Hospital price transparency, as a service.
In November 2019 the Department of Health and Human Services created the hospital price transparency rule, which took effect in January 2021. Compliance lagged: in the first enforcement actions, two hospitals were fined a total of $1,097,500. We offer a subscription that keeps your published prices accurate and available, with proof of compliance.
Two rules, two kinds of organization.
Know the cost before the care
Hospital price transparency helps Americans know the cost of a hospital item or service before receiving it. Since January 1, 2021, each hospital operating in the United States must provide clear, accessible pricing information online in two ways:
- As a comprehensive machine-readable file with all items and services
- In a display of shoppable services in a consumer-friendly format
Negotiated prices, in public
The Transparency in Coverage Rule, which took effect in July 2022, requires payers to publicly post negotiated prices for covered services. Payers need processes that pass audits and infrastructure that produces the required files.
- Gather, analyze and clean pricing data
- Review public relations and pricing strategy in light of the changes
- Build consumer education programs, reporting and analytics
From the first data export to ongoing proof of compliance.
Readiness assistance
Consulting engagements that analyze existing infrastructure and data formats. We build the tools and processes that automate data exports.
Publishing automation
Our platform automates feeds and provides publication widgets for hospital websites, with hosting that keeps you compliant.
Continuous monitoring
We develop, operate and maintain the tools and infrastructure that check data format, content and freshness requirements.
Point-in-time proof
We hash and store publication data, giving you a defense against accusations of non-compliance.
Data access API
Unified data formats and API access points for building applications on top of published prices.
Consumer tools
Channels for consumers to verify, comment on and rate the accuracy and availability of price data for core procedures.
We're happy to help with your price transparency work.
We'll work with you to decide which solution is right for your organization.