Financial Assistance Reform Is Reshaping Revenue Cycle Strategy
Financial assistance is moving from discretionary policy to regulated infrastructure. For health systems, that shift has significant operational and financial implications.
Turquoise Health Snags $40M to Simplify Healthcare Contracts & Payments
Turquoise Health raised $40 million in a Series C round to expand beyond price transparency into managing healthcare contracts. The startup’s platform aims to simplify payer–provider agreements, reduce administrative waste and enable patients to see guaranteed upfront prices.
The Hidden Administrative Tasks Draining Small Practices
Small practices play a critical role in healthcare delivery, but they cannot continue to absorb ever-increasing administrative demands without consequences.
WTW Launches Healthcare Pricing Data Solution for Employers
WTW launched the Health Transparency Optimizer to help employers better understand healthcare costs, quality and network options.
Moving Beyond an Insurance-Based Framework for Healthcare
In an interview, UberDoc CEO Sean Kearney described how it is carving a niche for healthcare that better serves patients and physicians.
Hospitals & Clinics Still Paid Unequally for Same Care, Research Shows
A new Trilliant Health report revealed wide disparities in provider payments, with academic medical centers and certain payer-affiliated clinics receiving far higher reimbursements than their peers for the same services. The findings emphasize just how much opaque pricing practices continue to drive inequities in the U.S. healthcare system.
Healthcare Price Transparency is Not Enough
Health care in the United States is confusing for patients and consumers. Price transparency is a step in the right direction — transformative change can happen by combining cost, quality, appropriateness and efficiency measures.
Beyond Analytics: How Sellers Dorsey is Hard-Coding Value into Medicaid Policy [Video]
How to turn analytics into actual policy outcomes.
Same Surgery, $220K Apart: Why Providers & Employers Need to Rethink Value Amid Price Disparities
A new Trilliant Health report reveals vast price variation for identical healthcare services, even for procedures delivered at the exact same facility. Allison Oakes, Trilliant’s chief research officer, urged providers to prove they are delivering true value for the cost and pressed employers to leverage their purchasing power to demand higher-value care.
Healthcare Price Transparency is More Than Showing a Price Tag
As an industry, we can and must do more. To be truly actionable, prices must be easily accessible, understandable, and patients need to be actively engaged to act on that information.
How Employers Can Leverage Value-Based Care to Drive Retention and Improved Health Outcomes for Employees
For employers to offer effective, accessible and affordable value-based care for their employees, they must address these four components.
The Price is Wrong: We Need to Solve the Healthcare Insurance Transparency Crisis
In the U.S., many people still struggle to find care, book an appointment, confirm coverage, or get a clear answer on pricing. The impact goes beyond inconvenience, contributing to delayed diagnoses, increased anxiety, and financial stress that harms both patients and the healthcare system.
presented by
Survey on the Healthcare Financial Landscape Offers a Roadmap for Stakeholders
Zelis highlights how employers, payers, and consumers are integrating digital tools to manage healthcare costs.
The Promise and Peril of Price Transparency Under Trump’s New Executive Order
President Donald Trump’s latest executive order aims to strengthen enforcement for CMS’ price transparency requirements. Some experts think greater price transparency could reduce healthcare costs by fostering more competition, while others are concerned about the potential effects on hospital-payer negotiations, as well as the practicality of enforcing these requirements.
Hospitals Are Facing New Price Transparency Requirements, But Will They Truly Help Patients Shop for Care?
Come January 1, CMS will begin enforcing new price transparency requirements for hospitals. Experts doubt that these regulations will do much to help patients shop for care, but they are optimistic that increasing the amount of publicly available pricing data will help tech companies develop tools that simplify pricing for patients.
presented by
Unlocking Transparency in PBM Pricing
Dan Reedy, senior director of pricing and underwriting for Abarca, spoke recently with MedCity News about what payers should consider as they explore new models and press for greater transparency.
Elation Health’s New Integration Brings Drug Pricing Transparency to the Point of Care for PCPs
Elation Health integrated Surescripts’ real-time prescription benefit tool — which gives clinicians immediate access to patient-specific medication coverage and cost data — into its EHR. The partnership aims to improve patients' medication adherence by helping primary care physicians have more meaningful conversations with their patients about prescription affordability during visits.
Despite Price Transparency Laws, Americans Are Nowhere Near Able to Shop for Care. How Can This Change?
Most hospitals and payers have publicly posted their pricing information, but experts think that data will remain mostly useless for consumers for at least another five years. Now that the data is available, healthcare software companies must step in and build tools that are personalized and easy to use. That way, consumers can eventually use price transparency data to shop for care.