more accessible to public stakeholders and ensure the expenditure information is reliable, the Government Accountability Office (GAO) advised the federal agency in a...

CMS Details Rationale Behind Hospital Quality Ratings

by Jacqueline LaPointe

Just as consumers rate restaurants on Yelp.com on a scale of one to five stars, CMS has published star ratings for healthcare facilities on its Hospital Compare website to boost healthcare transparency. According to CMS leadership, the...

Healthcare Transparency Bill Proposes to Delay Star Ratings

by Jacqueline LaPointe

Two House Representatives, Jim Renacci (R-OH) and Kathleen Rice (D-NY), have recently introduced a healthcare transparency bill that would require CMS to delay the release of new hospital star ratings for another year to ensure that the...

CMS Shares Open Payments Data to Boost Healthcare Transparency

by Jacqueline LaPointe

Healthcare vendors and manufacturers have spent $7.52 billion in payments and ownership and investment interests to providers and teaching hospitals in 2015, according to a press release from CMS. The agency published the payment data...

House Reps Introduce Healthcare Transparency, Cost Info Bill

by Jacqueline LaPointe

With more individuals covered by a health insurance plan and high-deductible arrangements on the rise, patients and beneficiaries are increasingly demanding more healthcare transparency when it comes to costs of services and out-of-pocket...

Healthcare Orgs to Review Healthcare Costs on Open Payments

by Jacqueline LaPointe

According to a recent blog post, CMS is offering healthcare providers a chance to review and dispute healthcare costs related to manufacturers and group purchasing organizations, which will be published on the Open Payments data website on...

Price Transparency Still Missing from Hospital Revenue Cycle

by Jacqueline DiChiara

The Affordable Care Act’s (ACA) numerous price transparency provisions are inefficient, says a policy brief from the Pioneer Institute. Hospital executives must make consumer-friendly pricing information a top revenue cycle focus or...

Why Revenue Cycle Management Needs Electronic Data Exchange

by Jacqueline DiChiara

More focus on electronic data exchange can potentially save healthcare organizations, hospitals, and health systems $8 billion annually, according to a report from the American Hospital Association (AHA). Rising healthcare...

CMS Releases Fee-for-Service Data for Home Health Agencies

by Jacqueline DiChiara

The Centers for Medicare & Medicaid Services (CMS) is striving once again to make the healthcare industry more  transparent, affordable, and accountable with the dissemination of free-flowing...

CMS Shares New Qualified Entity Program Growth Developments

by Jacqueline DiChiara

It is an exciting time for healthcare, says the Centers for Medicare & Medicaid Services (CMS). Notable transparency developments are underway, wrote Niall Brennan, CMS Chief Data Officer and the Director of the Office...

GAO to CMS: State Medicaid Payment Flaws Hurt Transparency

by Jacqueline DiChiara

The reliability regarding tens of billions of dollars in states’ supplemental payments is being called into question this month by the United States Government Accountability Office (GAO). Because complete reliable data is...

Healthcare Consumers Demand More Coverage Comparison Options

by Jacqueline DiChiara

A new pilot initiative involving a “Doctor Lookup” feature is now available for some healthcare consumers’ online perusal. Such a beta feature lets healthcare consumers compare coverage options in association with their...

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