Payers and providers face different challenges when it comes to compliance. The volume of price transparency data that hospitals must disclose online amounts to about 3 terabytes — compared to the whopping 630 terabytes of data that payers have been tasked with posting.
Hospital chains that buy up other facilities, clinics and physician offices often tout savings and improved services from coordinating patient care and eliminating inefficiencies. The researchers found no evidence that any potential savings were being passed along to the employers, insurers and patients who pay for the care.
Munck Wilson Mandala Partner Greg Howison shared his perspective on some of the legal ramifications around AI, IP, connected devices and the data they generate, in response to emailed questions.
Healthcare providers may soon be able to offer different out-of-pocket prices depending on when and where each patient goes for a given service, according to Recondo Technology CEO Jay Deady.
While dozens of companies and organizations are working to increase pricing transparency in healthcare, OKCopay has reemerged to address pricing in the often-opaque worlds of dental billing, cosmetic surgeries or vision wear. Those areas are typically either separate from health insurance or not subject to the same scrutiny as areas of care that fall under […]
Consumers and patients who used Castlight Health’s online pricing platform saw a significant decrease in certain aspects of their healthcare spending, including a 14 percent drop in costs for laboratory tests and 13 percent for imaging, according to a study by the Journal of the American Medical Association. The study focused on the use of […]
Silicon Valley startup PokitDok today unveiled a host of new tools aimed at furthering healthcare price transparency, including a national price index, along with software that lets users both schedule and pay for treatments. Users of the company’s API – among them digital-health developers, self-insured corporations and health systems – will have access pricing information […]
At the Abarca Forward conference earlier this year, George Van Antwerp, managing director at Deloitte, discussed how social determinants of health and a personalized member experience can improve medication adherence and health outcomes.
Minnesota-based UnitedHealthcare has expanded its free mobile app, Health4Me, to all healthcare consumers, not just UnitedHealth customers. The tool includes a doctor search and the ability to review market average prices for more than 500 medical services. Any consumer can use myHealthcare Cost Estimator, which could allow for a “comprehensive view” of pricing through treatment […]
With access to claims data from a number of self-insured companies and insurance plans, healthcare price transparency company Change Healthcare has some interesting insight into who’s charging what for which health services. In a new analysis of more than 180 million claims from Q4 of 2013, the company found the biggest healthcare price discrepancies between […]
What a day it was for medical news. After much legal wrangling, specifically by the Wall Street Journal, the Centers for Medicare and Medicaid Services (CMS) released detailed data on payments to 825,000 US physicians in 2012. It was called a “data dump.” Wow. Was it ever. The story was front page news in US […]