Literature DB >> 28874404

Pediatric Price Transparency: Still Opaque With Opportunities for Improvement.

Laura J Faherty1,2, Charlene A Wong3,4, Jordyn Feingold5, Joan Li6, Robert Town2,7,8, Evan Fieldston2,6,9, Rachel M Werner2,5,7,10.   

Abstract

OBJECTIVES: Price transparency is gaining importance as families' portion of health care costs rise. We describe (1) online price transparency data for pediatric care on children's hospital Web sites and state-based price transparency Web sites, and (2) the consumer experience of obtaining an out-of-pocket estimate from children's hospitals for a common procedure.
METHODS: From 2015 to 2016, we audited 45 children's hospital Web sites and 38 state-based price transparency Web sites, describing availability and characteristics of health care prices and personalized cost estimate tools. Using secret shopper methodology, we called children's hospitals and submitted online estimate requests posing as a self-paying family requesting an out-of-pocket estimate for a tonsillectomy-adenoidectomy.
RESULTS: Eight children's hospital Web sites (18%) listed prices. Twelve (27%) provided personalized cost estimate tool (online form n = 5 and/or phone number n = 9). All 9 hospitals with a phone number for estimates provided the estimated patient liability for a tonsillectomy-adenoidectomy (mean $6008, range $2622-$9840). Of the remaining 36 hospitals without a dedicated price estimate phone number, 21 (58%) provided estimates (mean $7144, range $1200-$15 360). Two of 4 hospitals with online forms provided estimates. Fifteen (39%) state-based Web sites distinguished between prices for pediatric and adult care. One had a personalized cost estimate tool.
CONCLUSIONS: Meaningful prices for pediatric care were not widely available online through children's hospital or state-based price transparency Web sites. A phone line or online form for price estimates were effective strategies for hospitals to provide out-of-pocket price information. Opportunities exist to improve pediatric price transparency.
Copyright © 2017 by the American Academy of Pediatrics.

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Year:  2017        PMID: 28874404      PMCID: PMC6345274          DOI: 10.1542/hpeds.2017-0020

Source DB:  PubMed          Journal:  Hosp Pediatr        ISSN: 2154-1671


  16 in total

Review 1.  Children, Families, and Disparities: Pediatric Provisions in the Affordable Care Act.

Authors:  Aimee M Grace; Ivor Horn; Robert Hall; Tina L Cheng
Journal:  Pediatr Clin North Am       Date:  2015-07-29       Impact factor: 3.278

2.  A census of state health care price transparency websites.

Authors:  Jeffrey T Kullgren; Katia A Duey; Rachel M Werner
Journal:  JAMA       Date:  2013-06-19       Impact factor: 56.272

3.  Extreme Markup: The Fifty US Hospitals With The Highest Charge-To-Cost Ratios.

Authors:  Ge Bai; Gerard F Anderson
Journal:  Health Aff (Millwood)       Date:  2015-06       Impact factor: 6.301

4.  The role of states in improving price transparency in health care.

Authors:  Anna D Sinaiko; Alyna T Chien; Meredith B Rosenthal
Journal:  JAMA Intern Med       Date:  2015-06       Impact factor: 21.873

5.  Auditing access to specialty care for children with public insurance.

Authors:  Joanna Bisgaier; Karin V Rhodes
Journal:  N Engl J Med       Date:  2011-06-16       Impact factor: 91.245

6.  Small numbers limit the use of the inpatient pediatric quality indicators for hospital comparison.

Authors:  Naomi S Bardach; Alyna T Chien; R Adams Dudley
Journal:  Acad Pediatr       Date:  2010 Jul-Aug       Impact factor: 3.107

7.  A new opportunity to define health care reform for children.

Authors:  David M Rubin; Kathleen Noonan
Journal:  JAMA Pediatr       Date:  2014-06       Impact factor: 16.193

8.  Lengths of stay and costs associated with children's hospitals.

Authors:  Dan Merenstein; Brian Egleston; Marie Diener-West
Journal:  Pediatrics       Date:  2005-04       Impact factor: 7.124

9.  Association Between Availability of a Price Transparency Tool and Outpatient Spending.

Authors:  Sunita Desai; Laura A Hatfield; Andrew L Hicks; Michael E Chernew; Ateev Mehrotra
Journal:  JAMA       Date:  2016-05-03       Impact factor: 56.272

10.  Clinical characteristics of children and adults hospitalized for influenza virus infection.

Authors:  Chiang-Hsiang Leung; Hsiang-Kuang Tseng; Wei-Sheng Wang; Hsiu-Tzy Chiang; Alice Ying-Jung Wu; Chang-Pan Liu
Journal:  J Microbiol Immunol Infect       Date:  2013-08-06       Impact factor: 4.399

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  1 in total

1.  Minimal access to male fertility prices online: an analysis of the Society for Assisted Reproductive Technology (SART) clinics.

Authors:  Ryan G Larsen; Cole S Bowdino; Melissa A Mathes; Stephanie L Gustin; Christopher M Deibert
Journal:  Transl Androl Urol       Date:  2020-10
  1 in total

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