Tuesday, 14 August 2018

Medicare seeks hospitals to post prices online

25 April 2018 | News

The program is also starting a comprehensive review of how it will pay for costly new forms of immunotherapy to battle cancer

Medicare said, it will require hospitals to post their standard prices online and make electronic medical records more readily available to patients.

The program is also starting a comprehensive review of how it will pay for costly new forms of immunotherapy to battle cancer.

Seema Verma, head of the Centers for Medicare and Medicaid Services, said the new requirement for online prices reflects the Trump administration's ongoing efforts to encourage patients to become better-educated decision makers in their own care.

Hospitals are required to disclose prices publicly, but the latest change would put that information online in machine-readable format that can be easily processed by computers. It may still prove to be confusing to consumers, since standard rates are like list prices and don't reflect what insurers and government programs pay.

Most insurance plans nowadays have an annual limit on how much patients must pay in copays and deductibles although traditional Medicare does not.

Likewise, many health care providers already make computerized records available to patients, but starting in 2021 Medicare would base part of a hospital's payments on how good a job they do.

Using electronic medical records remains a cumbersome task, and the Trump administration has invited technology companies to design secure apps that would let patients access their records from all their providers instead of having to go to different portals.

Verma also announced Medicare is starting a comprehensive review of how it will pay for a costly new form of immunotherapy called CAR-T. It's gene therapy that turbocharges a patient's own immune system cells to attack cancer.

"It's a new area for the agency," said Verma. "We haven't seen drugs priced at this level and we have to think about our strategy."

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