The gamble is over for hospitals that avoided complying with CMS price transparency mandates.
After a slow start since they were implemented more than 18 months ago, CMS has issued 350 warnings for noncompliance, 157 corrective action requests, and finally issued fines to two Georgia hospitals in June. It seems many more will be on the way.
The fines are significant. The first two hospitals faced fines of roughly $880,000 and $214,000. Noncompliant hospitals with 550 beds or
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price transparency
HLTH22 Day 2 News Summary: Amazon Clinic Launch, General Catalyst, Verizon, Higi
Amazon Launches Amazon Clinic Across 32 States
Amazon launches Amazon Clinic, a virtual care option that will operate across 32 states that offers up-front pricing, and treatment within hours, instead of days—helping customers achieve better health. Welcome to easy-to-use, effective care for common health conditions.
For customers, the cost of consultations will vary by provider and includes ongoing follow-up messages with their clinician for up to two weeks after the initial
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HLTH22: Turquoise Health Launches Price Transparency Data Solution
What You Should Know:
- Turquoise Health, an end-to-end healthcare pricing platform, today announced Simple Extracts, its first price transparency data product for specialty healthcare businesses. Simple Extracts allows anyone to request and receive precise searches from both the hospital and payer rates data warehouses.
- This new product eliminates the cost and technical barriers specialty businesses encounter by delivering data to customers directly within the Turquoise Health platform.
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18 HLTH 2022 Predictions from Digital Health Executives to Watch
Before HLTH 2022 kicks off next week in Las Vegas, we asked 18 digital health executives for their predictions and major themes to expect at HLTH.
1. Keith Reynolds, Chief Operating Officer at Welldoc
Access to care is a central focus for healthcare given several factors: a growing population being impacted with chronic conditions, increased resourcing constraints, and growing fatigue and workload among providers. A recent study indicated that it would require a PCP 26.7 hours/ day
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Drug Price Transparency: Planning for Change
Currently, some 22 states have enacted prescription drug transparency laws that require entities across the drug supply chain to report pricing information to state officials. Designed to shed light on the true cost of drugs and to ensure that consumers and insurers aren’t being gouged, drug pricing transparency laws seek to level the playing field by delivering greater visibility into drug costs. And given the fact that prescription drug prices continue to increase, the topic of drug price
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Transcarent Selects Prescryptive Health to Power Integrated Pharmacy Experience
What You Should Know:
- Transcarent and Prescryptive Health announced today a partnership to provide the industry’s most immersive, intelligent, and individualized pharmacy care experience.
- Transcarent Pharmacy Care empowers Transcarent Members and their families with an entirely different consumer-directed experience that truly transforms their health and care journey and provides, for the first time, employers and health systems with maximum control over their formulary, benefit
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The Desire for Cost Savings Driving Key Trends in Healthcare Market
The healthcare market underwent significant changes during the pandemic as patients rethought how they received care, including opting for more telehealth and deferred elective procedures, but patient care is now normalizing as patients return to the office. However, payers are working to reduce the cost of care to reel in healthcare costs and keep premiums lower to remain competitive, driving key changes.
Ambulatory Surgery and Home Care
Surgeries are increasingly moving away from
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State Price Transparency Requirements Are No Longer Cut and Paste
For pharmaceutical manufacturing firms, the amount of documentation required around state price transparency regulations continues to expand. As it now stands, more than 22 states have transparency laws on the books, and each of these states requires a complicated and diverse set of reporting information, which was not the case five years ago.
These transparency requirements – including the need to provide data in different formats and on different dates due to “triggering events” – mean that
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Cost Transparency Ecosystem in Healthcare
Cost transparency is a driving force in the American market. Whether consumers are looking to purchase a latte, a plane ticket, or surgery, they increasingly expect to pay an “out-the-door” price– something that includes all labor and materials as well as the finished product or service. When polled, 66% of Americans indicated that they would shop for care if prices were publicly disclosed. And in pursuit of competitively and transparently priced services, some patients attempt to shop locally;
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4 Factors Driving Healthcare Transformation in 2022 to Watch
As the healthcare industry becomes more interconnected in response to a wide range of economic and societal factors, the landscape is changing for all parties involved, including payers, providers, and patients.
In a dynamic time for the industry, here are four of the main factors driving the changes and what they mean for the primary stakeholders:
The lines between traditional and digital are blurring
As startups and traditional providers race to meet their patient's
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