Pricing

Physician Partnerships in the Era of ACA Repeal and Replace

Bundled care for the uninsured may presents an effective solution to the looming challenges facing the healthcare industry.

Jeff Helton,  PHD, FHFMA, CMA, CFE July 5, 2017

What’s in Your Pricing Policy?

A recent survey reports that the majority of hospitals have formal or consistent methods for setting prices, but transparency is often missing.

HFMA May 11, 2017

Charging Appropriately for Emergency Department Visits

To determine a fair charge for an emergency department visit, a hospital or health system must separate its costs into three categories.

David W. Young, DBA May 2, 2017

Tackling Preservice Pricing Plans

Despite evidence that patient demand for preservice pricing is growing, only 30 percent of patients are being offered pre-treatment cost estimates. 

Tom Yoesle April 6, 2017

Augmenting Price Transparency With New Strategies

Taking the right approach to designing healthcare benefits and provider networks could enhance price transparency in a way that allows healthcare consumers to become smarter shoppers.

Laura Ramos Hegwer March 30, 2017

Identifying the Gap Between Hospital and Free-Standing Prices

One-third of healthcare finance leaders have created separate pricing for certain outpatient procedures versus inpatient procedures to mitigate volume migration from hospitals. Their greatest concerns are how low the pricing should go and how will this pricing impact the bottom line.

Jamie Cleverley February 14, 2017

Demand Fuels Expansion of Tiered-Benefit Insurance Products

Stephen T. Swift of BlueCross BlueShield of Western New York writes that collaboration with local healthcare providers spawned a popular tiered-benefit insurance product.

Stephen T. Swift January 26, 2017

Ask the Experts: Hospitalist Billing

What is a standard pricing methodology for hospitalists who provide both inpatient and outpatient services?

HFMA January 19, 2017

Message to Providers: Expect More Pricing Scrutiny

Healthcare finance leaders should review their organizations’ cost structure to ensure that their healthcare spending consistently adds value to patient care.

Jeff Helton,  PHD, FHFMA, CMA, CFE January 10, 2017

Price Transparency: Where Does the Hospital Industry Stand Today?

Two surveys reveal how hospital pricing transparency policies and trends have changed over a two-year period. 

Scott Houk November 10, 2016
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