Health Price Transparency Is Here
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How transparent are Texas hospitals with their health care pricing? 🏥
Room for Improvement: Health care prices can vary widely in Texas – even for the same service at the same hospital.
- Without transparent prices, it’s hard for employers to design high-value benefit plans and to let their employees know what they’re going to end up paying when they get care.
Rules & Regulations: To allow for more informed decisions about health care spending, federal law required hospitals to provide clear, accessible pricing information about their services beginning Jan. 1, 2021.
- Texas passed a similar law that went into effect in September 2021.
Facts & Figures: Working with data science firm January Advisors, we attempted to locate and download data for 644 hospitals in Texas. Here’s what we found as of April 2022:
- 31% of hospitals were mostly compliant with the law*
- Only 65% of hospitals had made pricing data available in a way that we were able to access it
- Many large hospital systems in Texas are missing key pieces of data, such as insurer-specific rates
- Comparisons between hospitals are often difficult or impossible due to the availability and formatting of hospital codes and insurer-specific information
- Our new online tool examines the differences in prices for the same health care services to help show price discrepancies.
- The adoption of a clear data standard that could encourage and improve reporting and provide researchers with better data for analysis (read full list).
*What Does “Mostly Compliant” Mean?
Health Care Costs 💰
Have you or someone in your household skipped or postponed medical care because of the cost in the last two years?
In the News 🗞️
Check out today’s editorial in The Dallas Morning News about our health price transparency tool.
Texas 2036 Testimony 🎥: Health Care Reform
Press Play: Senior Policy Advisor Charles Miller testified before the Select Committee on Health Care Reform on Aug. 4 about why the state should continue to expand health care transparency, its need to empower employers to join the fight, and more.
Join the conversation:
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