Not in Compliance? 8 Tips from Our Data Analytics Team

A recent report found that  94 percent of hospitals aren’t in compliance with the CMS’s Hospital Price Transparency final rule. Perhaps your hospital is one of them. Many of the hospitals featured in the report had published some pricing data, but did not meet all the rule’s requirements.  This left them labeled “noncompliant.” If you’re…

10 Common Problems with Price Transparency Data

The Hospital Price Transparency Rule represents an important step toward fairer and more transparent pricing in the American healthcare system. More than seven months after this rule officially took effect, a recent survey of 1000 providers in 27 states found that over two-thirds of those hospitals were far from meeting the rule’s requirements, but this…

How to Use the Aggregated Hospital Pricing Data

For hospitals and hospital groups, the stakes for complying with the CMS’s Hospital Price Transparency Rule are getting higher. While current yearly maximum penalties for noncompliance are just $109,500, a new proposal from the Biden Administration could push them up to $2 million. Our data can help hospitals and hospital groups avoid such penalties and…

7 Resources to Help You Get in Compliance with the PT Rule

The CMS’s final Hospital Price Transparency Rule officially took effect on January 1, but as of February, fully 40 percent of hospitals weren’t compliant with the rule’s requirement to publish prices in a consumer-friendly format, and 52 percent weren’t compliant with the machine-readable format requirement, per consultancy firm Guidehouse. That’s not good for hospitals. In…

The Hospital Price Transparency Rule Explained

At Healthcare Data Analytics, we’re committed to making sure the CMS’s hospital price transparency rule leads to actual price transparency in the US healthcare system.  But in conversations with healthcare providers and others, we’ve discovered that even industry insiders aren’t clear on what the rule requires and how it differs from earlier iterations. In this…

Price Transparency: A Q&A with HDA Founder Michael Woodrow

Michael Woodrow launched Healthcare Data Analytics last year with the goal of ensuring that the data that hospitals publish to comply with the new Hospital Price Transparency Rule leads to actual price transparency in the healthcare marketplace. In this Q&A, Michael provides insight into why he is tackling this challenge and what he hopes Healthcare…

What MN Hospitals Charge for 4 Popular Services in the U.S.

The majority of American adults can’t afford an unexpected $400 expense, according to research from the Federal Reserve. That’s troubling, given that the price of a hospital service can vary by $400 or more from hospital to hospital – with no visibility into why. That lack of transparency was the driving force behind the Hospital…

Hospital Pricing Data; A Step In The Transparent Direction

The US Federal Government has demonstrated serious interest in price transparency in the healthcare sector. The most recent example is the new rule for hospital pricing, as promulgated by the Centers for Medicare and Medicaid Services (CMS) Federal Regulation 45 CFR Part 180 subchapter E. This new Regulation has received… Wait for it… Bi-partisan support.…

CMS Transparency Initiative: The Upside

On the 24th of June 2020, the President signed an Executive Order (EO) which seeks to Improve Price Transparency in American Healthcare to prioritize patients. The executive order, among other things, is a rule that implements Section 2718(e) of the Public Health Service Act and updates the agency’s mandate upon hospitals. This mandate requires hospitals…

COVID-19 and Spikes in Health Insurance Profits; The Bridge

Remember January 2020? Maybe not, but 2020 started with good prospects for a lot of industries. Unemployment was at all-time lows. The stock market and the US economy were chugging along. Then, as we all know, COVID-19 happened. The pandemic heralded unprecedented losses for many industries (including travel, entertainment, and on-site fitness). However, some lucky…