2021 Price Transparency Mandate

Revenue Cycle Market Reports     

Impact of the Price Transparency Executive Order

August 26, 2019 | 13 Minute Read

About half of healthcare providers said that publishing contractual allowable prices is their biggest concern related to the Executive Order on price transparency, while about one in four voiced concern about strategic plans to address the upcoming changes.

Read the full report

Most Healthcare Providers Plan to Add Patient Estimates Online, Adjust Charges in 2019                                        

March 14, 2019 | 4 Minute Read       

With the January 1, 2019 CMS price transparency mandate now implemented, hospitals cannot afford to get complacent. Based on recent comments made by the Centers for Medicare and Medicaid Services (CMS), this appears to be just the first step in the price transparency initiative and hospitals should not be surprised to see more mandates following in 2019.

Read the Patient Estimates and Chargemaster Market Report 

Healthcare Leaders Share Their Views on Price Transparency 

February 15, 2019 | 12 Minute Read

Four revenue cycle experts shared how they responded to the CMS price transparency mandate and how they envision the impact on the healthcare industry in 2019 and beyond.

Read the Price Transparency Roundtable Recap

Healthcare Providers Concerned, Unsure How to Meet CMS Mandate

November 6, 2018 | 4 Minute Read

Almost all healthcare providers are concerned about how their charges will be perceived by the public in response to the CMS Price Transparency Final Rule, according to a recent survey of 150 hospital participants on a recent webinar with PMMC and Healthcare Business Insights (HBI).

This Market Report looks to address concerns from the CMS Price Transparency Rule, highlighting the fact that hospitals will be required to post their standard charges online for any given service in a machine-readable format.  

Read the CMS Price Transparency Market Report

Webinar Transcription / Videos

Best Practices for Negotiating Payer Contracts as Cost Shifts from the Payer to the Patient

July 17, 2019 | 11 Minute Read

The only constant in life is change. This statement is very applicable to healthcare reimbursement today, as payer contractual and strategic pricing processes must integrate and evolve.

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Price Transparency and Consumerism: Best Practices for Patient Price Shopping

November 14, 2018 | 9 Minute Video

Just a few years ago, patients were satisfied with just knowing how much a procedure will cost. This is not the case anymore.
Today, more patients expect hyper-personalized online shopping experiences and healthcare providers are being forced to quickly adapt to these changing dynamics and demands.

This webinar provides best practices for how healthcare providers can offer a more personalized price shopping experience for their patients.

Part 1 - Increased Price Transparency

Part 2 - Consumerism Today in Healthcare

Part 3 - What You Want to Accomplish

Part 4- Patient Engagement Tips

How to Negotiate with Payers - The Four Key Components of Contracting

November 15, 2018 | 9 Minute Video

In a value-based care world where reimbursement models continue to change, providers may be unsure about how to approach the contract negotiation process. This Thought Leadership Webinar featuring PMMC and The MetroHealth System reviews four key components of successful contract negotiations: knowing your current contract composition, benchmarking contract performance, establishing expectations for negotiations, and strategizing your proactive contract negotiation.

Part 1 - Know your Contract Composition

Part 2 - Benchmark Contract Performance

Part 3 - Establish Your Expectations

Part 4 - Strategize Your Proactive Negotiation

Navigating Price Transparency Requirements

November 14, 2018 | 8 Minute Video  

Healthcare providers are facing increasing pressure from both state legislation and their communities to be more transparent with prices.

In this interactive webinar, the forward-thinking MetroHealth System (Cleveland, Ohio) shares how they embrace price transparency requirements by providing online estimates for its patients.

Part 1 - Pros & Cons of Price Transparency Strategies

Part 2 - Price Transparency in Ohio

Part 3 - Offering Patients a Self-Service Cost Estimate Tool

Part 4 - Conclusion & Results

How Powerful Analytics Drives Revenue & Collaboration Across the Revenue Cycle

November 12, 2018 | 8 Minute Video

At a time when revenue is more important than ever for hospitals and health systems – it’s time for key revenue drivers – i.e. managed care, revenue cycle, and patient access – to stop operating in silos.

Enter analytics.

This webinar explains how analytics across a shared, integrated platform can bring collaboration across different departments in order to make smarter, faster decisions to drive more revenue. 

Part 1 - Ensuring Accuracy in your Analytics

Part 2 - Utilizing Analytics to Drive your Revenue

Part 3 - Utilizing Accurate Data to Drive Payer Negotiations

Part 4 - Implementing Accurate Data to Drive Price Transparency

Part 5 - Using Accurate Data to Improve Value-Based Care

Informational Graphics / Representations

Positive Outcomes from CJR Infographic