Articles filed under Healthcare.
Only 9% of Americans understand that hospitals are legally required to publish their prices. Nearly 70% are unsure whether any such requirement exists. Section 1: The Awareness Gap A KFF tracking survey found that nearly 70% of people are…
Jeff Davis
In 2024, one in four employer healthcare dollars went to pharmacy. Hospital and physician price transparency rules now cover most clinical spending — but pharmacy remains largely outside the transparency framework. Section 1: The Numbers…
For the same major procedure, UnitedHealthcare’s negotiated rate at one Pennsylvania hospital was $18,066. At another Pennsylvania hospital, it was $87,457 — a 4.8x difference. Same insurer. Same state. Section 1: The Data Behind the…
In most major American cities, the price for a single MRI can vary by $3,650 or more. Stop treating medical costs like the weather—unpredictable and unavoidable. A fundamental shift is happening. This guide is your step-by-step playbook.…
The federal Transparency in Coverage (TiC) regulations and the Hospital Price Transparency (HPT) rule have required the publication of machine-readable files (MRFs), providing policymakers with verifiable, large-scale data to make hospital…
Understand what hospital price transparency is and why it’s crucial for managing your healthcare costs. Learn how new regulations empower you to make informed decisions.
A data-driven analysis of how price transparency exposes market failures, shifts negotiation power, and enables critical market analysis for strategic planning.
The rise of medical credit cards and patient financing is a market response to high healthcare costs and high-deductible health plans. Learn how to use transparency data to protect your budget.
It can be awkward to talk about money with your doctor, but it’s essential. We provide a simple questions and tips to help you have a productive conversation about costs with your provider.
An in-depth analysis of how a truly transparent market could fundamentally change the competitive landscape, patient behavior, and business models in healthcare.
In-network negotiated rate data shows price drops for shoppable services in competitive markets, but massive non-compliance impedes market-wide cost reduction.
An analysis of 2024 hospital mergers and acquisitions, detailing transaction values, the high rate of divestitures, and the direct link to hospital market concentration.
We break down the No Surprises Act’s Independent Dispute Resolution (IDR) process, analyzing the critical timelines, the impact of rising fees, and the link to TiC data.
Our beginner’s guide decodes hospital price lists. Learn to find the in-network negotiated rate, understand CPT codes, and compare costs to save on medical care.
Investigative analysis of how price transparency rules place a compliance burden on rural hospitals and the systemic risks to patient access they face.
A forward-looking piece that examines the next phase of price transparency. We look at potential new regulations, legislative pushes, and what the future holds for this movement.
Despite new laws, out-of-network charges remain a complex problem. We explain why these costs still occur and what they mean for patients and the healthcare system.
Don’t get caught off guard by unexpected medical bills. Learn what surprise billing is, how it occurs, and how new laws are designed to protect you.
Why is price transparency important in healthcare? Understand how clear pricing empowers patients, reduces costs, and drives better healthcare decisions.
Surprise medical bills aren’t just a financial burden; they take a toll on mental health. We explore the link between medical debt, surprise bills, and patient well-being.
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