Commercial insurance rates and coding for lymphedema procedures: the current state of confusion and need for consensus

DH Rochlin, CC Sheckter, PS Brazio… - Plastic and …, 2023 - journals.lww.com
Background: Surgical treatment of lymphedema has outpaced coding paradigms. In the
setting of ambiguity regarding coding for physiologic procedures [lymphovenous bypass …

Uncovering the interhospital price variations for vasectomies in the United States

S Mortach, N Sellke, S Rhodes, HH Sun… - International Journal of …, 2024 - nature.com
Due to the historic lack of transparency in healthcare pricing in the United States, the degree
of price variation for vasectomy is largely unknown. Our study aims to assess characteristics …

Negotiated Rates for Surgical Cancer Care in the Era of Price Transparency—Prices Reflect Market Competition

DH Rochlin, NM Rizk, E Matros, TH Wagner… - Annals of …, 2024 - journals.lww.com
Objective: To measure commercial price variation for cancer surgery within and across
hospitals. Background: Surgical care for solid-organ tumors is costly, and negotiated …

Comparison of hospital online price and telephone price for shoppable services

M Thomas, J Flaherty, J Wang… - JAMA Internal …, 2023 - jamanetwork.com
Importance US hospitals are required to publicly post their prices for specified shoppable
services online. However, the extent to which a hospital's prices posted online correlate with …

To be or not to be compliant? Hospitals' initial strategic responses to the federal price transparency rule

JN Mittler, JM Abraham, J Robbins… - Health services …, 2023 - Wiley Online Library
Objective To understand US hospitals' initial strategic responses to the federal price
transparency rule that took effect January 2021. Data Sources and Study Setting Primary …

Financial Toxicity in Breast Reconstruction: The Role of the Surgeon-Patient Cost-of-Care Discussion

BD Baglien, NG Kumar, NL Berlin… - Seminars in Plastic …, 2024 - thieme-connect.com
The financial burden of breast cancer treatment and reconstruction is a significant concern
for patients. Patient desire for preoperative cost-of-care counseling while navigating the …

A comprehensive value-based method for new nuclear medical service pricing: with case study of radium [223Ra] bone metastases treatment

H Wang, H Sun, Y Fu, W Cheng, C Jin, H Shi… - BMC Health Services …, 2024 - Springer
Importance Innovative nuclear medicine services offer substantial clinical value to patients.
However, these advancements often come with high costs. Traditional payment strategies …

Health Equity Ratings of US Burn Centers—Does For-Profit Status Matter?

N Rizk, D Rochlin, CC Sheckter - Journal of Burn Care & …, 2024 - academic.oup.com
Achieving health equity is forefront in national discussions on healthcare structuring. Burn
injuries transcend racial and socioeconomic boundaries. Burn center funding ranges from …

Rates of price disclosure associated with the surgical treatment of early-stage breast cancer one year after implementation of federal regulations

SA Shah, Y Zhang, AM Correa, BA Hijaz… - Breast Cancer Research …, 2024 - Springer
Purpose Mastectomy, breast reconstruction (BR) and breast conserving therapy (BCT) are
core components of the treatment paradigm for early-stage disease but are differentially …

Free Flap Reconstruction in the Era of Commercial Price Transparency: What Are We Paying For?

DH Rochlin, NM Rizk, BJ Mehrara, E Matros… - Plast Reconstr …, 2024 - journals.lww.com
Background: Commercial rates for free flap reconstruction were not known publicly before
the 2021 Hospital Price Transparency Final Rule. The purpose of this study was to examine …