Most of us look for strategies that work immediately but also have enduring benefit. Yes, 2019 is the year hospital providers must post on their websites what they charge for select procedures and services.

This is designed to produce consumerism where patients ‘shop’ for the lowest price as they do when purchasing automobiles, smart televisions, home repairs, and most other things.

Hospital reimbursement agreements with insurance third party payers are legally protected from a forced disclosure of contract terms. In most cases hospitals are publishing their charge master rates for procedures and services, not what they will accept as payment-in-full.

The federal government’s legal challenge is unlikely to succeed.

What can you do?

Reconfigure the charge master by reducing charges and contractual allowances strategically to ensure it does not diminish the existing revenue stream. This will make your charges more competitive and rational without exposing what you will accept as payment.

We use our proven powerful algorithm to do this quickly and effectively as part of a review of the charge master. In addition, we will generate different potential pricing scenarios to boost net dollars where brand is strong or emerging, or you have recently begun on boarding new physicians.

This is an immediate and enduring solution that returns the charge master to its original role as a revenue-generator whether you have some charge-based reimbursement or virtually all fixed fee reimbursement.

Greater pricing transparency is yours for the taking. Seize the initiative. Call or email us. We’ll set-up an initial conference call and webinar, or visit you to get going.

Why wait? See what ‘Q’ can do for you!

Jonathan