Price Transparency

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...

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...

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...

Pharma Payments Influence Prescription Drug Spending

by Jacqueline LaPointe

Payments from pharmaceutical manufacturers may be more influential on physician prescribing habits than concerns over the rise in prescription drug spending, according to a recent study in the...

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...

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...

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...

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...

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...

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...

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...

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...

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...

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...

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...

CMS Releases Sec. Burwell’s Section 1115 Congress Report

by Jacqueline DiChiara

A report to Congress – The Secretary's First Annual Report on Transparency in the Review and Approval of Section 1115 Demonstration (Amendments to the Social Security Act (SSA) and...

CMOs, CFOs Collectively Identify Value-Based Impediments

by Jacqueline DiChiara

Chief medical officers (CMOs) and chief financial officers (CFOs) must effectively collaborate – both individually and mutually – to combat the healthcare industry’s profound...

CMS Defines Physician Quality Reporting Improvement Efforts

by Jacqueline DiChiara

The new future of the physician quality reporting system (PQRS) is now more clearly defined with the recent release of a fact sheet from the Centers of Medicare &...

CMS’s Clinical Quality Measures a Top Healthcare Priority

by Jacqueline DiChiara

The Centers for Medicare & Medicaid Services (CMS) has contracted with Yale-New Haven Health Services Corporation/Center for Outcomes Research and Evaluation (CORE) and Lantana Consulting Group to...

Healthcare Consumers Lack Transparency, Price Info Awareness

by Jacqueline DiChiara

Many obstacles impede healthcare consumers from acquiring high quality healthcare. Many healthcare consumers are unaware of the idea of price transparency. Still, many healthcare consumers yearn for...