Source: Report Card on State Price Transparency Laws — July 2016Here’s how price transparency should work for a woman with a silver-level insurance plan in one state. Assume this consumer could go to any hospital and would choose based on the cost of care, meaning her out-of-pocket costs (deductible plus co-insurance). She could pay $5,079 at the highest-priced facility or $3,531 at the lowest-priced hospital. The difference between the two is $1,548.
Progress toward widespread price transparency comes slowly, according to the latest annual report from the Health Care Incentives Improvement Institute (HCI3) and the Catalyst for Payment Reform (CPR). In the “Report Card on State Price Transparency Laws – July 2016,” issued on Tuesday, the authors, Suzanne Delbanco, CPR’s executive director, and François de Brantes, HCI3’s executive director, explained what states are doing to give consumers the information they need to shop for care based on price.
As in past years, most states are doing poorly: 43 states earned an F grade for failing to meet even minimum standards. Last year, 45 states got an F. Continue reading
Nursing home star ratings are misleading and disingenuous, according to a recent analysis comparing ratings with quality measures alone. More than a thousand nursing homes nationally with high overall ratings had only one or two stars in quality measures, which could point to some serious health implications for residents. Continue reading
Hispanic medical and dental leaders at a recent joint meeting in Washington, D.C., highlighted the urgency of getting more culturally competent health care services to their communities.
A chronic shortage of Spanish-speaking health care providers has contributed to a lack of access to care and widespread health disparities among Hispanics, they stressed. Continue reading
AHCJ just updated its version of Medicare inpatient charge data covering hospitals across the United States.
The Centers for Medicare & Medicaid Services has updated its data, showing what hospitals charge Medicare for the same treatment or procedure. Government data files include bills submitted by 3,500 hospitals for the 100 most commonly performed inpatient treatments in federal fiscal years 2011 through 2014. This allows a basis for some local or regional comparisons and a starting point for stories on hospital costs and services. Continue reading
Journalists should take hospital ratings with a healthy dose of skepticism, according to experts at a recent AHCJ New York chapter event. Simply looking at an institution’s overall rating is just the start. Reporting that without understanding what’s being rated and how “success” is measured does a disservice to your audience.
Ratings are far from perfect and are ever evolving. That leaves journalists in kind of a quandary, noted chapter president Trudy Lieberman. “What do we do about the ratings, how do we judge them, how do we use them in our stories and which ones should we use?” Continue reading