Policy in Clinical Practice: Hospital Price Transparency

2021 ◽  
Vol October 2021 - Online First ◽  
Author(s):  
Andrew A White ◽  
Joshua M Liao
Keyword(s):  
Clinical Practice ◽  
Price Transparency ◽  
Hospital Price

Price Transparency and Compliance With Federal Regulation for Pediatric Tonsillectomy

2021 ◽  
pp. 019459982110471
Author(s):  
Noel Fahed Ayoub ◽  
Karthik Balakrishnan
Keyword(s):  
Study Design ◽  
Current Procedural Terminology ◽  
Federal Regulation ◽  
Cross Sectional ◽  
Price Transparency ◽  
Residency Programs ◽  
Wide Variability ◽  
Improve Hospital ◽  
Sectional Analysis ◽  
Hospital Price

Objective To improve hospital price transparency, the Centers for Medicare & Medicaid Services (CMS) requires, as of January 2021, that all hospitals reveal charges for specific items and services. This analysis investigates whether otolaryngology residency–affiliated hospitals have complied with this new regulation, and it evaluates the variability in hospital-reported charges for pediatric tonsillectomy. Study Design Cross-sectional analysis. Settings Subset of hospitals affiliated with otolaryngology residency programs. Methods Hospital websites were searched to determine compliance rates with CMS guidelines by posting a price transparency tool and specific charges for Current Procedural Terminology code 42820 (tonsillectomy and adenoidectomy, <12 years old). Various charges were collected: gross charge, discounted cash price, deidentified minimum and maximum negotiated charges, hospital fees, and physician fees. Results Overall 104 unique hospitals were analyzed: 81 (78%) provided pricing data, but only 28 (27%) complied with CMS guidelines. The median reported total gross charge was $13,239 (range, $600-$41,957); deidentified minimum negotiated charge, $9222 (range, $337-$25,164); and deidentified maximum negotiated charge, $17,355 (range, $1002-$54,987). Hospital fees (median, $11,900; range, $2304-$38,831) were consistently higher than physician fees (median, $1827; range, $420-$5063). All estimates included a disclaimer stating that values likely underrepresent true prices. Conclusion Hospital compliance with the new regulation remains low, which limits efforts toward improved price transparency. There is wide variability in reported charges for pediatric tonsillectomy and adenoidectomy.

scholarly journals Factors Associated with Compliance to the Hospital Price Transparency Final Rule: a National Landscape Study

2021 ◽  
Author(s):  
John Xuefeng Jiang ◽  
Daniel Polsky ◽  
Jeff Littlejohn ◽  
Yuchen Wang ◽  
Hossein Zare ◽  
...  
Keyword(s):  
Price Transparency ◽  
Factors Associated ◽  
Final Rule ◽  
Hospital Price

The miR-21 potential of serving as a biomarker for liver diseases in clinical practice

2020 ◽  
Vol 48 (5) ◽  
pp. 2295-2305
Author(s):  
Jiawei Zhang ◽  
Dandan Li ◽  
Rui Zhang ◽  
Peng Gao ◽  
Rongxue Peng ◽  
...  
Keyword(s):  
Clinical Practice ◽  
Liver Diseases ◽  
Hepatic Disease ◽  
Noninvasive Detection ◽  
Diagnosis And Prognosis ◽  
Expected Performance ◽  
Potential Biomarker ◽  
Disease Condition ◽  
Complex Regulatory Network

The role of miR-21 in the pathogenesis of various liver diseases, together with the possibility of detecting microRNA in the circulation, makes miR-21 a potential biomarker for noninvasive detection. In this review, we summarize the potential utility of extracellular miR-21 in the clinical management of hepatic disease patients and compared it with the current clinical practice. MiR-21 shows screening and prognostic value for liver cancer. In liver cirrhosis, miR-21 may serve as a biomarker for the differentiating diagnosis and prognosis. MiR-21 is also a potential biomarker for the severity of hepatitis. We elucidate the disease condition under which miR-21 testing can reach the expected performance. Though miR-21 is a key regulator of liver diseases, microRNAs coordinate with each other in the complex regulatory network. As a result, the performance of miR-21 is better when combined with other microRNAs or classical biomarkers under certain clinical circumstances.

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