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This report explores the evolution of public reporting and transparency in healthcare, focusing on federal, state, and private efforts. It assesses the target audiences, reporting entities, criticisms, reporting methods, and outcomes. It also discusses the proposed federal legislations.
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Public Reporting and Transparency John M. Colmers Senior Program Officer Milbank Memorial Fund Bipartisan Congressional Health Policy Conference January 14, 2007
Brief History • Federal efforts • State efforts • Private efforts
Who are the target audiences? • Consumers • Employers/Purchasers • Health plans • Providers • Policymakers
What are the reporting entities? • Hospitals • Physicians • Health plans • Nursing homes • Home health agencies
What are the criticisms of the data? • Cost/charge information • Case mix/severity/risk adjustment • Data accuracy • Sample size • Data validity
How and when should the information be reported? • Timeliness • Relevance • Intelligibility
What have been the results? • Public reporting adds value • Care must be taken in report design • Collaboration appears essential • State and local efforts have been successful • Role of research and evaluation • Automated data collection
What federal legislation will be considered? • Public information on quality and price • Health information technology