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What Hospitals Need To Know About Price Transparency
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We're all about relationships. Understanding relationships in data and developing relationships with our clients.
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Rate Advisor

Rate Advisor

We analyze hospital prices at the procedure code level and present an analysis of suggested rate changes designed to enhance the defensibility of proposed pricing with sensitivity to financial impact.
Contract Concierge

Contract Concierge

Contract benchmarking, modeling, and measurement through personal consulting with industry experts.
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Strategic Advisor

We utilize extensive proprietary and public data sources to create fact-based, actionable plans to address specific client objectives.
HospitalDx®

HospitalDx®

Web-based software that creates custom analyses of financial/operating strengths, weaknesses, and opportunities. Utilizes client-submitted claims data as well as national public-use data.
Check Out The Latest Hospital Finance News!
Monday, November 22, 2021
CMS did everything they proposed on transparency…including the very large increase in fines! CMS has remained focused on the importance of Price Transparency, consistently stressing that their goal is to empower patients to make informed decisions regarding their health care. In their recent fact sheet, CMS called out what they called “sub-optimal compliance.” We’ve covered these concerns before, as well as what our own research found. It’s true that some hospitals chose not to comply, but to...
Monday, November 22, 2021
Recommendations for a Standard Machine-Readable File The CY22 proposed rule covered many topics, but, in our opinion, the guidelines and clarifications surrounding machine-readable files were some of the most critical. The Proposed Rule’s observation that there was a “lack of uniformity in the way that hospitals display their standard charges (84 FR 65556)” wasn’t a great surprise to the industry. The original guidelines required certain data elements but did not specify an exact fi...
Monday, November 22, 2021
Are Hospitals Really Flouting Federal Requirements? A new report by PatientRightsAdvocate.org claims that only 5% of US hospitals are fully compliant with disclosing their prices as required by the CMS. A summary of their report was featured in The Washington Post and has brought several questions from hospitals around the country.  You can read The Washington Post article here.  The detailed report can be found here. We took a close look at the report’s findings and concerns...
Monday, November 22, 2021
As we continue our research into Price Transparency (you can see our full Spring Summit on the topic here), one of the things we wanted to know is are hospitals complying and, if so, how? We conducted a survey of hospitals and took a close look at their approaches to the new Price Transparency requirements. Here’s what we found. Our Methodology A breakdown of our research group, 137 health systems with 10+ hospitals. Our research reviewed 137 health systems w...

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