Task Force Seeks Pricing Transparency from All Healthcare Stakeholders | Healthcare Informatics Magazine | Health IT | Information Technology Skip to content Skip to navigation

Task Force Seeks Pricing Transparency from All Healthcare Stakeholders

April 17, 2014
by Gabriel Perna
| Reprints

The Healthcare Financial Management Association (HFMA) is leading a task force that aims to increase pricing transparency across healthcare by involving all stakeholders.

HFMA, the Medical Group Management Association (MGMA), the American Hospital Association (AHA), American College of Physician Executives, and a number of other stakeholders have formed a task force that provides recommendations on how hospitals, physicians, and health plans can share information on healthcare prices with consumers. They call on health plans and providers to give consumers pricing information in easy-to-understand formats. Health plans should be the primary pricing point for insured patients, while hospitals should be that point for the uninsured.

Their specific recommendations include:

For Health Plans

  • Help members estimate their expected out-of-pocket costs, based on their current deductible status along with copayment and coinsurance information.
  • Create data on price information for providers in a given region

For Hospitals

  • Help the uninsured identify alternatives to healthcare costs
  • Let patients know when they may be eligible for financial assistance
  • Let patients know what services are and are not included in their estimates, and offer other relevant information, such as quality and safety data, where available.

For Consumers

  • They should be able to receive price information in an easy-to-understand format

"People everywhere want to be smart healthcare consumers, but information about healthcare prices is not easily accessible," Joseph J. Fifer, President and CEO of HFMA, said in a statement. "For too long it has been unclear how consumers should go about getting price information—who to ask, what to ask for, or what the information even means when they do receive it. This approach is a game changer."

Recently, the Department of Health and Human Services (HHS) released data that revealed Medicare claims payments to providers. That data dump is part of an ongoing effort by the government to increase pricing transparency, primarily by releasing this information through the web. Some organizations, such as the Health Data Consortium (HDC), a non-profit advocacy and membership group, are now challenging application developers to create consumer-focused apps from the data-set.

Last year, the Centers for Medicare & Medicaid Services (CMS) publicly released hospital pricing data for the first time.  This pricing transparency movement has led to significant mainstream media coverage as well as backlash from organizations like the American Medical Association (AMA) which says the data can be taken out of context.

Read the source article at hfma.org

Get the latest information on Health IT and attend other valuable sessions at this two-day Summit providing healthcare leaders with educational content, insightful debate and dialogue on the future of healthcare and technology.

Learn More

Topics

News

Geisinger National Precision Health Hires Illumina Exec to Lead Business Development

Integrated health system Geisinger has hired a high-profile genetic counselor to head up business development for Geisinger National Precision Health, which was created to extend the Geisinger model on the national scene.

$30M VC Fund Launched to Spur Innovation in Cardiovascular Care

The American Heart Association, together with Philips and UPMC, has announced the launch of Cardeation Capital, a $30 million collaborative venture capital fund designed to spur healthcare innovation in heart disease and stroke care.

Epic Wins Labor Dispute in Closely Divided Supreme Court Decision

Epic Systems Corporation won a major labor-law ruling in the Supreme Court on Monday, centering around the extent of corporations’ right to force employees to sign arbitration agreements, and with a 5-4 ruling in its favor

Survey: Two-Thirds of Physician Practices Seeking Out Value-Based Care Consulting Firms

Most physician organizations are not prepared for the move to value-based care, and 95 percent CIOs of group practices and large clinics state they do not have the information technology or staff in-house needed to transform value-based care end-to-end, according to a recent Black Book Market Research.

Cumberland Consulting Buys LinkEHR, Provider of Epic Help Desk Services

Cumberland Consulting Group, a healthcare consulting and services firm, has acquired LinkEHR, which provides remote application support, including Epic help desk services.

Population Health Tool that Provides City-Level Data Expands to 500 Cities

A data visualization tool that helps city officials understand the health status of their population, called the City Health Dashboard, has now expanded to 500 of the largest cities in the U.S., enabling local leaders to identify and take action around the most pressing health needs in their cities and communities.