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Price Transparency Shelli Silver May 21, 2014

Price Transparency Shelli Silver May 21, 2014. Required Reports. FY 2014 Budget required AHCCCS and ADHS to report on current hospital chargemaster with recommendations to improve transparency by January 1, 2014: http:// www.azahcccs.gov/reporting/Downloads/2014Chargemaster.pdf

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Price Transparency Shelli Silver May 21, 2014

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  1. Price TransparencyShelli SilverMay 21, 2014

  2. Required Reports • FY 2014 Budget required AHCCCS and ADHS to report on current hospital chargemaster with recommendations to improve transparency by January 1, 2014:http://www.azahcccs.gov/reporting/Downloads/2014Chargemaster.pdf • FY 2015 Budget continued this requirement with a January 1, 2015 due date • The 2015 report will include results from stakeholder discussions and specific recommendations on transparency Reaching across Arizona to provide comprehensive quality health care for those in need

  3. 2014 Report Summary • In order for health care consumers to be able to assess value, as they do with other goods and services, reliable and understandable price and quality information must be accessible • Charges alone provide a very limited perspective in the actual price paid by most consumers • The current Arizona chargemaster reporting requirements serve no public good because the line item format of the data is not uniform and it is virtually inaccessible to the public Reaching across Arizona to provide comprehensive quality health care for those in need

  4. 2014 Report Recommendations • While there are a number of options, the most successful initiatives have stakeholder input and support • AHCCCS and ADHS will convene key stakeholders with the goal of reaching consensus on ways to improve the availability of price and quality information in a format that is useful to consumers and payers for inclusion in the 2015 report Reaching across Arizona to provide comprehensive quality health care for those in need

  5. Healthcare Financial Management Association Price Transparency Task Force • Task force members consisted of people representing patients, providers, payers, and employers • Engaged in candid discussions to increase transparency with the health care system • Made 13 recommendations (pages 13-17): http://www.modernhealthcare.com/assets/pdf/CH942 09416.PDF • What recommendations from this report should AHCCCS adopt?   Reaching across Arizona to provide comprehensive quality health care for those in need

  6. MCO Input • Are there other recommendations that you would suggest AHCCCS consider? • Realizing that this is a complex issue, other initial steps for increasing transparency?  • Please email feedback to Amy.Upston@azahcccs.gov Reaching across Arizona to provide comprehensive quality health care for those in need

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