Price transparency in hospitals—current research and future directions

JX Jiang, R Krishnan, G Bai - JAMA Network Open, 2023 - jamanetwork.com
The Hospital Price Transparency Final Rule (the rule, hereafter), which requires hospitals to
post the payer-specific negotiated prices, discounted cash prices, and standard charges for …

Commercial price variation for breast reconstruction in the era of price transparency

DH Rochlin, NM Rizk, E Matros, TH Wagner… - JAMA …, 2023 - jamanetwork.com
Importance Breast reconstruction is costly, and negotiated commercial rates have been
hidden from public view. The Hospital Price Transparency Rule was enacted in 2021 to …

The Relationships Among Cash Prices, Negotiated Rates, And Chargemaster Prices For Shoppable Hospital Services: Study examines the relationships between …

Y Wang, MK Meiselbach, JS Cox, GF Anderson… - Health Affairs, 2023 - healthaffairs.org
Hospitals must disclose their cash prices, commercial negotiated rates, and chargemaster
prices for seventy common, shoppable services under the hospital price transparency rule …

Healthcare price transparency in North America and Europe

H Araich, J Tran, J Jung, M Horný… - The British Journal of …, 2023 - academic.oup.com
Healthcare price transparency is an effort to inform patient decision-making, but also to
decrease prices and their variation across healthcare systems for equivalent medical …

Hospital Prices For Commercial Plans Are Twice Those For Medicare Advantage Plans When Negotiated By The Same Insurer: Study compares commercial-to …

MK Meiselbach, Y Wang, J Xu, G Bai, GF Anderson - Health Affairs, 2023 - healthaffairs.org
Most major insurers operate in both the commercial health insurance and Medicare
Advantage (MA) markets. We investigated the ratio of commercial-to-MA prices negotiated …

Hospital-administered cancer therapy prices for patients with private health insurance

R Xiao, JS Ross, CP Gross, SB Dusetzina… - JAMA Internal …, 2022 - jamanetwork.com
Importance The federal Hospital Price Transparency final rule, which became effective in
2021, requires hospitals to publicly disclose payer-specific prices for drugs. However, little is …

Large variations in the prices of urologic procedures at academic medical centers 1 year after implementation of the price transparency final rule

ZG Gul, DR Sharbaugh, CJ Guercio… - JAMA Network …, 2023 - jamanetwork.com
Importance Patients with urologic diseases often experience financial toxicity, defined as
high levels of financial burden and concern, after receiving care. The Price Transparency …

Hospital And Regional Characteristics Associated With Emergency Department Facility Fee Cash Pricing: Study examines hospital and regional characteristics …

MA Henderson, MC Mouslim - Health Affairs, 2022 - healthaffairs.org
Self-pay patients are an understudied yet important and financially vulnerable population of
emergency department (ED) users. As ED facility fees may be a key cost driver in patient ED …

Provision of hospital price information after increases in financial penalties for failure to comply with a US federal Hospital Price Transparency Rule

E Kong, Y Ji - JAMA Network Open, 2023 - jamanetwork.com
Importance Price transparency regulations aim to help patients make informed decisions
about medical care, but enforcing these rules is a policy challenge. There may be an …

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 …