Pricing Transparency
Price Transparency Solutions for Payers & Health Plans
Provide members with a fast, easy, and accurate estimate directly from your website.
HFMA Peer Reviewed
PMMC's HFMA Peer Reviewed patient estimation solution empowers the revenue cycle to provide accurate upfront estimates for its patients
Your Members are Now Consumers
With price transparency mandates quickly approaching, now your members can get a quick and accurate estimate of their financial responsibility with online patient estimates directly from your website.
Is Your Health Plan Ready for Price Transparency Requirements?
The goal of the CMS Transparency in Coverage rule is to help consumers understand the cost of a covered item or service before receiving care.
Beginning July 1, health plans will be required to begin posting pricing information for covered items and services. The rule consists of three phases:
Phase 1: July 1, 2022
Publish Machine-Readable Files containing costs for all items and services, including in-network rates for in-network providers and allowed amounts for out-of-network providers
Phase 2: January 1, 2023
Provide Internet-based price comparison tool with an individual’s cost estimate for 500 items and services
Phase 3: January 1, 2024
Provide Internet-based price comparison tool with an individual’s cost estimate for all items and services
![Estimate Procedure Head [Cropped] - Payer](https://www.pmmconline.com/hs-fs/hubfs/Estimate%20Procedure%20Head%20%5BCropped%5D%20-%20Payer.png?width=1299&name=Estimate%20Procedure%20Head%20%5BCropped%5D%20-%20Payer.png)
Get Compliant and Improve the Member Experience with Accurate Online Estimates
Provide your members with accurate, fast, and easy estimates on your health plan's website to meet your member's financial needs and improve their overall experience.
Using actual historical contract data, your health plan can provide the most accurate estimate possible.
Become a Leader in Price Transparency
8 in 10 members want their health plan to provide them with pricing information for healthcare services.
Becoming a leader in price transparency allows payers to:
- Improve the overall member experience
- Become the trusted resource for your members' healthcare costs
- Take a proactive response to the CMS Transparency in Coverage rule
Get compliant and start providing your members with online cost estimates today!
