Re­port de­tails stake­hold­ers’ roles in price trans­parency

Modern Healthcare - - NEWS - —Rachel Lan­den

Hos­pi­tals and health plans should serve as front-line re­sources on price trans­parency for pa­tients, while em­ploy­ers and the govern­ment also should help, ac­cord­ing to a re­port by a coali­tion of groups led by the Health­care Fi­nan­cial Man­age­ment As­so­ci­a­tion.

The task force called on health plans to com­mu­ni­cate in­for­ma­tion to their mem­bers about es­ti­mated prices for var­i­ous health­care ser­vices; pa­tients’ es­ti­mated out-of-pocket re­spon­si­bil­i­ties; whether a par­tic­u­lar ser­vice provider is in net­work; and rel­e­vant out­comes, safety and pa­tient sat­is­fac­tion data.

For Medi­care and Med­i­caid ben­e­fi­cia­ries, the task force rec­om­mended that govern­ment agencies adopt a sim­i­lar ap­proach.

The re­spon­si­bil­ity should fall on providers when deal­ing with unin­sured and out-of-net­work pa­tients, the task force said. And em­ploy­ers should give their em­ploy­ees ac­cess to trans­parency tools.

The Amer­i­can Hospi­tal As­so­ci­a­tion was one of 23 groups on the task force, which also in­cluded Amer­ica’s Health In­sur­ance Plans, the Amer­i­can Col­lege of Physi­cian Ex­ec­u­tives and the Leapfrog Group.

“Up un­til now, there’s been a lot of fin­ger-point­ing in the in­dus­try, but this is a time when we all got in the room and hashed it out,” HFMA CEO Joseph Fifer said.

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