Healthcare IT Interoperability, EHR interoperability, Hospital Interoperability

Healthcare Transparency

Senators Request Payer, Provider Data on Surprise Medical Billing

February 13, 2019 - Senators from both sides of the aisle have requested information from providers and payers regarding surprise medical billing. In a recently released letter, Senators Bill Cassidy (R-LA), Michael Bennet (D-CO), Todd Young (R-IN), Tom Carper (D-DE), Lisa Murkowski (R-AK), and Margaret Wood Hassan (D-NH) asked stakeholders to provide data that will help prevent consumers from being...


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2019 Best in KLAS Taps Payer Price Transparency, Claims Solutions

by Jessica Kent

Change Healthcare, Health Solutions Plus (HSP), and Casenet were among the top-ranked solutions in the 2019 Best in KLAS report for price transparency, payer claims and administration, and payer quality analytics. MedInsight and Activate...

Payers to Focus on Price Transparency, Data Exchange at HIMSS19

by Jessica Kent

Price transparency, data exchange strategies, and the challenges of addressing administrative burdens will be among the key discussion topics for payers at this year’s HIMSS Global Conference and Exhibition in Orlando, Florida. Over...

Medicare “What’s Covered” App Aims for Price Transparency

by Jessica Kent

CMS has launched a new price transparency app that shows users which medical services and tests are covered under Medicare, the agency announced in a recent blog post.   The free “What’s Covered” app provides users...

Verma: Price Transparency Rule a “First Step” for Consumerism

by Jennifer Bresnick

The hospital price transparency mandate that went into effect on January 1 is still ruffling feathers among healthcare providers, leading CMS Administrator Seema Verma to reiterate the importance of giving consumers access to pricing...

AHIP, Payer Groups Agree to Focus on Nixing Surprise Billing

by Jennifer Bresnick

Nine of the nation’s most influential payer organizations, including AHIP and the Blue Cross Blue Shield Association (BCBSA), have released a new set of guiding principles aimed at eliminating surprise billing. Unexpected medical...

CMS Proposes Drug Price Transparency in Television Ads

by Thomas Beaton

CMS has proposed a new rule that would enhance drug price transparency by requiring drug manufacturers to publish wholesale prices of Medicaid and Medicare prescription drugs during television ads. The proposed rule would require...

CMS Proposes Drug Pricing, Price Transparency Changes for Medicare

by Thomas Beaton

CMS has proposed a series of policy changes for Medicare that would promote prescription drug affordability within Medicare, and has also requested stakeholder comments about ways to improve price transparency for Medicare services. As...

2018 Best in KLAS Taps Vendors for Claims Admin, Price Transparency

by Thomas Beaton

The 2018 Best in KLAS report ranked the best vendor solutions for payer claims administration, care management, price transparency, and payer analytics based on five industry performance criteria.    KLAS ranked vendor solutions...

BCBS of Louisiana Offers Online Consumer Price Comparison Portal

by Thomas Beaton

In an effort to improve transparency and customer engagement, Blue Cross Blue Shield (BCBS) of Louisiana launched an online consumer price comparison portal. The portal, called SmartShopper, allows any BCBS  customer in Louisiana to...

Employers Seek Clarity, Stability in Health Insurance Market

by Jesse Migneault

The nation’s largest employers are taking a second look at what type of health insurance they buy, and why.  The American Health Policy Institute (AHPI) surveyed over 400 large companies and found issues of transparency,...

Vermont Blue Cross Plan Reaches Highest Member Satisfaction

by Vera Gruessner

Blue Cross and Blue Shield of Vermont (BCBSVT) announced in a company press release this month that the payer has achieved the highest scores for member satisfaction and efficiency rankings for the fourth continuous year. This particular...

4 Ways Payers Could Improve Healthcare Price Transparency

by Vera Gruessner

Healthcare price transparency remains a key issue for health payers across the country. In order to strengthen member retention efforts especially during open enrollment periods, payers will need to boost price transparency to improve...

How Health Payers Could Help Reduce High Out-of-Pocket Costs

by Vera Gruessner

A major problem still impacting consumers within the health insurance market is the potential for seeing high out-of-pocket costs. Many individuals are still underinsured despite the significant decrease in the uninsured rate around the...

Rise in High-Deductible Health Plans Requires Cost Transparency

by Vera Gruessner

High-deductible health plans are becoming more and more common across the health insurance industry. With the many changes that the Affordable Care Act (ACA) has brought, payers are attempting to control costs by offering more...

How Payers Could Use Price Transparency to Boost Satisfaction

by Vera Gruessner

In order to reduce ever rising healthcare costs, health insurance companies will need to improve price transparency among their health plans as well as within their provider networks. The Robert Wood Johnson Foundation released a report...

High-Deductible Health Plan Consumers Seek Price Transparency

by Vera Gruessner

Families and individuals who have purchased healthcare coverage on the ACA health insurance exchanges may have seen that monthly premium rates are expected to rise 25 percent in 2017, but should be aware that those eligible for tax...

Healthcare Payers Struggle with Price Transparency, Technology

by Vera Gruessner

Health insurance companies are still struggling with improving price transparency in order to gain greater trust from their consumer base. One survey has shown low customer service satisfaction and a need for payers to inform consumers on...

Payers Slow to Adopt Value-Based Care Payment Arrangements

by Vera Gruessner

A new survey from the healthcare alliance Premier found that healthcare payers are not transitioning to value-based care payment arrangements as quickly as medical providers would like, according to a company press release. With the...

Health Insurance Marketplaces Call for Plan Standardization

by Vera Gruessner

Healthcare payers are being instructed to offer standardized plan and benefit designs as the  federally facilitated health insurance marketplace is working to improve consumers’ ability to compare varying health plans during the...

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