• What Does Transparency Mean?

    Sidebar Jul 15, 2016

    Provider transparency is essential to the innovations discussed in this article. The following types of information generally are required:

    Cost. The programs typically expect a bundled price that includes pre- and postoperative care and that is clearly spelled out in advance. This structure removes cost variability and allows the payer to negotiate or shop around. Programs also want assurance that unnecessary surgeries will not be performed.

    Quality. Information about provider quality can include procedure volumes, readmission rates, revision rates (for joint replacement surgeries), rate of participation in registries, clinical quality outcomes, patient-reported outcomes, and evidence of shared decision-making policies and patient orientation procedures.

    Patient experience information. This information may include scores from HCAHPS surveys and the provider’s own patient surveys, such as those concerning patient experience.

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