We analyze hospital prices at the procedure code level and present an analysis of suggested rate changes designed to enhance the defensibility of proposed pricing with sensitivity to financial impact.
Web-based software that creates custom analyses of financial/operating strengths, weaknesses, and opportunities. Utilizes client-submitted claims data as well as national public-use data.
What Will Die Hard Cost John McClane?
Every year the question is presented— is Die Hard a Christmas movie, and every year two opposing camps form. The first strongly believes that it is, in fact, a Christmas movie, and the second one is wrong. But that’s not what we’re here to discuss today!
We’re here to discuss what the injuries John McClane sustained in Die Hard would cost for him and his local hospital. We here at Cleverley + Associates can’t weigh in on a dislocated shoulder, but we are ...
Exploring the Relationship Between Quality and Cost in Hospital Data
CMS has recently released its 5-star hospital compare ratings with the distribution shown in Table 1. The ratings are based upon metrics in five areas: Mortality (22%), Safety (22%), Readmission (22%), Patient Experience (22%), and Timely and Effective Care (12%).
These quality metrics are important because Medicare does pay hospitals based on quality through several programs. These programs are part of an effort to improve ...
Patient Rights Advocate Dramatically Overstates Hospital Non-compliance
Last month, PatientRightsAdvocate.org (PRA) released its Sixth Semi-Annual Hospital Price Transparency Compliance Report (https://www.patientrightsadvocate.org/semi-annual-report-feb2024). The report shows that 34.5% of the 2,000 US hospitals it reviewed comply with federal price transparency requirements. Unfortunately, PRA’s findings continue to be horribly flawed. HFMA, AHA, and even CMS have countered the findings in ...
Cleverley + Associates Looks at the Link Between Value and Hospital Price Transparency
On January 18th of this year Money Magazine released its list of Best US hospitals. They provided 5 overall metrics for each of the top US hospitals: Overall Grade (A+ to B), Top Specialty, Price Transparency (A+ to D-), Top Service, and Federal rating. They explained their methodology for determining the overall rank as follows:
“Our first step to whittling down 6,000-plus hospitals across the country was ...