Few hospitals have charge-based reimbursement contracts. Indeed, over 80% of payer contracts are negotiated fixed-fee reimbursement with the balance being shared-risk based on patient outcomes known as value. One recent analysis concluded it is virtually impossible to make more money in a value contract than fixed-fee reimbursement when service line payer mix is heavy on […]

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  Pricing transparency is here, but has it made a difference in service line volume and ROI?  Is there a way to make the charge master relevant again, grow sales, and increase ROI? The mandate for pricing transparency was based on the predicate that consumerism would do for health care what it has done for […]

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