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Repricing Medicare Claims Tool Can Increase Pricing Transparency for Healthcare Providers
In the healthcare industry, pricing transparency and accuracy have long been problematic, causing confusion and frustration for patients. The recent CMS report, however, highlights the efforts hospitals and health systems are making to implement price transparency policies.Based on CMS data, 70% of hospitals in 2022 complied with both shoppable service information display requirements and machine-readable…
How Effective is The SaaS-Based Medicare Repricing System, CMSPricer, at Empowering Healthcare Payers?
A growing healthcare cost environment demands providing consumers with the right information and tools to make informed healthcare decisions. CMSPricer, an tool that helps beneficiaries understand medical expenses, has received both praise and criticism. We explore here how CMSPricer empowers healthcare payers to make cost-conscious healthcare decisions, ultimately aiming for more transparent and patient-centered healthcare.…
Does Reference-Based Pricing in Healthcare Sacrifice Quality for Price?
Most network agreements establish discounts and billed charges in an arbitrary manner. There is not much relationship between them and the actual cost of the procedure, and they can vary widely by location, provider, and many other factors. Reference-Based Pricing (RBP) In order to control rapidly rising healthcare costs, self-insured companies use reference-based pricing (RBP).…