The Affordable Care Act has presented new challenges for healthcare providers due to the high-deductible plans that are popular with patients obtaining coverage through the state and federal marketplaces.
Patients are now faced with an increased responsibility in healthcare costs, forcing patients to “shop” a service, which creates a need for meaningful and accessible pricing transparency.
Pricing transparency can be addressed in a variety of forms including rational hospital pricing methodologies, easy to access patient cost estimates, and availability of accurate patient responsibility estimates.
This presentation focuses on the demand for rational pricing methodologies as a major component to transparency, price competitiveness, and earned reimbursement. This presentation is targeted to introduce participants to the elements of a rational pricing methodology and best practice for developing prices based on cost, reimbursement, and peer pricing data.
At the end of this presentation, participants will be able to: