Hospital Fair Price
Overview
The National Alliance is equipping employers/purchasers and coalitions to better utilize the tools of transparency to achieve a fair price for hospital services.
Beyond Hospital Transparency
Getting to Fair Price
Hospital costs are one of the fastest-growing expenditures in the US economy, with employers/purchasers and employees paying the highest prices in the world. Increasing market consolidation enables health systems to operate with little or no competition or market constraints. This has led to indefensible hospital pricing and minimal constraint on growth, further “investment” in market consolidation, and bloated overhead costs.
While the battle to curb healthcare costs has been going on for decades, it wasn’t until recently that employers and other purchasers had access to the data to truly understand just how non-responsive the system has been. Sage Transparency synthesizes multiple sources of data to bring greater focus to the current state of hospital prices.
The National Alliance is helping employers/purchasers navigate the data; understand their plan sponsor fiduciary rights and responsibilities; determine what a fair price is for hospital services in specific marketplaces; and offer guidance about options to achieve fair pricing.
Fair Price Resources
Employers/purchasers are often paying hospitals more than two times what’s required to break even, with some prices reaching over 300%, 400%, and even 500% of Medicare. These resources support efforts to determine and achieve a fair price for hospital services.
Hospital Price Transparency Playbook
Sage Transparency Hospital Value Dashboard
NASHP Hospital Costs Tool and Resources
Employer Hospital Price Transparency Project
Coalitions In Action
Membership in the National Alliance is a catalyst for state and regional coalitions and their employer/purchaser members to advance key initiatives. Together, they leverage their collective influence to drive health, equity and value.
Employers’ Forum of Indiana
Houston Business Coalition on Health
Florida Alliance for Healthcare Value
Related News & Resources
- May 6, 2021
- Action Brief