Transparency, Accessibility, and Variability of US Hospital Price Data

Haque, Waqas; Ahmadzada, Muzzammil; Allahrakha, Hassan; Haque, Eman; Hsiehchen, David

doi:10.1001/jamanetworkopen.2021.10109

Cited by 30 publications

(29 citation statements)

References 5 publications

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“…In addition, current price disclosures across hospital websites have not received positive reviews, with often incomplete details, disorganized listings, and deeply buried or even broken links. 18…”

Section: Premature + Not Patient-centeredmentioning

confidence: 99%

“…Studies have demonstrated varying rates of noncompliance, implicating over 50% of surveyed hospitals. 18,24,29 The CMS initially ruled such hospitals could be fined up to $300 per day; however, effective January, 2022, hospitals with 31 to 500 beds could now face maximum daily fines of $10 per bed; with those over 550 beds at ~$5,500 per day, up to a maximum of ~$2 million for the year. 10 As of February 2022, the CMS reports having issued 342 warnings to noncompliant hospitals, all without financial penalty, citing satisfactory resolution to the warnings.…”

Section: Cost Of Care Versus Care Of Costmentioning

confidence: 99%

“…As a result, patients may find any benefit from the pricing initiative is unlikely to reach their insurance provider's negotiated coverage network. In addition, current price disclosures across hospital websites have not received positive reviews, with often incomplete details, disorganized listings, and deeply buried or even broken links 18…”

Section: The Badmentioning

confidence: 99%

“…Although exact figures remain vague, recent literature has shown significant noncompliance with the transparency mandate, among US hospitals, especially for common orthopedic procedures. Studies have demonstrated varying rates of noncompliance, implicating over 50% of surveyed hospitals 18,24,29…”

Section: The Uglymentioning

confidence: 99%

See 3 more Smart Citations

Price Transparency: The Good, the Bad, and the Ugly

Toci¹,

Hassan²,

Lambrechts³

et al. 2022

Contemporary Spine Surgery

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Lippincott Continuing Medical Education Institute, Inc., is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. Lippincott Continuing Medical Education Institute, Inc., designates this enduring material for a maximum of 1.5 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. To earn CME credit, you must read the CME article and complete the quiz and evaluation assessment survey on the enclosed form, answering at least 70% of the quiz questions correctly. This activity expires on May 31, 2024.LEARNING OBJECTIVES: After participating in this CME activity, the spine surgeon should be better able to: 1. Describe the concept of price transparency in health care and its purported pros and cons. 2. Interpret current and future federal mandates regarding price transparency. 3. Identify how price transparency mandates may impact health care for hospitals, insurers, providers, and patients.

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Section: Premature + Not Patient-centeredmentioning

confidence: 99%

Section: Cost Of Care Versus Care Of Costmentioning

confidence: 99%

Section: The Badmentioning

confidence: 99%

Section: The Uglymentioning

confidence: 99%

See 2 more Smart Citations

Price Transparency: The Good, the Bad, and the Ugly

Toci¹,

Hassan²,

Lambrechts³

et al. 2022

Contemporary Spine Surgery

View full text Add to dashboard Cite

show abstract

“…Early evidence suggests that most hospitals have not complied with the letter or spirit of the regulation. 7,10 A sample of the country's 100 largest hospitals in February 2021 found 18 lacked downloadable files and 46 did not display payor-specific rates. 11 In addition, some hospitals posted prices on websites designed to block discovery by search engines, a tactic deemed illegal by CMS.…”

Section: Policy In Clinical Practicementioning

confidence: 99%

Policy in Clinical Practice: Hospital Price Transparency

White

Liao

2021

Journal of Hospital Medicine

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A 59-year-old man is observed in the hospital for substernal chest pain initially concerning for angina. Serial troponin testing is negative, and based on additional history of intermittent dysphagia, an elective upper endoscopy is recommended after discharge. The patient does not have health insurance and expresses anxiety about the cost of endoscopy. He asks how he could compare the costs at different hospitals. How do federal price transparency rules assist the hospitalist in addressing this patient's question?

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