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What Hospitals Need To Know About Price Transparency
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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!
Thursday, November 17, 2022
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...
Thursday, November 17, 2022
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...
Thursday, September 29, 2022
How Do We Measure Hospital Costliness? Because the majority of a hospital’s revenue is fixed by fee schedule or related to billed charges almost every hospital in the US is vitally concerned with their relative cost position. Quite naturally, hospital executives are interested in a facility wide metric of cost that can be benchmarked with their prior cost position and more importantly against other peer hospitals. For comparison with other hospitals, the use of publicly available data is requ...
Thursday, September 15, 2022
We Examine Myths of Healthcare Pricing Hospital pricing is on the minds of many in the healthcare industry today, especially since the initiation of hospital transparency reporting.  It is our belief, that many hospital pricing decisions often rely on widely believed pricing myths.  The body of this article will attempt to define and confront some of these “myths.” Myth # 1 Pricing makes a small difference in overall profitability when most of the revenue is fixed fee based. While on the surf...

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