Healthcare Price Transparency Efforts Hampered by Incomplete and Conflicting Data
Healthcare Brew
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Contributed by: Kate Gamble
Summary
Recent legislation aimed at promoting price transparency in healthcare has not achieved full compliance among hospitals and health plans, as indicated by audits revealing a significant number of incomplete public files. A report from Turquoise Health analyzed 97 payers and found that 28 provided conflicting rates for common services, highlighting the complexity of the reimbursement landscape. Aetna was noted for having discrepancies in 57% of its listed services, while other major insurers performed better in terms of consistency. These inconsistencies, though not necessarily intentional, pose challenges for healthcare professionals seeking accurate pricing information, underscoring the need for improved data accuracy and accessibility in healthcare pricing.
