Price Transparency In Healthcare

The purpose of this assignment is to make an effort to enact the policy about healthcare price transparency. An attempt to address the issue surrounding a lack of price transparency in healthcare using the Symbolic and Analytic pathways of Conlan et al. for public policy making, approaches different key players and policy makers. Each of the pathway draws upon different political resources and elicits its own unique set of strategies and style of coalition building.
Use of analytic pathways requires experts advises and supportive evidence of success of policy while the Symbolic pathway is more about commonsense notion to right and wrong. Media plays major role as a bridge between policy makers and general public. Policy experts can serve as
The system divides possible diagnoses into more than 20 major body systems and subdivides them into almost 500 groups for the purpose of Medicare reimbursement.
Major factors to determine the DRG payment amount are diagnoses as well as hospital resources used or necessary for treatment. The classification is also based on case to case bases, age, sex, and discharge status, According to the DRG system, hospitals are paid a fixed rate for inpatient services. By the end of the year 2015, the diagnosis and discharge information is going to be reported by the hospitals using ICD-10 code.
BILL INTRODUCTION:
Federal legislation of Price transparency in healthcare system mandating all states to enforce on routine services and release of Diagnosis Related groups (DRG) payments associated with inpatient and other healthcare facilities charge along with all other claim data. To make the system more transparent, the States are required to collect All Payers Claim Database (APCD) and compare price and quality of
The nationally recognized lobby of the American Hospital Association (AHA) has been a strong supporter of federal legislation for price transparency, encouraging states to act in sync with state hospital associations to provide price information to consumers. In a statement issued by Rick Pollack, an executive vice president of the AHA, argued that “Consumers deserve meaningful information about the price of their hospital care, and hospital leaders are as committed to sharing this information as they are to sharing information about quality. The AHA believes that states, working with their state hospital associations, are the best source for sharing meaningful pricing data.” (American Hospital Association, 2007). In addition, the pressure from the press release about the bill for healthcare price transparency to keep the issue alive and in