Pricing

Health System Demonstrates Meaningful Price Transparency Is Possible

Baptist Memorial Health Care’s online Expense Navigator allows patients to estimate out-of-pocket expenses according to their insurance status and check their eligibility for financial assistance.

Lola Butcher September 11, 2018

Understanding Pricing Trends in a Changing Environment

Pricing data can help providers make more informed strategic decisions and build better relationships with their patients.

HFMA August 15, 2018

Hospitals Are Using Cost Reduction to Trim Patient Charges

The healthcare industry has undergone a major decrease in average annual charge growth. Hospitals at the lowest end of the charge growth spectrum are using cost reduction to slow the level of charge change. 

Jamie Cleverley August 13, 2018

Colorado Healthcare System Increases Price Transparency for Self-Pay Patients

SCL Health shows self-pay prices in two ways—an average for a specific service and the range of prices charged in the past year. This helps set realistic expectations when prices are above average based on varying factors.

Lola Butcher July 12, 2018

Self-Pay Transparency in Colorado: What the Law Says

Colorado’s Transparency in Direct Pay Health Care Prices Act requires health facilities to publish online the self-pay prices of their 50 most-used DRG codes and the 25 most-used CPT codes.

HFMA July 12, 2018

Methodology Used to Identify Top Procedures Performed at Hospitals and Free-Standing Clinics

Recent research on hospital versus free-standing facility pricing used 2016 Medicare hospital OPPS data as its basis.

HFMA May 18, 2018

Competing with Freestanding Outpatient Centers—Where to Focus on Pricing

Price reductions should be included in pricing strategies to help hospitals better compete with these free-standing centers.

Scott Houk May 11, 2018

Can Maryland Hospital Price-Setting Serve as a National Model?

April 10—Hospitals may have reasons to support a shift to a global budget model like the one used in Maryland, some healthcare policy leaders say.

Rich Daly April 11, 2018

HFMA Comments on the Senate Transparency Initiative

HFMA provides comments to Senators to inform the bipartisan initiative to increase healthcare price and quality transparency, as described in a February 28, 2018, letter.

HFMA March 22, 2018

11 Metrics Reveal the Best Strategies For Cutting Outpatient Prices

A scoring methodology is the first step in evaluating outpatient service price reductions without sacrificing financial viability.

William O. Cleverley, PhD February 23, 2018
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