Price Transparency

Providers Adopting Advanced Revenue Cycle Management Capabilities

by Jacqueline LaPointe

The nation’s most wired provider organizations are investing in revenue cycle management capabilities in order to perform more advanced tasks, like real-time identification and value-based care...

National Healthcare Spending Increased to $3.6T in 2018

by Jacqueline LaPointe

National healthcare spending in 2018 grew at a rate of 4.6 percent to $3.6 trillion, which translated to about $11,172 per person, the Office of the Actuary at CMS recently reported. The growth rate...

New Hospital Price Transparency Rule Challenged in Court

by Jacqueline LaPointe

Four leading healthcare associations and three hospitals filed a lawsuit today against HHS over the recently finalized hospital price transparency requirement that mandates the disclosure of...

AHA, Others to Sue HHS Over New Hospital Price Transparency Rule

by Samantha McGrail

The AHA announced its decision to sue HHS over the recently finalized hospital price transparency rule, which will require hospitals to disclose their payer-specific negated rates to consumers,...

New Healthcare Price Transparency Rule to Unveil Negotiated Rates

by Jacqueline LaPointe

HHS dropped two healthcare price transparency rules earlier today. The first is a final rule requiring hospitals to make all standard charges, including payer-specific negotiated rates, public in a...

Is the Hospital Price Transparency Rule Delay A Good Sign?

by Jacqueline LaPointe

In July, CMS proposed in the Medicare Outpatient Prospective Payment System (OPPS) rule for calendar year (CY) 2020 to expand existing hospital price transparency requirements by mandating hospitals to...

Are Hospital Price Transparency Rules a Solution for Consumerism?

by Jacqueline LaPointe

In the face of rising deductibles and other out-of-pocket costs, CMS implemented and proposed several hospital price transparency rules meant to empower consumers to shop around for high-value...

Over 30% of Health Systems Have Manual Patient Access Processes

by Samantha McGrail

Patient access is still a largely manual process for most health systems, but more organizations are looking to automate, according to an Eliciting Insights survey.  The survey of patient access...

Healthcare Price Transparency, APMs Fail to Control Costs in MA

by Samantha McGrail

Despite aiming to reduce costs and help consumers shop for quality, affordable medical services, healthcare price transparency tools in Massachusetts are not working as intended, according to a new...

25% of Total Healthcare Spending Attributed to Waste, Study Finds

by Jacqueline LaPointe

Despite initiatives to reduce spending and promote value over volume, a new study showed that the US healthcare system still wasted between $760 billion to $935 billion, representing approximately...

Hospitals Take Aim at Healthcare Price Transparency Proposal

by Jacqueline LaPointe

A healthcare price transparency rule proposed earlier this year by CMS aims to empower patients by requiring the public disclosure of rates negotiated by hospitals and payers. But hospitals and other...

Price Transparency, Consumerism Top Issues for Healthcare Execs

by Jacqueline LaPointe

Leaders from payer and provider organizations are developing strategies to address rising healthcare costs in 2020 through price transparency and more consumer-focused initiatives, according to...

Verma Presses Hospitals to Assume Risk in Value-Based Care Models

by Jacqueline LaPointe

CMS Administrator Seema Verma urged hospitals on Tuesday to accept new value-based care models and price transparency requirements or face greater administrative burden, less competition, and lower...

How Healthcare Price Transparency Can Cuts Costs, Improve Value

by Jacqueline LaPointe

Market-wide healthcare price transparency is a key way to increase the value of healthcare spending, according to a new study from the Harvard T. H. Chan School of Public Health. Published in the...

GA Task Force to Examine Healthcare Costs, Price Transparency

by Jacqueline LaPointe

Policymakers in Georgia are forming a task force to address healthcare cost and access issues in the state, including price transparency and free market solutions, according to an announcement from the...

Expanded Hospital Price Transparency Rules Worry Half of Providers

by Jacqueline LaPointe

Nearly half of providers recently polled by PMMC and Chilman Law Firm said publishing their negotiated rates with private payers were their biggest concern related to the Trump Administration’s...

Price Transparency a Key Way States Control Healthcare Costs

by Jacqueline LaPointe

As the 2020 elections draw closer, healthcare reform is taking center stage on the national level. But the topic has already been at the top of state priority lists, with several states already passing...

ED Visits in CO Cost Hundreds to Thousands Depending on Facility

by Jacqueline LaPointe

In Colorado, the costs of an emergency department visit varied significantly by hospital and severity level, with median facility charges ranging from $190 to $4,700 in 2018, according a recent Center...

Proposed Hospital Price Transparency Rule Faces Industry Criticism

by Jacqueline LaPointe

A proposal to increase hospital price transparency by requiring facilities to publish their negotiated rates with private payers is raising red flags among major industry groups, including the American...

CMS Proposes Updates for OPPS, Pitches Price Transparency Rules

by Sara Heath

CMS has released three new proposed payment programs that aim to reduce administrative burden, put patients over paperwork, and increase price transparency for patients, the agency said in a statement...