Price Transparency

Accountable Care NY Agreement Expands Value-Based Healthcare

by Jacqueline DiChiara

A notable Accountable Care arrangement and collaboration was announced yesterday between North Shore-LIJ Health System and Empire BlueCross BlueShield that will provide over 33,000 commercial and...

Unreliable Health Plan Provider Directories Burden Providers

by Jacqueline DiChiara

Under the establishment of the Affordable Care Act (ACA), millions of people have enrolled in new health insurance plans via the health insurance marketplace. When signing up for these new plans,...

Engaging Physicians in Supply Chain Transparency Opportunity

by Jacqueline DiChiara

Supply chain management and revenue cycle management are generally approached as independent entities within the healthcare realm. Is this necessarily the best approach? As RevCycleIntelligence.com...

ACA Support Rising to 55% as Physicians Value Quality Care

by Sara Heath

The Affordable Care Act (ACA) may be growing in popularity amongst healthcare professionals, according to a recent survey conducted by the American Association for Physician Leadership (AALP) and...

CMS Conducts Hospital Quality Star Rating System Run-Through

by Jacqueline DiChiara

Buckle up. The Centers for Medicare & Medicaid Services (CMS) is giving its Hospital Quality Star Rating System a vigorous test drive to review its production process, increase system understanding,...

Price Transparency Laws Exclude Adequate Price Information

by Jacqueline DiChiara

Pricing Transparency laws paint a “bleak picture" with “much work to be done,” according to the third annual Catalyst for Payment Reform (CPR) – Health Care Incentives...

Cigna Rejects Anthem’s ‘Woefully Skewed’ $53.8B Proposal

by Jacqueline DiChiara

The largest ever proposed health insurance merger perhaps falls short. Anthem, Inc announced its submission this week of a highly conditional, non-binding $53.8 billion proposal, including debt, to...

CMS Shares $62B in Medicare Payment Data, Doctor Utilization

by Jacqueline DiChiara

The Centers for Medicare & Medicaid Services (CMS) announced the third annual release of its Medicare hospital utilization and payment data at this week's annual Health Datapalooza...

Does Medicare Part D Prescriber Data Improve Transparency?

by Jacqueline DiChiara

The Centers for Medicare & Medicaid Services (CMS) has announced the availability of updated privacy-protected data on Medicare Part D prescription drugs. The presented data explains which...

Will Hospital Ratings Promote Transparency or Blind Eyes?

by Jacqueline DiChiara

Choosing a hospital based on quality of care in relation to financial factors can be an arduous task. The Centers for Medicare & Medicaid Services (CMS) is simplifying this process through its new...

CMS’ Open Payments Advance Revenue Cycle Transparency

by Jacqueline DiChiara

Physicians and teaching hospitals across the healthcare spectrum will be buried in a numbers game come April 6, 2015 when The Centers for Medicare & Medicaid Services’ (CMS’) period of...

CMS Announces Year Two of Open Payments Database

by Ryan Mcaskill

March 31, 2015 is the deadline for data submission in the second year of the Open Payments database. The first year of the Centers for Medicare & Medicaid’s (CMS) Open Payments database has...

Open Payments Data Filled With Spelling, Other Errors

by Ryan Mcaskill

A  number of spelling and reporting errors were found throughout the open payments data website. In September 2014, the Centers for Medicare & Medicaid Services released the first round of Open...

Open Payments Database Adds 68,000 Records

by Ryan Mcaskill

A new update to the Open Payments database features 68,000 records, totaling $200M worth of payments. The saga of the Sunshine Acts Open Payments Database continues to evolve. The last big news came a...

CMS Adds Confusion to CME Open Payment Requirements

by Ryan Mcaskill

An update to the Open Payment database clouds requirements for reporting data to continuing medical education activities. The Sunshine Act and Open Payment database continues to be a controversial...

Open Payment Program Needs Time to Overcome ‘Bad Start’

by Ryan Mcaskill

According to the Journal of the American Medical Association, patience is needed for the Sunshine Act to succeed. Transparency has become a major buzzword across the healthcare industry. More...

Physician Fee Schedule Impacts the Open Payment Database

by Ryan Mcaskill

One of the provisions of the 2015 physician fee schedule for 2015 eliminates an exclusion from the Sunshine Act. Earlier this week, we covered the physician fee schedule for 2015 that was released by...

More Organizations Pushing for Healthcare Transparency

by Ryan Mcaskill

A new study from George Washington University examines efforts to create healthcare price transparency. One of the biggest pushes in the healthcare landscape as of late is a larger focus on...

Open Payments Database Debuts New Feature, Announces Updates

by Ryan Mcaskill

At the beginning of the month, we covered the Centers for Medicare & Medicaid Services (CMS) new Open Payments database. It contains 4.4 million payments from drug and device companies to physicians...

Mass. Healthcare Payment Transparency Law Takes Effect

by Ryan Mcaskill

On October 1, a new law officially took effect in Massachusetts that adds a new level of medical billing transparency. Now, anyone with private health insurance in the state can log on to their...