Tag: Health Insurance Pricing

HHS Secretary Alex Azar warns drug makers to pay full Medicaid rebate amount | MDLinx

HHS Secretary Alex Azar warns drug makers to pay full Medicaid rebate amount | MDLinx

“In fact, I am pleased to announce here, to all of you, that HHS is issuing a guidance today to drug manufacturers that will ensure they are paying the full Medicaid rebates they owe on certain prescription drugs,” HHS Secretary Alex Azar said Thursday during the 45th American Legislative Exchange Council Annual Meeting in New […]

Push For Hospital Price Transparency Continues | The National Review

Push For Hospital Price Transparency Continues | The National Review

As discussed in our previous blog, “CMS Pushes for Hospital Price Transparency in Proposed Rule”, on April 24, 2018, the Centers for Medicare & Medicaid Services (“CMS”) announced a proposed rule (CMS-1694-P) aimed at empowering patients through better access to hospital charge information. In an effort to fulfill the proposed rule’s objective, CMS suggested an […]

Surgical price transparency tied to improved volume, revenue | Medical Press

Surgical price transparency tied to improved volume, revenue | Medical Press

(HealthDay)—Ambulatory surgery centers experience increases in patient volume, patient satisfaction, and revenue after adopting price transparency, according to a study published recently in The American Surgeon. Ambar Mehta, M.D., from Johns Hopkins University in Baltimore, and colleagues used data from six ambulatory surgery centers to characterize the impact of price transparency on a surgery center’s […]

Good for Patients: Trump Finalizes Rule Forcing Hospitals to Reveal Prices Online | LifeZette

Good for Patients: Trump Finalizes Rule Forcing Hospitals to Reveal Prices Online | LifeZette

The CMS rule goes further than current regulations, and it requires hospitals to share prices in a bid to “encourage price transparency” and enhance “public accessibility,” notes The Hill. The Trump administration is also looking into new ways to “allow consumers to more easily access relevant health care data and compare providers.” “The agency is considering […]

Missouri’s health-care exchange to see modest rate increases after years of huge hikes | St. Louis Public Radio

Missouri’s health-care exchange to see modest rate increases after years of huge hikes | St. Louis Public Radio

When Missourians go to healthcare.gov to buy health insurance, they likely won’t be shocked by double-digit increases this year, according to data filed Wednesday with the state’s insurance department. Three existing carriers — and one new entry into the market — will offer plans with smaller increases than previous years. Two insurers offering healthcare.gov plans […]

99% of Americans don’t make this easy money-saving choice on health care | MarketWatch

99% of Americans don’t make this easy money-saving choice on health care | MarketWatch

You likely shop around to find the best prices for groceries, clothing, and electronics. But what about for medical procedures? If not, you should start today. Most Americans assume medical procedures are set at a relatively fixed cost, but they could be losing out on thousands of dollars a year by not shopping around, a […]

FAIR Drug Pricing Act will force drug cos to justify drastic price hikes | CNBC

FAIR Drug Pricing Act will force drug cos to justify drastic price hikes | CNBC

In today’s polarized political environment, it’s hard to find any issue that an Illinois Democrat and a Florida Republican can agree on. Here’s one: the skyrocketing costs of prescription drugs are a scourge that must be dealt with as soon as possible. Drug companies are making record profits and at the same time raising the […]

Shopping for Health Care Simply Doesn’t Work. So What Might? | The New York Times

Shopping for Health Care Simply Doesn’t Work. So What Might? | The New York Times

But the identity of a patient’s orthopedist explains a lot more about where he or she got her M.R.I. than any other factor considered, including price and distance. Less than 1 percent of patients in the study sample availed themselves of a price comparison tool to shop for M.R.I.s before receiving one. By this reasoning, […]

CMS Proposes Site-Neutral Payments, Drug Price Negotiation | Health Payer Intelligence

CMS Proposes Site-Neutral Payments, Drug Price Negotiation | Health Payer Intelligence

“If finalized, this proposal is projected to save patients about $150 million in lower copayments for clinic visits provided at an off-campus hospital outpatient department,” the agency said in a press release. “CMS is also proposing to close a potential loophole through which providers are billing patients more for visits in hospital outpatient departments when […]

The problem with price transparency: ‘Price’ doesn’t always mean ‘out-of-pocket’ cost, says NorthShore Assistant VP Justin Brueck | Becker’s Hospital Review

The problem with price transparency: ‘Price’ doesn’t always mean ‘out-of-pocket’ cost, says NorthShore Assistant VP Justin Brueck | Becker’s Hospital Review

Q: What is the biggest barrier to price transparency in the healthcare industry?  JB: One of the biggest barriers in price transparency is that many health system contracts have payer confidentiality provisions, which makes it difficult to discuss such matters. Additionally, we must remember that ‘price’ does not necessarily reflect ‘out-of-pocket’ cost — and out-of-pocket […]