#HITsm Transcript
Healthcare social media transcript of the #HITsm hashtag.
– ().
See #HITsm Influencers/Analytics.
| Profile | Tweet |
|---|---|
 | Mandi Bishop @MandiBPro One sector? Let's make transparency the rule rather than the exception. Happy to drop in on this #HITsm topic! :) |
 | Healthcare IT Today @hcittoday Let's take 5 min to introduce ourselves. Who are you? What do you do? Where are you from? What's your favorite thing about Philly? (P.S. @ebukstel is the right answer, but other answers accepted since saying Edward is too easy) #HITsm |
| Healthcare IT Today @hcittoday Welcome to this week's #HITsm chat hosted by Edward Bukstel (@ebukstel) on the topic of “What Does Price Transparency Look Like?” Details: https://t.co/CCb2NgO5B8 https://t.co/pNMOwNblxM |
 | Edward Bukstel @ebukstel @MandiBPro Agree Mandi, @DanMunro is a tough egg to crack 😂😎 #HITsm |
 | Vince Kuraitis @VinceKuraitis Hi, Vince here. Today I’m up in the mountains of beautiful Idaho. 3 feet of snow on the ground. Snowshoeing w/ Labrador Freddie after #HITsm ! |
| Mandi Bishop @MandiBPro But by providing accurate price AND quality data, #healthcare investors (HT @ePatientDave) can make informed choices - using their own criteria. #HITsm |
| Mandi Bishop @MandiBPro RT @hcittoday: Welcome to this week's #HITsm chat hosted by Edward Bukstel (@ebukstel) on the topic of “What Does Price Transparency Look Like?” Details: https://t.co/CCb2NgO5B8 https://t.co/pNMOwNblxM |
| Vince Kuraitis @VinceKuraitis @ebukstel @MandiBPro @DanMunro No point in arguing w/ someone who has their mind made up. #HITsm |
 | Mohamad Arif Ali @mhealth1 RT @MandiBPro: But by providing accurate price AND quality data, #healthcare investors (HT @ePatientDave) can make informed choices - using their own criteria. #HITsm |
| Mandi Bishop @MandiBPro Yo! Mandi from Jax here. I'm a newly-minted VP of healthcare research @Gartner_inc and the thing I like most about Philly is that I haven't been there in the winter in a very long time. ;) #HITsm |
| Edward Bukstel @ebukstel @VinceKuraitis @MandiBPro @DanMunro Agree. I am really amazed at the work put into the @Goodrx UI. Anyone that doesn't use it for meds is crazy. There has to be an application for Price Transparency in other parts of healthcare #HITsm |
 | Lisa Danielpour @LisaDani @DanMunro @ebukstel @DanyDeGrave @healthblawg @jamesian @ePatientDave @jimtate @VinceKuraitis @innonurse @nickisnpdx @bspartridgeCIS @GoodRx @ConsumerReports Cost is complicated issue. As parent of a teen w serious chronic diseases I want best care for him w expertise to handle complex needs. Not shopping around for a deal - grateful & dependent on excellent US health insurance. For strep throat & meds cost different parameters #hitsm |
| Healthcare IT Today @hcittoday T1: What online resources about pricing do you check prior to receiving medical care? @ebukstel #HITsm https://t.co/f7FMwqVJeK |
 | Dan Munro @DanMunro @ebukstel @DanyDeGrave @healthblawg @jamesian @LisaDani @ePatientDave @jimtate @VinceKuraitis @innonurse @nickisnpdx @bspartridgeCIS @GoodRx @ConsumerReports @Yelp @Zocdoc @Healthgrades #DPC is just another tier. New. Cash-based - but it's self-insured 4 just primary care (and it's expensive 4 low-acuity stuff). There's a reason it's often associated w/ concierge care - b/c it's concierge care 'lite.' AND #DPC = totally unregulated so ripe 4 abuse. #HITsm https://t.co/456s2AuP4D |
 | John Lynn @techguy RT @hcittoday: Welcome to this week's #HITsm chat hosted by Edward Bukstel (@ebukstel) on the topic of “What Does Price Transparency Look Like?” Details: https://t.co/CCb2NgO5B8 https://t.co/pNMOwNblxM |
| Vince Kuraitis @VinceKuraitis T1: Consumer reports is good but they only report on a few items #HITsm |
| Vince Kuraitis @VinceKuraitis T1: The silence is enlightening. #HITsm |
 | Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba Hi guys. I'm Shereese here in Maryland. I'm so happy to see my friend, @ebukstel hosting. Fun fact: Ed and I have been friends for quite some time & we do the #blockchain in healthcare circuit together often #hitsm https://t.co/tojoo6Y5wT |
| John Lynn @techguy What I think is important here is transparency opens the door to knowing what needs to change. Not that transparency in and of itself will be the driver behind the change. #HITsm https://t.co/DifLv2aSf6 |
| Edward Bukstel @ebukstel Anyone check out any of the Charge Masters associated with Hospitals? It's a crazy world out there... 30 clicks to find a price UGH #HITsm https://t.co/BLqmpHtoq1 |
| Mandi Bishop @MandiBPro <watching with interest to see what resources are out there that folks use...spoiled by TRICARE Prime for past several years...> #HITsm |
| Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba RT @ebukstel: Anyone check out any of the Charge Masters associated with Hospitals? It's a crazy world out there... 30 clicks to find a price UGH #HITsm https://t.co/BLqmpHtoq1 |
| Lisa Danielpour @LisaDani @DanMunro @ebukstel @DanyDeGrave @healthblawg @jamesian @ePatientDave @jimtate @VinceKuraitis @innonurse @nickisnpdx @bspartridgeCIS @GoodRx @ConsumerReports @Yelp @Zocdoc @Healthgrades Agree, I don’t pay much attention to those reviews, ask for referrals from doctors I trust and friends/family who their favorite doctors of type I’m looking for. #hitsm |
| Edward Bukstel @ebukstel @ShereesePubHlth Yes we do Sheeeeeereeeeese #HITsm |
| Mandi Bishop @MandiBPro This is an excellent point. Quite profound statement, John! #HITsm |
 | Danielle Siarri @innonurse @nickisnpdx @ebukstel @DanMunro @DanyDeGrave @healthblawg @jamesian @LisaDani @ePatientDave @jimtate @VinceKuraitis @bspartridgeCIS @GoodRx @ConsumerReports @Yelp @Zocdoc @Healthgrades Nope is the quick answer. I just went for a dental cleaning and full x-rays for 40 euros. RX a few euros. Otherwise I feel robbed. #hitsm https://t.co/Vs4LTLJ7p3 |
| John Lynn @techguy Sorry I'm running a little late. Can't wait to hear the discussion today. I need to visit Philly to really answer this question, but I hear Valley Forge is beautiful. #HITsm https://t.co/iZuU84tAPj |
| Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba @hcittoday @ebukstel T1 @CMSGov Because of my work I also check the reimbursement rates for specialties and special pops. #hitsm |
| Mandi Bishop @MandiBPro RT @ebukstel: Anyone check out any of the Charge Masters associated with Hospitals? It's a crazy world out there... 30 clicks to find a price UGH #HITsm https://t.co/BLqmpHtoq1 |
 | Sarah Bennight @sarahbennight Hi #hitsm what’s up? |
| Vince Kuraitis @VinceKuraitis “36% of 2017 total spending…& 43% of out-of-pocket spending was attributed to shoppable services” | @healthcostinst https://t.co/5iAIfw5bB8 #HITsm |
| Dan Munro @DanMunro @nickisnpdx @ebukstel @DanyDeGrave @healthblawg @jamesian @LisaDani @ePatientDave @jimtate @VinceKuraitis @innonurse @bspartridgeCIS @GoodRx @ConsumerReports @Yelp @Zocdoc @Healthgrades Not one - that I've seen - b/c America's system of tiered coverage is uniquely American - and only serves one purpose - to support tiered pricing. All the other developing countries have universal coverage (which is the delivery mechanism 4 single pricing). #HITsm https://t.co/Au1DURkPVu |
| Edward Bukstel @ebukstel @techguy Got you covered John #HITsm https://t.co/TwLIqVClmP |
| Mandi Bishop @MandiBPro What ARE open price resources? Would love list of available sites/tools (outside those associated w/ health plan/employer group). #HITsm |
| John Lynn @techguy @MandiBPro @Gartner_inc lol #HITsm I still want to run up the steps in a hoodie. |
 | Susan Houck Clark @SusanHouckClark @techguy I am late too but my favorite thing in Philly is Eastern State Penitentiary!! #HITsm |
| Mandi Bishop @MandiBPro RT @VinceKuraitis: “36% of 2017 total spending…& 43% of out-of-pocket spending was attributed to shoppable services” | @healthcostinst https://t.co/5iAIfw5bB8 #HITsm |
| John Lynn @techguy Are there good resources for pricing? I don't check which probably says something. #HITsm https://t.co/YIGaJa1KuT |
| John Lynn @techguy @ebukstel Here's a question and it might be blasphemous, but can I get a cheesesteak without onions? #HITsm |
| Mandi Bishop @MandiBPro Fellow Ghost Hunters fan? ;) #HITsm |
| Edward Bukstel @ebukstel @sarahbennight Yo Sarah We have quite the discussion going on How are you? #HITsm |
| John Lynn @techguy @SusanHouckClark Ummm...is there a story here I'm missing? #HITsm |
 | David Harlow @healthblawg T1 Shoutout to Jeanne Pinder and @chcosts Clear Health Costs #hitsm |
| Edward Bukstel @ebukstel @techguy No onions ok Gotta get the whiz #HITsm |
| Sarah Bennight @sarahbennight @ebukstel I’m great. Trying to jump in but super busy with #HIMSS20 planning. #hitsm |
| John Lynn @techguy @MandiBPro Thanks! #HITsm |
| Vince Kuraitis @VinceKuraitis Patients themselves don't need to shop. If pricing info were more widely available patients would use INTERMEDIARIES . #HITsm |
| John Lynn @techguy @ebukstel Cool. I wasn't sure if they even offered the no onion option. Glad to hear they do. #HITsm |
 | Nick Adkins @nickisnpdx @DanMunro @ebukstel @DanyDeGrave @healthblawg @jamesian @LisaDani @ePatientDave @jimtate @VinceKuraitis @innonurse @bspartridgeCIS @GoodRx @ConsumerReports @Yelp @Zocdoc @Healthgrades ☝️bingo!👏👏👏👏👏 #hitsm #dansbestchart |
| Edward Bukstel @ebukstel @IndDrs @DanMunro @DanyDeGrave @healthblawg @jamesian @LisaDani @ePatientDave @jimtate @VinceKuraitis @innonurse @nickisnpdx @bspartridgeCIS @MatureAmericans @CitizenHealthio @TheCPPC @DpcAction @Free2CareHC @FreedomHubOrg @HPECid @IP4PI @IWV @JobCreatorsUSA @open_the_books @patientsrising @PatientsRiseNow @physician4care @physvrxshortage @PhysForPatients @PPA_USA @TPPF @findanuberdoc @drcraigwax This is a good list. Can we see any price comparisons, like a Kayak? #HITsm |
| David Harlow @healthblawg Joining late 👋... Favorite thing from Philly (or thereabouts) is my wife. Happy Valentines Day #HITsm |
| Mandi Bishop @MandiBPro ...and what does it mean for the general public that 90% of #HITsm participants haven't come up with any (@CMSGov notwithstanding)? I should do a Facebook poll and see how many of my non-industry friends try to figure this stuff out. @chcosts is one!!! |
| John Lynn @techguy @VinceKuraitis I didn't know consumer reports did much for healthcare. Can you share a link? #HITsm |
| Dan Munro @DanMunro @VinceKuraitis @ebukstel @MandiBPro I do tend 2B evidenced based - yes - and evidence says #PT at best = <2% effect on price - and at worst - NO effect. There's also a compelling argument that says pricing transparency will RAISE prices. Active collusion is illegal - but tacit collusion isn't. #HITsm https://t.co/si4FSjU5fb |
| John Lynn @techguy True. My wife and I were talking yesterday about a bill we had and our method of price check was to send it to a friend that's in that specialty to know if we're getting screwed. #HITsm #Flinstone https://t.co/ZINFaWfHnI |
| Edward Bukstel @ebukstel Well thanks to the people at @qz This is what a charge master looks like for a hospital website, one of over 100 checked out last year. UGH #HITsm https://t.co/7oUJ3FH1zl |
| Healthcare IT Today @hcittoday T2: Do you believe price transparency will save patients money? If so, how much? @ebukstel #HITsm https://t.co/RG2G8b8Jbq |
| Vince Kuraitis @VinceKuraitis @techguy Consumer reports https://t.co/Et5mPlQ7qv |
| Mandi Bishop @MandiBPro RT @ebukstel: Well thanks to the people at @qz This is what a charge master looks like for a hospital website, one of over 100 checked out last year. UGH #HITsm https://t.co/7oUJ3FH1zl |
| Susan Houck Clark @SusanHouckClark @techguy Ha. Probably the story you made up in your head is better, but the historic and creepy site is pretty cool too. #HITsm |
| John Lynn @techguy @MandiBPro @CMSGov @chcosts There's something to say that many people want convenience over price. Interestingly, we'd pretty much all choose quality over price too, but we don't have a good way to assess quality. #HITsm |
| John Lynn @techguy @SusanHouckClark lol...that's usually true :-) #HITsm |
| John Lynn @techguy Chargemasters...that's a tough topic. #HITsm https://t.co/hfQdfj2hlF |
 | Healthcare Scene @HealthcareScene RT @MandiBPro: This is an excellent point. Quite profound statement, John! #HITsm |
| Mandi Bishop @MandiBPro Yes, but not necessarily (always) in traditional linear fashion. Price transparency will enable more informed choice - AND will empower innovator community to do things like calculate dynamic discounts for extra capacity... #HITsm |
| Edward Bukstel @ebukstel We actually have a law to back this jawn up for transparency, but no one is implementing any solutions in a meaningful way. #HITsm https://t.co/xIHrPowcwv |
| Susan Houck Clark @SusanHouckClark @ebukstel @hcittoday @GoodRx #HITSm I agree but I think we have a long way to go to simplifying it enough that a patient knows what they are shopping for and have it all feeding to one tool. |
| Vince Kuraitis @VinceKuraitis T2: Will transparency save pts $$? YES!! How much? WTF? OK, $1834.92 #HITsm |
| John Lynn @techguy @innonurse @nickisnpdx @ebukstel @DanMunro @DanyDeGrave @healthblawg @jamesian @LisaDani @ePatientDave @jimtate @VinceKuraitis @bspartridgeCIS @GoodRx @ConsumerReports @Yelp @Zocdoc @Healthgrades We just got destroyed by the dentist too. Kids are expensive. #HITsm |
 | Gail Zahtz 🇮🇱 @GailZahtz Hey. Crashing the party while finger typing #HITsm |
| Edward Bukstel @ebukstel @techguy @innonurse @nickisnpdx @DanMunro @DanyDeGrave @healthblawg @jamesian @LisaDani @ePatientDave @jimtate @VinceKuraitis @bspartridgeCIS @GoodRx @ConsumerReports @Yelp @Zocdoc @Healthgrades Pets too .... #HITsm |
| Gail Zahtz 🇮🇱 @GailZahtz @VinceKuraitis Snort. Exactly that much #HITsm |
| John Lynn @techguy Thanks for sharing. Don't forget the #HITsm hashtag so everyone can see what you share. |
| Dan Munro @DanMunro @ebukstel @qz Not all like that. Here's one from Banner Health here in Phoenix (arguably the 8th largest hospital system in US). Footnote: This has been online at Banner 4 years - and we get pricing visibility, but that again, no agency. #HITsm https://t.co/vH285qXAdU |
| John Lynn @techguy Healthcare costs? #HITsm https://t.co/OZ5KNkGNAx |
| Gail Zahtz 🇮🇱 @GailZahtz What are people suggesting with the issue of pricing transparency when any given procedure is billed at a different rate based on the payer? #HITsm |
 | EMR, EHR and HIT @ehrandhit RT @VinceKuraitis: “36% of 2017 total spending…& 43% of out-of-pocket spending was attributed to shoppable services” | @healthcostinst https://t.co/5iAIfw5bB8 #HITsm |
| Susan Houck Clark @SusanHouckClark @ebukstel #HITsm https://t.co/5osWDP9xGR |
| Mandi Bishop @MandiBPro Unfortunately have to bail early but will be checking out the transcript later. Link me to all the things! #HITsm |
| Edward Bukstel @ebukstel @ShereesePubHlth @hcittoday @CMSGov Of course you do Shereese. You're awesome #HITsm |
| Mohamad Arif Ali @mhealth1 RT @ebukstel: Well thanks to the people at @qz This is what a charge master looks like for a hospital website, one of over 100 checked out last year. UGH #HITsm https://t.co/7oUJ3FH1zl |
 | JonWanderer @JonWanderer RT @DanMunro: Pricing transparency in #HC feeds the #GOP narrative that market-based solutions can work, but they really can't. Greatest trick the devil ever played was using the word "choice" 2 brainwash Americans into thinking that #HC can be delivered as "market-based." #HITsm |
| Edward Bukstel @ebukstel @GailZahtz That's gotta change #HITsm |
| Gerry Foti @xpee13 Everything's negotiable #HITsm |
| Danielle Siarri @innonurse @techguy @nickisnpdx @ebukstel @DanMunro @DanyDeGrave @healthblawg @jamesian @LisaDani @ePatientDave @jimtate @VinceKuraitis @bspartridgeCIS @GoodRx @ConsumerReports @Yelp @Zocdoc @Healthgrades She even emailed me my x-rays and explained everything to me. Never have I been given imaging in the US. I factor a medical day in travel. #hitsm https://t.co/xCGMhYRsYX |
| John Lynn @techguy @innonurse @nickisnpdx @ebukstel @DanMunro @DanyDeGrave @healthblawg @jamesian @LisaDani @ePatientDave @jimtate @VinceKuraitis @bspartridgeCIS @GoodRx @ConsumerReports @Yelp @Zocdoc @Healthgrades I'm flying my kids to Europe from now on for Dental care. Cheaper, and I get to see Italy. #HITsm |
| Sarah Bennight @sarahbennight @techguy BahahHha. True #Hitsm |
| Vince Kuraitis @VinceKuraitis I've been watching hospitals resist price transparency for last 30 years. When will they advocate for a solution instead of saying "It can't be done"? #HITsm |
| Healthcare IT Today @hcittoday T3: What are the top medical procedures or procedure classifications (MRI, Office Visit, Xray) that you’d like to see have more price transparency? @ebukstel #HITsm https://t.co/FPwQctaNEB |
 | Matt DiVenere @Matt_DiV I'm not sure. Gas stations list the pricing on apps and signs outside their business, but I still don't pay too much attention to them. When I need gas, I find the closest gas station and fill up. Might be different if gas was $12,000 a gallon. #HITsm |
| John Lynn @techguy We'll see some one off cases where this is helpful. Although, the broad impact will depend on how it's implemented. However, like I said before, for me it's about discovering issues as much as saving money initially. #HITsm https://t.co/njBta0wgnH |
 | Kate Corbett, CPHIMS, PMP, CSM @CorbettKr The only thing I have found to be accurate is info from my insurer. The lists of charges hospitals are required to post don't actually mean anything considering payer contracts, deductibles, etc. @ebukstel #HITsm @hcittoday |
| Edward Bukstel @ebukstel I know I wouldn't pay $1126 for bandages, we definitely need to get a handle on these type of commodity charges. #HITsm https://t.co/9nlkGQBVGQ |
| Dan Munro @DanMunro @ebukstel @GailZahtz But THAT is at core of our whole #CasinoHealthcare ! Tiered coverage = THE delivery mechanism 4 tiered pricing. Single-payer isn't necessary, but single-pricing is - and universal coverage = the delivery mechanism 4 monopsony (1 buyer) pricing. https://t.co/0i09y6Ckn6 #HITsm |
 | HC Executive Group @HCExecGroup @hcittoday @ebukstel T2: For some insight on how providers and payers/health plans differ in their viewpoint of “Costs & Transparency,” download the 2020 Industry Pulse Report that was just released. Lots of good insight: https://t.co/TsgcUB2F6W #hitsm #hccosts |
| Matt DiVenere @Matt_DiV Going out of order here (whoops!) but I haven't really utilized an online resource yet. Mostly, I'll call my insurance to see what I would have to cover and try to get as much information from them as possible. #HITsm |
| Gail Zahtz 🇮🇱 @GailZahtz @ebukstel That's pretty systemic. Hospitals for example get more for the same CPT (procedure) than outpatient even before the modifier for location. One plan reimburses 75% to one practice; another plan could be a negotiated 60% but same docs could get 80% from somewhere else. #HITsm |
| David Harlow @healthblawg T2 I'd argue this is the wrong q to ask. HC consumerism doesn't work bcs no price transparency. But it also doesn't work bcs HC is not (really) a consumer good/svc. Personal responsibility even if tied to transparency not a great solution. Deep & layered problem; way >280 #HITsm |
| Danielle Siarri @innonurse @techguy @nickisnpdx @ebukstel @DanMunro @DanyDeGrave @healthblawg @jamesian @LisaDani @ePatientDave @jimtate @VinceKuraitis @bspartridgeCIS @GoodRx @ConsumerReports @Yelp @Zocdoc @Healthgrades I would to #Milan. They give good care and time. #hitsm https://t.co/tx6i0m9qvr |
| John Lynn @techguy True. And there are a lot of healthcare situations where the patient isn't going to shop. That's worth recognizing. #HITsm https://t.co/MlZfjpYtaV |
| Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba RT @hcittoday: T3: T3: What are the top medical procedures or procedure classifications (MRI, Office Visit, Xray) that you’d like to see have more price transparency? @ebukstel #HITsm https://t.co/FPwQctaNEB |
| John Lynn @techguy @innonurse @nickisnpdx @ebukstel @DanMunro @DanyDeGrave @healthblawg @jamesian @LisaDani @ePatientDave @jimtate @VinceKuraitis @bspartridgeCIS @GoodRx @ConsumerReports @Yelp @Zocdoc @Healthgrades For dentistry, I'd hit my friend in Napoli :-) #HITsm |
| Vince Kuraitis @VinceKuraitis Not all of HC is shoppable (glass half empty). SOME of HC is shoppable (glass half full). Where should we focus? #HITsm |
| Dan Munro @DanMunro @healthblawg ... I did try to summarize SOME of the challenges. Not a complete list - but highlights some of the critical ones ... #HITsm https://t.co/f6MuiNrv4u |
| Gail Zahtz 🇮🇱 @GailZahtz @DanMunro @ebukstel So IMHO THIS is a core issue- transparency doesn't mean anything without actual prices to make transparent. I am afraid the fallback has been the highest price possible like a hotel posts their highest season as the rate. #HITsm |
 | Stoltenberg Con Inc. @StoltenbergCon RT @BFMack: Happy Valentines Day to all my healthcare and Health IT friends and colleagues. You're welcome! #HITSM #HITMC #HCLDR #PinkSocks https://t.co/p8T7d8McdJ |
| Gail Zahtz 🇮🇱 @GailZahtz @healthblawg Thoughts on value based payments to solve this? #HITsm |
| Healthcare IT Today @hcittoday T4: What is preventing us from having an application that presents price transparency for medical procedures? @ebukstel #HITsm https://t.co/OCX1VGTNpX |
| Vince Kuraitis @VinceKuraitis Glass half empty here. #HITsm |
 | Kistein Monkhouse, MPA @KisteinM RT @Colin_Hung: It's not a romantic #HIMSSMixTape, but it will get you moving as you get ready for #HIMSS20 Song choices from: It's not a romantic #HIMSSMixTape, but it will get you moving as you get ready for #HIMSS20 Song choices from: @healthythinker @ZeevNeuwirth @drnic1 @nickisnpdx @techguy @LAlupusLady @KisteinM @SunnieSouthern @2healthguru & many others! https://t.co/mPK8Q8PBlI cc #hcldr #HITsm https://t.co/J30cgTlDBH |
| John Lynn @techguy As I remind my kids, can't do something and don't want to do something are very different. #HITsm https://t.co/eTB7F52t9s |
| Danielle Siarri @innonurse @techguy @nickisnpdx @ebukstel @DanMunro @DanyDeGrave @healthblawg @jamesian @LisaDani @ePatientDave @jimtate @VinceKuraitis @bspartridgeCIS @GoodRx @ConsumerReports @Yelp @Zocdoc @Healthgrades I love that town but true you need a friend there. #hitsm |
| Dan Munro @DanMunro @GailZahtz @healthblawg Who's value - and who decides? #HITsm |
| Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba @techguy T2 Not initially. Patients are ready reporting that they don't understand the way prices are listed and the implications when insurance is involved. I believe this will get better and save money for the truly informed. #hitsm https://t.co/gc6xgJxCo5 |
 | Fred Goldstein @fsgoldstein Price transparency is meaningless without quality transparency tied to it; 1) was it needed to begin with? 2) is it high quality provider/outcome? And as others have stated for those areas that are “shoppable” #HITsm |
| John Lynn @techguy I'm not sure how you'd even prioritize this. So, I'd say everything. Why not everything? #HITsm https://t.co/dvJG6Zg7HT |
| Kate Corbett, CPHIMS, PMP, CSM @CorbettKr Any diagnostics - lab, radiology, pulmonary, cardiology. Patients have anxiety about the outcomes of these and charges are often surprises because there is a variance between how a test is described to a pt and how it is actually coded and billed. @ebukstel #hitsm @hcittoday |
| John Lynn @techguy This is the nuance that is used to abuse the conversation. When pricing isn't dramatically different, we don't shop. In certain emergent situations, we don't shop. If you're rich, you don't shop. However, there are a number of places we would shop. #HITsm https://t.co/qrxfwypPoo |
| Susan Houck Clark @SusanHouckClark @hcittoday @ebukstel A3 I may sound redundant here but how do we simplify the diagnostics in a way that it is searchable by a lay person? How many people know if their test was with or without contrast? Was it just abdominal or abdominal and pelvic? #HITsm |
| Fred Goldstein @fsgoldstein Those that are most likely abused. Far less abuse of office prices than MRIs.. #HITsm |
| Vince Kuraitis @VinceKuraitis Employers who have contracted with Centers of Excellence is a great example of price/quality transparency. #HITsm Glass half full. |
 | Bryon Mecham @BryonMecham @techguy Top procedures are completely dependent on the person receiving it. #HITsm |
| Kate Corbett, CPHIMS, PMP, CSM @CorbettKr Will. Desire. Fear. The technology can do this. I've done projects myself to have estimates available for patients via Epic and using a 3rd party RTE application. #hitsm @ebukstel @hcittoday |
| John Lynn @techguy @ShereesePubHlth Yep. Tech could solve this. It just hasn't yet. #HITsm |
| Edward Bukstel @ebukstel T3: There are a number of patient advocacy groups that help patients cut medical bills after they receive a surprise. We should be able to track this information and post the charges for others to review. Anyone ever use these services? https://t.co/YCvgELd0rD #HITsm https://t.co/QVNlOd6Xqr |
| Susan Houck Clark @SusanHouckClark @MandiBPro Hey-Did you hear that?! Did you feel that?! (things my husband makes fun of when I watch it) #HITsm |
| Dan Munro @DanMunro Wrong framing. Glass is realistic here - which is to say politically charged. Pricing transparency fits the GOP narrative perfectly - but not the DEM one at all (#healthcare = basic human right). #HITsm |
| Bryon Mecham @BryonMecham @techguy Sometimes the insurance carriers have pricing from the providers for comparison. It's not always accurate though. #HITsm |
| Edward Bukstel @ebukstel @CorbettKr @hcittoday Epic UGH Say it ain't so #HITsm |
| Fred Goldstein @fsgoldstein Just reviewed a webinar where MDs in one health system have actual cost to patient pricing for their meds at time of visit to discuss wiht them. Even pharmacy variation. It has made a difference. #HITsm |
| John Lynn @techguy Do we need to start bringing in our own bandages and ibuprofen? Then, they'll start charging us an uncorking...I mean an application/adminsitration fee. #HITsm https://t.co/Yt2M3bi1qj |
| Kate Corbett, CPHIMS, PMP, CSM @CorbettKr Like the vendor or not, their software can produce patient estimates 🤷♀️#HITsm |
| Gerry Foti @xpee13 cannot simply say healthcare transparency and apply to the whole system. There are areas it will work and areas it will not. Obvious everybody wants value and the best treatment at the best cost, but that doesn't happen even in the best scenarios #HITsm |
| Edward Bukstel @ebukstel @SusanHouckClark @hcittoday I keep going back to the @goodrx example Design, test, patient input, design, iterate, Until it's done right #HITsm |
| Matt DiVenere @Matt_DiV @techguy I think the general population might not understand just how drastic of a difference there could be. Once the gen. pop gets up to speed a bit more, there will be a significant change in how we see health care. #HITsm |
| Fred Goldstein @fsgoldstein Over ten years ago I spoke with the head of innovation eBay (my brother worked their) to sell Medical services on their site. Was going to start with Radiology, it can be done. They were not interested in healthcare. #HITsm |
| Edward Bukstel @ebukstel @fsgoldstein 💯 #HITsm |
| John Lynn @techguy Thanks for sharing. Don't forget to use the #HITsm hashtag. |
| Vince Kuraitis @VinceKuraitis Medical tourism -- another example where price transparency is working. #HITsm Glass half full |
 | Jane Sarasohn-Kahn @healthythinker Most Americans don't expect their #financialhealth to improve in 2019 @Bankrate https://t.co/U72dH5FU6L They don't feel they benefit from "good news" on US macroeconomy. At N of 1 the national economy is one's household economy #healthcosts #HealthConsuming #hccosts #HITsm https://t.co/3YekRuLq0L |
| Dan Munro @DanMunro @CorbettKr @ebukstel @hcittoday Pricing estimator apps are here - and they are reasonably accurate 4 out-of-pocket costs associated w/ a service through private insurance - so it's not a tech challenge. But it does not confer agency b/c it's still tied to YOUR coverage tier - and that is variable. #HITsm |
| Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba RT @techguy: @ShereesePubHlth Yep. Tech could solve this. It just hasn't yet. #HITsm |
| Gail Zahtz 🇮🇱 @GailZahtz @DanMunro @healthblawg Isn't that the goal of the big Medicaid reorganization projects like New York's DSRIP- to figure this out among stakeholders? #HITsm |
| Edward Bukstel @ebukstel @VinceKuraitis Absolutely, Save 70% on a hip replacement and relax on a beach during recovery #HITsm https://t.co/eovQHD2J1M |
| John Lynn @techguy Those profiting from the complexity. #HITsm https://t.co/SMko3IWzVE |
 | Joe Babaian 🇺🇦 @JoeBabaian RT @DanMunro: @ebukstel @DanyDeGrave @healthblawg @jamesian @LisaDani @ePatientDave @jimtate @VinceKuraitis @innonurse @nickisnpdx @bspartridgeCIS @GoodRx GoodRx is just an Rx discount card (which have been around for decades) delivered online. Tiered pricing isn't mysterious - it's just intentionally opaque (to maximize revenue/profits). Here's a better chart from @ConsumerReports (2018). #HITsm https://t.co/0MziTgxSke |
| Joe Babaian 🇺🇦 @JoeBabaian RT @DanMunro: @ebukstel @DanyDeGrave @healthblawg @jamesian @LisaDani @ePatientDave @jimtate @VinceKuraitis @innonurse @nickisnpdx @bspartridgeCIS @GoodRx @ConsumerReports When you realize the sheer spread of pricing ($66 - $928) 4 the EXACT same basket of 5 drugs - you realize there's a TON of slush 4 discount cards to operate in. NB: GoodRx NEVER claims that they're the lowest - and I doubt they always are - but discount cards do work. #HITsm |
 | Erica Olenski ✨ @thegr8chalupa Wondering if I should even join the #HITsm chat today on #pricetransparency or if it'll be too triggering? :) |
| Healthcare Scene @HealthcareScene RT @VinceKuraitis: Not all of HC is shoppable (glass half empty). SOME of HC is shoppable (glass half full). Where should we focus? #HITsm |
 | Sahba Ferdowsi DO (conciergedoc) @DrFerdowsi RT @healthythinker: Most Americans don't expect their #financialhealth to improve in 2019 @Bankrate https://t.co/U72dH5FU6L They don't feel they benefit from "good news" on US macroeconomy. At N of 1 the national economy is one's household economy #healthcosts #HealthConsuming #hccosts #HITsm https://t.co/3YekRuLq0L |
| Matt DiVenere @Matt_DiV @techguy I have a PERFECT example of this. Growing up, my mom went to 3 grocery stores to do the shopping. When our family would complain about how inconvenient it was, she would break down the stores based on price and quality of the items. Produce here, meat there, etc. #HITsm |
| Fred Goldstein @fsgoldstein Imagine this… I’ll take the MRI slot at 3 am for $150 priced lower because the owner needs to fill the slot… You could load the vendors, load the networks, enter your insurance and you’re off.. #HITsm |
| John Lynn @techguy Do you see any good efforts to do quality transparency? #HITsm Shouldn't we take the first step and get price transparency so it's ready when quality transparency happens? https://t.co/chZ66Ho6la |
| Vince Kuraitis @VinceKuraitis Despite imperfections, I support HHS push toward price transparency. #HITsm |
| Matt DiVenere @Matt_DiV @techguy It wasn't until I started doing my own shopping that I saw exactly what she saw. The more informed I became, the better choices I made. #HITsm |
| Joe Babaian 🇺🇦 @JoeBabaian @ebukstel @DanMunro @DanyDeGrave @healthblawg @jamesian @LisaDani @ePatientDave @jimtate @VinceKuraitis @innonurse @nickisnpdx @bspartridgeCIS @GoodRx @ConsumerReports @Yelp @Zocdoc @Healthgrades Ed, those are VERY gamed. It's so common. So, almost worthless. #hcldr #hitsm |
| Susan Houck Clark @SusanHouckClark @fsgoldstein This is why these chats are so valuable. I didn't know that was happening nor what @CorbettKr said about the tool integrated with Epic for price estimates. Maybe we are further along than I thought! #hopeful #HITsm |
| Fred Goldstein @fsgoldstein I think others have already merged the 2, Walmart, etc.. The data is there. I for one don’t want to go to a poor provider regardless of price. It is about my health… #HITsm |
| Edward Bukstel @ebukstel @fsgoldstein Awesome Idea. This could shake up some price transparency, that could snowball into other applications We have powerful interests to fight. #HITsm https://t.co/IeqWjBS3rS |
| Erica Olenski ✨ @thegr8chalupa RT @VinceKuraitis: Despite imperfections, I support HHS push toward price transparency. #HITsm |
| John Lynn @techguy @SusanHouckClark @MandiBPro Sounds like a good husband :-) #HITsm |
| Dan Munro @DanMunro @GailZahtz @healthblawg Maybe - but I still think the whole value-over-volume argument is a GOP talking point/diversion. For one thing - we don't hear/see this obsession in any other industrialized country. #FFS works fine - so the framing that #FFS is broken = wrong assumption. #HITsm |
| Matt DiVenere @Matt_DiV The same reason why car dealers don't care about their online reputation, especially in a rural setting. "I'm the only place within X miles for you to buy a new car. You're going to need me at some point - doesn't matter what you think of me." #HITsm |
| Fred Goldstein @fsgoldstein It was not easy to do, its an integrated healthcare system, with a health plan and their own pharmacies but they are adding outside PBMs from other plans as well. About 50% of their patients are from their plan. #HITsm |
| John Lynn @techguy @DanMunro Just because something fits the narrative doesn't mean there can't be other valuable aspects to that effort that aren't the narrative. #HITsm |
| Edward Bukstel @ebukstel @JoeBabaian @DanMunro @DanyDeGrave @healthblawg @jamesian @LisaDani @ePatientDave @jimtate @VinceKuraitis @innonurse @nickisnpdx @bspartridgeCIS @GoodRx @ConsumerReports @Yelp @Zocdoc @Healthgrades Agree, Which is why we need to make them better and more accountable. I've been giving a lot of thought to this area lately. The time may be right to flip the switch. I think it's gonna take a lot of people to move this one. #HITsm https://t.co/DB09yHm6DE |
| Healthcare IT Today @hcittoday T5: What should patients do if they are unable to pay a medical bill? Should patients enter into a payment plan? Have you tried patient advocacy for medical bill negotiation? @ebukstel #HITsm https://t.co/KbsaFAv9Xc |
| Fred Goldstein @fsgoldstein Thanks; wish eBay had thought the same way. I kept trying to explain that just a small % of at that time a $2+ trillion industry would be enough :) #HITsm |
| Susan Houck Clark @SusanHouckClark @Matt_DiV @techguy #HITsm my husband and I do this too! |
| Gail Zahtz 🇮🇱 @GailZahtz @DanMunro @healthblawg I hear you. One area that I find in my work (for better or worse) we can look at what is being reimbursed by either/and a fee for service or a VBP model and service providers are then encouraged/willing to provide that. It's how we're finally getting #SDoH to happen in hc #HItsm |
| Edward Bukstel @ebukstel @fsgoldstein We gotta talk Fred. I like the way you're thinking #HITsm |
| Fred Goldstein @fsgoldstein Have you seen the recently released Florida Price transparency tool https://t.co/4QZ5A0BMQb! Based on Health Plan payments to providers, not charges. #HITSm |
 | Mighty #HeathenSlut Casey🇺🇦🌟 @MightyCasey @hcittoday @ebukstel ALL OF THE THINGS #HITSM |
| John Lynn @techguy @thegr8chalupa I can imagine you've been through this in a way that's hard for us to comprehend. Thanks for sticking your head in here at least. #HITsm |
| Gail Zahtz 🇮🇱 @GailZahtz What an impact it would make for patients is there was some kind of organized negotiating system for individual patients to negotiate their medical bills the way there is for healthcare systems and insurers. #HITsm |
| Fred Goldstein @fsgoldstein Not sure I agree with that, these guys have gotten a lot of attention and people come from out of state… https://t.co/Qhu1euKEeG #HITsm |
| Erica Olenski ✨ @thegr8chalupa @techguy I've got more stories than I could have ever previously imagined. Glad I could pop in for a few though. :) Lots of love for my #HITsm people. <3 |
| John Lynn @techguy @SusanHouckClark @fsgoldstein @CorbettKr I've seen a few companies working on some similar things. At an @mgma session they asked about what happens when it's wrong. One person's response was that they wanted to build their refund capability vs their billing capability. Another was to do the best you can. #HITsm |
| Dan Munro @DanMunro @techguy ... uh - say what? #HITsm |
| Edward Bukstel @ebukstel @GailZahtz I was checking out advocacy groups like Consumer Medical Billing Solutions https://t.co/YCvgELd0rD There are others as well #HITsm https://t.co/20GNDPUobC |
| Matt DiVenere @Matt_DiV @fsgoldstein I'm happy to see some get it right - and I wish more places prove me wrong in the near future! #HITsm |
| Fred Goldstein @fsgoldstein In this case they ran it in the background and called the pharmacy to test every price before releasing, then when released they told patients to call if there was a difference. There have been zero calls to date.. #HITsm |
| Gail Zahtz 🇮🇱 @GailZahtz @ebukstel What about "transparency" of at least letting patients know they have options to their existing medical bills. It would make a big impact immediately while we try to make a difference in this mess of systemic pricing fluctuations. #HITsm |
| John Lynn @techguy Thanks for sharing. Don't forget to include the #HITsm hashtag so others can see too. |
 | Barby Ingle Official @BarbyIngle @GailZahtz Currently, I was able to file for a 'charity case' & have had 2 do so multiple times over the yrs, living w chronic conditions. I also turned 2 my church years ago & they paid $18k to help me w a hospital bill. Otherwise, I pay $10 a month until they R willing 2 negotiate #HITSM |
| Gail Zahtz 🇮🇱 @GailZahtz @BarbyIngle So frustrating! #HITsm |
| Kate Corbett, CPHIMS, PMP, CSM @CorbettKr This makes me crazy. I think when normal people ask for price transparency, they want to know what care will cost them. They aren't asking about the whole supply chain, and these politicians get to say they have done something. #HITsm |
| Edward Bukstel @ebukstel @GailZahtz About the only option that patients are given is a payment plan which can go on for years or collections. Health systems need to be more proactive in helping patients afford the "quality care" that is being provided. #HITsm https://t.co/OFG89VzuFF |
| Gail Zahtz 🇮🇱 @GailZahtz @BarbyIngle Having faith based organizations and other non-profits help for emergency medical bills when the issue is a systemic problem in billing amounts just can't be a long term, sustainable solution. #HITsm |
| Fred Goldstein @fsgoldstein Offer the Medicare rate… #HITsm |
| John Lynn @techguy I've seen some successful programs by hospitals that use data to better understand the patient and proactively offer patients the plan that works best for them. This way the patient and hospital benefit. #HITsm https://t.co/enfTTZvlIe |
 | Relatient @Relatient Great coverage of #BIK20. Thanks @hitconsultant |
| Fred Goldstein @fsgoldstein Sure but I can look at it and know that a hip is cheaper at Mayo than Baptist, I have a certain deductible, etc… #HITsm |
| EMR, EHR and HIT @ehrandhit RT @fsgoldstein: In this case they ran it in the background and called the pharmacy to test every price before releasing, then when released they told patients to call if there was a difference. There have been zero calls to date.. #HITsm |
| Edward Bukstel @ebukstel @CorbettKr Very True Kate. This is crazy. patients just want to know what is coming out of their pocket, and not get the run around. #HITsm |
| Barby Ingle Official @BarbyIngle @GailZahtz for sure not sustainable, but was very helpful for me at the time. #HITsm |
| Gail Zahtz 🇮🇱 @GailZahtz @BarbyIngle Definitely helpful and wonderful they did this. It's just not an answer for the bigger problem. #HITsm |
| Healthcare IT Today @hcittoday Bonus: How could healthcare price transparency be crowd sourced by patients? @ebukstel #HITsm https://t.co/K9VEOyOikn |
| Fred Goldstein @fsgoldstein Sounds easy, I got something and post what I paid, BUT... varying deductibles and copays, in and out of network, approved, denied, Revised. Its all a game… #HITsm |
| Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba T4 A 1-time app turned wearable that had promise was #Health4Me. Initially designed as an app that would help consumers compare procedure prices (useful), it's now managed by UHG and is used to help you find a dr. in their network. What a waste. #HITsm https://t.co/AOU5Jr2sou |
| Edward Bukstel @ebukstel @hcittoday I've got some ideas on this and it sounds like @fsgoldstein has some thoughts too. We gotta stop patients from going bankrupt over medical bills and find a way to post on a website or an app #HITsm https://t.co/CPgdTU1SO6 |
| Vince Kuraitis @VinceKuraitis The silence is enlightening. #HITsm |
| Dan Munro @DanMunro FWIW - A short list of terms that ONLY apply 2 US healthcare: * Retrospective denial (new) * Surprise billing * Out-of-Network * Annual Enrollment * Employer Sponsored Insurance * Pricing Transparency * Value-Based-Care (as alt 2 #FFS) * Tiered coverage #HITsm https://t.co/LJhPI1bC34 |
| John Lynn @techguy We see some of this happen in patient groups, but I don't think this is the main solution. #HITsm https://t.co/OPHDyKVmFI |
| Fred Goldstein @fsgoldstein The Validation Institute is looking at this for employers. To validate that the company/service actually improves quality, lowers costs etc. There are transparency tools looked at as well. #HITsm |
| Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba Have a great weekend everyone #HITsm https://t.co/6iA5WZoY4M |
| Edward Bukstel @ebukstel @fsgoldstein Looks like an interesting group https://t.co/Yss0DLqHc0 Thank you. #HITsm |
| Healthcare IT Today @hcittoday Join us for next week's #HITsm chat on "Usability in Health IT" that will be hosted by Bennett Lauber (@uuAbility) |
| Healthcare IT Today @hcittoday Let's give a massive thank you to @ebukstel for hosting this week's #HITsm chat and to each of you who participated. https://t.co/evxPF7tu04 |
| John Lynn @techguy RT @hcittoday: Let's give a massive thank you to @ebukstel for hosting this week's #HITsm chat and to each of you who participated. https://t.co/evxPF7tu04 |
| John Lynn @techguy RT @hcittoday: Join us for next week's #HITsm chat on "Usability in Health IT" that will be hosted by Bennett Lauber (@uuAbility) |
| Vince Kuraitis @VinceKuraitis TY @ebukstel for hosting a tough topic. No easy answers. #HITsm |
| Fred Goldstein @fsgoldstein Just started but here’s a peek.. As some get validated they will get top listings… https://t.co/5AQXSVX6Jk #HITsm |
| Healthcare IT Today @hcittoday In case you missed today's #HITsm chat hosted by @ebukstel you can find the full transcript of the chat here: https://t.co/JLgrzIvEKu |
| Fred Goldstein @fsgoldstein Fantastic job @ebukstel Thanks to all enjoyed the discussion. #HITsm |
| Gerry Foti @xpee13 I agree with @DanMunro regarding his list. Esp. out of network billing it is the biggest scam out there utilized not for better care but for physician or group $$$. Same work 10x's the cost. Obscene. #HITsm |
| Gerry Foti @xpee13 Thank you Ed for an interesting discussion #HITsm |
| billybaroo49 @billybaroo49 RT @DanMunro: Wrong framing. Glass is realistic here - which is to say politically charged. Pricing transparency fits the GOP narrative perfectly - but not the DEM one at all (#healthcare = basic human right). #HITsm |
| Fred Goldstein @fsgoldstein Ha! I just had an interesting (to put is nicely) discussion with a clinic manager a few days ago, who said Out of Network is all about Health Plans making money.. Holy Moly.. the circular firing squad continues.. #HITsm |
 | 🌟 Sherry Reynolds ✨ Person-Centered Health @Cascadia Most Docs/Hospitals are electronically linked to payers (insurance, Medicare) or to a hub and like dentists some are now asking patients to pay up front not only co-pays but if they haven’t met deductible. You could open that data stream up to patients. What will happen? #HITsm |
| billybaroo49 @billybaroo49 RT @DanMunro: FWIW - A short list of terms that ONLY apply 2 US healthcare: * Retrospective denial (new) * Surprise billing * Out-of-Network * Annual Enrollment * Employer Sponsored Insurance * Pricing Transparency * Value-Based-Care (as alt 2 #FFS) * Tiered coverage #HITsm https://t.co/LJhPI1bC34 |
| Gerry Foti @xpee13 🤔wonder how that works when the cost of service billed is multiples of UNC #HITsm |
#HITsm content from Twitter.