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Sunday, December 8, 2019

White House Unveils Finalized Health Care Price Transparency Rule

Price transparency is a step in the right direction. The other will be the ability to shop for health care insurance across state lines where sold anywhere in the nation. However, price transparency is insufficient as the US healthcare system is highly complex. A price disclosure may not reflect whether that price is for in-network or out-of-network status. And, what of classes of in-networks such as tier 1, tier 2 and tier 3? Each carries a different price point. And, what if the hospital is in-network, but the anesthesiologist is out-of-network? What if your doctor doesn't have privileges at your in-network facility? Having shopped for health care this year and navigating all of the above the price for the procedure was $3,520 at a tier 1 in-network and $60,000 at an out-of-network.
from Rajesh Harrykissoon, MD


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