Due to necessary scheduled maintenance, the JMIR Publications website will be unavailable from Wednesday, July 01, 2020 at 8:00 PM to 10:00 PM EST. We apologize in advance for any inconvenience this may cause you.
Who will be affected?
Readers: No access to all 28 journals. We recommend accessing our articles via PubMed Central
Authors: No access to the submission form or your user account.
Reviewers: No access to your user account. Please download manuscripts you are reviewing for offline reading before Wednesday, July 01, 2020 at 7:00 PM.
Editors: No access to your user account to assign reviewers or make decisions.
Copyeditors: No access to user account. Please download manuscripts you are copyediting before Wednesday, July 01, 2020 at 7:00 PM.
Mohs Surgery Price Transparency and Variability at Academic Hospitals After Implementation of the Federal Price Transparency Final Rule
Neelesh P Jain;
Christian Gronbeck;
Eric Beltrami;
Hao Feng
ABSTRACT
With utilization of Mohs Micrographic Surgery (MMS) continuing to expand, understanding the cost transparency and variability of this procedure across hospitals and geographic regions is crucial. New federal legislation called The Price Transparency Final Rule went into effect in 2021, requiring hospitals to disclose the prices for at least 300 services (although not specifically for MMS). Utilizing Turquoise Health, a company that compiles nationwide hospital pricing information, we calculated the percentage of academic hospitals reporting cash and commercial insurance prices for MMS and compared median prices by payment type. For reference, we identified Medicare-reported facility and physician fees for MMS, adjusted by state. The findings indicate that fewer than half of hospitals reported both cash and commercial insurance prices for MMS and that median prices varied substantially across payor types and regions, providing initial characterization of MMS pricing and implying a need for improved pricing transparency.
Citation
Please cite as:
Jain NP, Gronbeck C, Beltrami E, Feng H
Mohs Surgery Price Transparency and Variability at Academic Hospitals After the Implementation of the Federal Price Transparency Final Rule