Research

11 Metrics Reveal the Best Strategies For Cutting Outpatient Prices

Health systems must decide which hospitals should be targeted and how quickly price reductions can be implemented.

Closing the Price Gap for Commodity Services

The competitive pricing ordered by freestanding clinics has many hospitals looking to lower their own prices.

Closing the Price Gap for Commodity Services

 

Essential Elements of Charge Protection Language

Health plan contracts include charge limit provisions to ensure chargemaster increases above a predetermined amount will not lead to higher payments than were negotiated.

Essential Elements of Charge Protection Language

 

Identifying the Gap Between Hospital and Free-Standing Prices

Commodity services such as imaging and lab work are often considered for reduced pricing.

Identifying the Gap Between Hospital and Free-Standing Prices

 

In Light of Transparency, How Are Hospitals Changing Their Prices?

Analysis reveals that hospital prices are spreading further from the average.

In Light of Transparency, How Are Hospitals Changing Their Prices?

 

Analyzing Medicare Margins

Data reveal hospital characteristics that affect margins.

Analyzing Medicare Margins

 

Pricing Commodity Outpatient Procedures: Assessing the Impact

Hospital executives are facing unrelenting pressure to reduce prices and payments for outpatient services, which have begun to be viewed as commodities. Here are ve components of a thoughtful strategy.

Pricing Commodity Outpatient Procedures: Assessing the Impact

 

The ‘Lesser of’ Conundrum: Solving the Puzzle Through Payment Terms and the Chargemaster

Evaluating the nancial impact of ‘lesser of’ provisions requires a thorough review of contract language and how that language is applied.

The ‘Lesser of’ Conundrum

 

Pricing Commodity Outpatient Procedures: Assessing the Impact

Hospital executives are facing unrelenting pressure to reduce prices and payments for outpatient services, which have begun to be viewed as commodities. Here are ve steps to a thoughtful analysis.

Pricing Commodity Outpatient Procedures

 

Insights into Hospital Retail Pricing Strategies

An analysis of the retail pricing strategies of 156 hospitals and health systems points to the need for a thoughtful approach to balancing prices, costs,
and operating margins.

Insights into Hospital Retail Pricing Strategies

 

Bundled Payments and Big Data

Big data can help healthcare providers determine what factors drive total episodic cost and whether those cost drivers can be controlled.

Bundled Payments and Big Data

 

How Hospitals Approach Price Transparency

The issue of price transparency has become more prevalent in health care recently, but hospitals may have different views of the concept depending

on their relative charge levels.

How Hospitals Approach Price Transparency

 

Time to Replace Adjusted Discharges

A new metric for measuring total hospital volume correlates significantly better with cost than do adjusted discharges—without the same inherent flaws.

Time to Replace Adjusted Discharges