Get Ready for Price Transparency
CPR has released a set of specifications that employers can look at when comparing consumer transparency tools among health plans. The specifications represent the best of the best.
Meanwhile, the price secrecy clauses need to be eliminated. "The truth is that it's only a small proportion of providers who have these clauses, but tends to be the ones that matter a lot," Delbanco says. That means the biggest systems with the biggest market power in their community are often those who are standing in the way.
Given how rapidly consumers are being asked to pick up the cost of healthcare and given benefit design in how those dollars are spent, there will be increasing pressure to be price-transparent.
Providers "can be a player or not," she warns. "But as consumers get wiser about the connection between cost and quality, and as we reveal the facts that price has no bearing on quality, we'll work toward a marketplace where providers compete on value in terms of quality and cost, not just one or the other."
Philip Betbeze is senior leadership editor with HealthLeaders Media.
- Anthem Blue Cross, 7 CA Health Systems Create New Challenger, Business Model
- Data Points to Boom in Private HIX
- Few Winners Among MSSP Participants
- Technology Lights Up Health Innovation Forum
- EHR Systems 'Immature, Costly,' AMA Says
- Interstate Medical Licensure Effort Advances
- NCQA Releases Annual Health Plan Rankings
- Hospitals and doctors fail patients by passing the buck on insurance rules
- A new way insurers are shifting costs to the sick
- FTC wary of mergers by hospitals