President Trump issues price transparency executive order affecting both providers and payers

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It’s here folks. THE mandate. On Monday, June 24, 2019, President Trump signed an executive order requiring hospitals to publish negotiated rates with payers and both providers and payers to provide patients with out-of-pocket estimates in advance of procedures.

Both provider and payer groups have come out against the mandate, and there is speculation about just how much teeth any subsequent laws will have. However, consumer dissatisfaction with the status quo has made an impact on both Democrats and Republicans, so it’s safe to say that there will be legislation. If you are provider or a payer, get ready.

The news coverage is enormous. Search online for Trump price transparency mandate and you’ll have scads to read. The tip of the iceberg:

According to an article in Health Affairs, “the executive order directs an array of federal agencies to adopt rules, issues guidance, or develop reports with the goal of increasing the transparency of health care price and quality information.”[1]

Modern Healthcare reports: “Trump issued a general mandate for insurers and hospitals to disclose rates they have negotiated for “shoppable” services. These are common procedures and treatments that are widely available from hospitals and doctors. The intent of this rule is to give patients the chance to compare costs “before making informed choices based on price and quality.”[2]

HealthCareDive: “The executive order has two main directives:

  • Within 60 days, HHS must propose a regulation “to require hospitals to publicly post standard charge information, including charges and information based on negotiated rates and for common or shoppable items and services, in an easy-to-understand, consumer-friendly, and machine-readable format using consensus-based data standards that will meaningfully inform patients’ decision making and allow patients to compare prices across hospitals.”
  • Within 90 days, HHS and the Departments of Labor and Treasury must solicit comment on a proposal “to require healthcare providers, health insurance issuers, and self-insured group health plans to provide or facilitate access to information about expected out-of-pocket costs for items or services to patients before they receive care.”[3]

If you are at all concerned with keeping your market share, now is the time to act. Get a jump on your competition and do more than comply with a law that is sure to come.

HealthQRS has a price transparency technology platform to deal with all of the moving parts of negotiated rates between providers and payers, uses powerful behind-the-scenes algorithms to provide actual out-of-pocket costs and quality scores for your consumers. And while we have a price transparency only module, we can go way beyond transparency and offer a TRUE consumer Amazon experience for the consumer.

We go so much beyond publishing prices. HealthQRS makes healthcare easy. We make easy for people to buy YOUR healthcare. And we make it easy on you to implement our solution.

We can help you beat your competition. Just like every with other purchase consumers make, they want a positive shopping experience with healthcare. They want choices. They want convenience. They want discounts. They want quality.

People want the Amazon experience. And you can give it to them. But you need the technology infrastructure to provide this.

You need HealthQRS. We can have a workflow session with you, customize our solution just for you, and in a matter of weeks have you ready to go.

We have created the platform that, with one easy-to-use app, allows you to give consumers all this and more. Our solution is extremely affordable. It’s simple to integrate into your existing systems. And it’s a cinch for your consumers to use.

HealthQRS gives people access to an app that is a front for the system that works behind the scenes allowing you to do exactly what this new legislation will require you to do. Bundled payments? A snap. Keeping people in network? Absolutely. Giving them a way to shop for your procedures and services? Touch of a button. Need a ride to your facility? Just a tap on the smartphone. Our app can even arrange for grocery delivery.

Convenience? Absolutely. HealthQRS’ platform enables telehealth connectivity and you can take advantage of it immediately to start marketing telehealth visits to your consumers.

With HealthQRS, consumers can schedule a telehealth visit, pay for it, and have the visit right from the app on their smartphone. Talk about convenience. And if they need more than telehealth, we enable that as well. HealthQRS allows patients to see what their actual out-of-pocket expenses will be before they schedule services. Not estimates. Actual prices.

Our technology enables people to connect to more cost-effective, consumer-oriented healthcare options and we keep them in-network. HealthQRS integrates fully to EHRs and can also enhance existing portals and other patient engagement solutions, improve meaningful use numbers and increase meaningful use funds.

HealthQRS allows you to offer an entire online retail experience with one, easy-to-use platform. And we have developed the only complete e-commerce platform for healthcare on the market. HealthQRS is an e-commerce platform that you can brand for your hospital and that will keep consumers in-network. Our ecommerce platform gives people a full, rich retail experience in healthcare. When they login to the app on their smartphones, tablets or PCs, they see your logo and they think you are providing this experience. And you ARE providing the experience … HealthQRS is providing the platform.

How do we do all of this?

Our solution is built with complicated algorithms that use real-time data: the actual payer contracts by provider + insurance verification information + charity + other business rules to provide consumers with a true out-of-pocket per patient per procedure. HealthQRS interfaces with virtually any existing practice management system and electronic medical record. We have over 30 modules that work independently or all together depending upon your needs to provide a holistic, seamless, total experience for the consumer from start to finish. We combine navigation, the capability to make an appointment, referral management (if needed), payment management and so much more than we can list here.

Our solution is simple to use. We invite you to see for yourself with this 2-minute video of the HealthQRS price transparency tool. Click on this link, then you’ll be instructed to download and watch: https://s3.amazonaws.com/hqrs.media/_misc/Screen+Recording+2018-11-29+at+17.30.45.mov

Developing a solution of this magnitude didn’t happen overnight. We started with the consumer experience in mind and spent years drawing on the knowledge of best-of-breed experts to perfect, fine tune and put together this complicated, yet complete solution for medical e-commerce.

In fact, HealthQRS has over 15 years of experience developing healthcare retail experiences for people and our founders have over 50 combined years of e-commerce experience. We also invite you to watch our user-friendly app video that you can use to win consumers as well as our point-of-service solution video that may interest you. You can also check out our E-Commerce Medical Marketplace Flyer for more information.

Contact us right now to schedule a personalized demo. We can get you entire system set up in a matter of weeks. Looking forward to helping you.

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[1] Katie Keith, “Unpacking the Executive Order on Health Care Price Transparency and Quality,” Health Affairs, June 25, 2019, https://www.healthaffairs.org/do/10.1377/hblog20190625.974595/full/

[2] Susannah Luthi and Tara Bannow, “Trump transparency order puts ‘shoppable’ healthcare in HHS hands,” Modern Healthcare, June 25, 2019,

https://www.modernhealthcare.com/payment/trump-transparency-order-puts-shoppable-healthcare-hhs-hands

[3] Shannon Muchmore, “Hospital price transparency push draws industry ire but effects likely limited,” HealthCareDive, June 25, 2019, https://www.healthcaredive.com/news/hospital-price-transparency-push-draws-industry-ire-but-effects-likely-lim/557536/

 

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