Just Because (Most) Hospitals Are Publishing Charges Does Not Mean Prices Are More Transparent

Cody Lendon Mullens; J Andres Hernandez; Evan D Anderson; Lindsay Allen

doi:10.2196/14436

Just Because (Most) Hospitals Are Publishing Charges Does Not Mean Prices Are More Transparent

JMIR Med Inform. 2020 Feb 7;8(2):e14436. doi: 10.2196/14436.

Authors

Cody Lendon Mullens^#^{1

2}, J Andres Hernandez^#^{3

4}, Evan D Anderson^#⁵, Lindsay Allen^#⁶

Affiliations

¹ West Virginia University School of Medicine, Morgantown, WV, United States.
² Center for Public Health Initiatives, University of Pennsylvania, Philadelphia, PA, United States.
³ The Wharton School, University of Pennsylvania, Philadelphia, PA, United States.
⁴ Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, United States.
⁵ Center for Public Health Initiatives, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, United States.
⁶ Department of Health Policy, Management, and Leadership, School of Public Health, West Virginia University, Morgantown, WV, United States.

^# Contributed equally.

PMID: 32027308
PMCID: PMC7055796
DOI: 10.2196/14436

Abstract

Background: The Centers for Medicare and Medicaid Services (CMS) recently mandated that all hospitals publish their charge description masters (CDMs) online, in a machine-readable format, by January 1, 2019. In addition, CMS recommended that CDM data be made available in a manner that was consumer friendly and accessible to patients.

Objective: This study aimed to (1) examine all hospitals across the state of Pennsylvania to understand policy compliance and (2) use established metrics to measure accessibility and consumer friendliness of posted CDM data.

Methods: A cross-sectional analysis was conducted to quantify hospital website compliance with the recent CMS policies requiring hospitals to publish their CDM. Data were collected from all Pennsylvania hospital websites. Consumer friendliness was assessed based on searchability, number of website clicks to data, and supplemental educational materials accompanying CDMs such as videos or text.

Results: Most hospitals (189/234, 80.1%) were compliant, but significant variation in data presentation was observed. The mean number of website clicks to the CDM was 3.7 (SD 1.3; range: 1-8). A total of 23.1% of compliant hospitals provided no supplemental educational material with their CDM.

Conclusions: Although disclosure of charges has improved, the data may not be sufficient to meaningfully influence patient decision making.

Keywords: delivery of health care; health care costs; health policy.

©Cody Lendon Mullens, J Andres Hernandez, Evan D Anderson, Lindsay Allen. Originally published in JMIR Medical Informatics (http://medinform.jmir.org), 07.02.2020.