Increasing Transparency | HAP

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Initiatives

Related Information

Guidelines for Consumer-Focused Hospital Financial Services
Principles and operational guidelines for hospitals to ensure that consumers have a better understanding of their financial responsibilities (Jun 2015)


White Paper
On consumer-focused hospital financial services (Dec 2014)


Testimony Before Pennsylvania Department of Insurance
On balance billing (Sep 2015)


HAP Testimony
Before the Senate Banking and Insurance Committee on balance billing (Oct 2016)


Increasing Hospital Transparency, More Information Helps Consumers Make Better Decisions

HAP and its member hospitals are committed to increasing transparency around hospital prices and quality, as well as improving their hospital operations.

Consumers are seeking more information about the cost of their care and the quality of that care so they can make informed decisions. They want hospitals to be open and accountable about how they operate, which may include information about their tax status, executive compensation, and their decisions around mergers or business partnerships with other health care providers.

They also need a similar commitment from other health care stakeholders who are part of the health care delivery system, including insurers, physicians, and other providers. Together, they can help consumers navigate the complex care system, armed with sufficient information to make the best choices about their health care and care for family members.

Improving Hospital–Consumer Financial Communications

As consumers pay more out-of-pocket for health care, they are more involved in making decisions about their medical care. They need and deserve information about their financial responsibility up front. Consumers are seeking financial communications that are clear, easy to understand, and organized.

HAP-member hospitals and health systems are working to ensure consumers have a better understanding of their financial responsibilities, and how to get assistance to meet those responsibilities if needed. This site provides resources for members and consumers.

Resources

Hospital Resources

HFMA Patient-Friendly Billing Recommended Practice
A guide for hospitals to help patients’ prepare for their financial obligations

HFMA Patient-Friendly Billing Resources
A list of patient-friendly billing reports, analysis, tools, case studies, and related information

AHA Achieving Price Transparency for Consumers: A Toolkit for Hospitals
Resource for hospitals to assess their current efforts and learn from case examples and sample price transparency tools

Consumer Resources

Avoiding Surprises in Your Medical Bills | A Guide for Consumers
The American Hospital Association (AHA) has partnered with the Healthcare Financial Management Association and America's Health Insurance Plans to develop a new guide to help patients ask the right questions to avoid paying more than expected for health care services.

HFMA Understanding Healthcare Prices: A Consumer Guide
Guide to help consumers understand where to get answers to their questions about health care prices, compare prices among providers, and manage their out-of-pocket costs. Hospitals are encouraged to share this resource with consumers. Also available in Spanish

Related News

December 04, 2019

Hospital Groups File Lawsuit Challenging CMS Mandated Disclosure of Negotiated Rates

Today, the American Hospital Association (AHA) and three other national organizations representing hospitals and health systems filed a lawsuit against the federal government challenging a final rule issued by the Centers for Medicare & Medicaid Services (CMS) that mandates public disclosure of payer-specific negotiated rates between commercial health insurers and hospitals.


November 15, 2019

PA Hospitals Concerned about Consumer Confusion if New Price Transparency Rules Adopted, Remain Committed to Helping Consumers

The Centers for Medicare & Medicaid Services issued two rules that require hospitals and insurers to make pricing information available to the public.


November 14, 2019

Pennsylvania Performing Well according to Updated Medicaid and CHIP Scorecard

The Centers for Medicare & Medicaid Services recently issued the first annual update to its Medicaid and CHIP scorecard with the addition of new data points, measures, and improved functions to access data. Pennsylvania is performing well.


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