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.
Last month, PatientRightsAdvocate.org (PRA) released its 4th Semi-Annual Hospital Price Transparency Compliance Report. While the report shows an increase in the percentage of compliant hospitals it reviewed (24.5% – up from 16% in its 3rd report), the criteria and conclusions are not consistent with those determined by the CMS in another recent report. In that report, released last month in HealthAffairs, CMS shared that it has found that 70% of US hospitals are fully complying with th...
What is the Price of the Injuries in Die Hard?
Is Die Hard a Christmas movie? Well, it’s a movie that is watched most during the holidays, takes place during Christmas, and features Christmas as a plot point, so technically yes. But that’s the beside the point. We’re here to discuss what Die Hard would cost for John McClane and his local hospital because, let’s face it, he had a bad day.
Cleverley + Associates can weigh in where we’re experts, which is hospital pricing data! We can’t comment ...
On Monday, CMS announced the availability of a standardized machine-readable file format that hospitals can elect to use in complying with the price transparency final rule. The sample formats, presented in .CSV and .JSON, are accompanied by a data dictionary. CMS notes that the use of these sample formats are voluntary. It’s also important to note that the samples contain fields that are not currently required under the hospital price transparency rule. The data dictionary attempts to di...
Listen to our President, Jamie Cleverley, join Riley Matthews, Lead Product Manager at Experian Health, to discuss the Hospital Price Transparency Rule and what it means for hospitals around the country. What challenges are providers seeing? How are facilities moving forward despite these issues? How is the disclosed machine readable file information being handled? What comes next?
Listen now!
Have questions about price transparency? Contact us here! You can read our response to the new CMS...