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.
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.
Should Healthcare Services be Priced at Identical Cost Markups?
Over the last 25 years our firm has received a large number of proposed pricing strategies from our clients. One of those strategies is to set all prices for their Charge Description Master (CDM) codes at a constant markup from cost. To put this in perspective, the 2021 US median hospital markup for acute care hospitals not designated as Critical Access was 3.80. For the average US acute care hospital that would equate to ...
Is Contract Labor Impacting Hospital Costs?
The American Hospital Association in March 2023 reported the results of a recent study on contract labor in hospitals.
“Contract labor expenses for hospitals and health systems surged 258% from 2019 to 2022 as nationwide labor shortages forced many to rely on contract staffing firms to meet patient demand, according to an analysis of 2022 data from over 1,000 hospitals and health systems by AHA and Syntellis. Contract labor full-time equivalents jum...
A RESPONSE TO THE CY24 OPPS PROPOSED RULE (CMS-1786-P) FOR UPDATES TO HOSPITAL PRICE TRANSPARENCY REQUIREMENTS
Download the pdf here!
Background
The CY24 OPPS Proposed Rule contains additional information and requirements regarding hospital price transparency. The proposed changes would build on transparency requirements previously established through the following rules:
FY19 IPPS Final Rule:
The FY19 IPPS Final Rule initiated requirements in order for hospitals to comply with language i...
A RESPONSE TO THE CY24 OPPS PROPOSED RULE (CMS-1786-P)
Cleverley + Associates has been following the continued evolution of Price Transparency laws and guidelines. We created summary of all the elements contained in the CY24 OPPS Proposed Rule as it relates to hospital pricing transparency. We also put together proposed comments to CMS to assist others as they consider comments for their organizations. The FY19 IPPS Final Rule initiated requirements in order for hospitals to comply with langu...