Shoppable Services Tool
Shoppable companies are nonurgent healthcare companies {that a} affected person can schedule upfront, akin to cataract surgical procedure, colonoscopies and CT scans. Beginning in 2021, federal regulation requires hospitals to listing their costs for 300 shoppable companies. While sufferers can go from hospital to hospital on the lookout for these tariffs, codecs might differ, making comparisons troublesome.
FAIR Health Consumer’s shoppable services tool takes a unique method. It permits customers to flick through greater than 300 shoppable companies or seek for a selected service, then get an estimate of the typical price of that service within the client’s geographic space or surrounding areas. Both in-network and out-of-network, geographic-specific prices are given. With this info, customers can plan and finances for the service—particularly necessary for these with high-deductible well being plans. If customers are uninsured or going out of community, they’ll use the associated fee estimate to barter with hospitals. For extra on the brand new instrument, see the article Shopping for Shoppable Services.
Shared Decision-Making Website for Providers
Shared choice making is the dialogue between sufferers (and/or their caregivers) and clinicians to determine on care based mostly on medical proof, balancing dangers and outcomes with sufferers’ preferences and values. FAIR Health has now launched an academic web site, fairhealthprovider.org, that provides suppliers with free assets and instruments to facilitate shared choice making. Funded by a beneficiant grant from The Fan Fox and Leslie R. Samuels Foundation, the brand new website enhances FAIR Health’s consumer-facing instruments, which launched final yr on FAIR Health Consumer. The instruments mix medical and value info to help critically and chronically unwell sufferers and their caregivers in shared choice making with clinicians.
Materials on the brand new website embody:
- An rationalization and overview of shared choice making;
- Guidance and assets for shared decision-making implementation, akin to provider- and consumer-facing checklists;
- Guidance for participating in “triadic choice making” when a caregiver or member of the family is concerned;
- Discussion prompts and dialog guides;
- Suggestions for additional studying and assets, akin to advance directives and instruments to enhance medical insurance literacy; and
- Decision aids that mix medical therapy choices and related prices for 3 palliative care eventualities:
- Dialysis for people who find themselves critically unwell;
- Nutrition choices for people who find themselves critically unwell; and
- Ventilator for people who find themselves critically unwell.
Lauren Weisenfeld, Deputy Director of the Healthy Aging Program on the Samuels Foundation, commented: “The Samuels Foundation is proud to help FAIR Health’s new provider-oriented web site that gives academic content material and instruments geared toward supporting suppliers and clinicians in shared decision-making discussions with critically unwell older adults and their caregivers in New York City. This initiative is especially related as sufferers, caregivers and suppliers are navigating troublesome choices within the context of the COVID-19 pandemic.”
FH Consumer Classroom Mobile App
Health insurance coverage literacy and well being literacy are extra necessary now than ever, as a result of affect of COVID-19 on the healthcare supply system and the necessity to flip to different venues of care akin to telehealth. FH Consumer Classroom, FAIR Health’s new cell app, equips the patron with crucial info presently of notable change. Available on the Apple App Store and Google Play, FH Consumer Classroom supplies easy accessibility to the tutorial supplies additionally obtainable on FAIR Health Consumer. The app gives FAIR Health’s award-winning client content material on a brand new academic platform in a concise, user-friendly format.
FH Consumer Classroom permits customers to study medical insurance and healthcare high quality by means of articles, movies and a glossary, and entry key assets and interactive puzzles to help studying. Among the tutorial matters lined is shared choice making. The app additionally hyperlinks to FAIR Health’s nationally acknowledged FH® Medical and Dental Cost Lookup instruments, which allow customers to estimate the standard prices of medical and dental procedures.
FAIR Health President Robin Gelburd said: “Now greater than ever, customers are hungry for assets that allow them to navigate the advanced world of healthcare and medical insurance. FAIR Health has created these three enhancements to its client platform to help customers as they make essential choices relating to their well being and funds, and the suppliers who’re helping them.”
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About FAIR Health
FAIR Health is a nationwide, impartial nonprofit group that qualifies as a public charity below part 501(c)(3) of the federal tax code. It is devoted to bringing transparency to healthcare prices and medical insurance info by means of knowledge merchandise, client assets and well being programs analysis help. FAIR Health possesses the nation’s largest assortment of personal healthcare claims knowledge, which incorporates over 33 billion declare information and is rising at a fee of over 2 billion declare information a yr. FAIR Health licenses its privately billed knowledge and knowledge merchandise—together with benchmark modules, knowledge visualizations, customized analytics and market indices—to industrial insurers and self-insurers, employers, suppliers, hospitals and healthcare programs, authorities businesses, researchers and others. Certified by the Centers for Medicare & Medicaid Services (CMS) as a nationwide Qualified Entity, FAIR Health additionally receives knowledge representing the expertise of all people enrolled in conventional Medicare Parts A, B and D; FAIR Health contains among the many non-public claims knowledge in its database, knowledge on Medicare Advantage enrollees. FAIR Health can produce insightful analytic stories and knowledge merchandise based mostly on mixed Medicare and industrial claims knowledge for presidency, suppliers, payors and different approved customers. FAIR Health’s programs for processing and storing protected well being info have earned HITRUST CSF certification and achieved AICPA SOC 2 compliance by assembly the rigorous knowledge safety necessities of those requirements. As a testomony to the reliability and objectivity of FAIR Health knowledge, the info have been integrated in statutes and laws across the nation and designated because the official, impartial knowledge supply for quite a lot of state well being applications, together with employees’ compensation and private damage safety (PIP) applications. FAIR Health knowledge function an official reference level in help of sure state stability billing legal guidelines that shield customers towards payments for shock out-of-network and emergency companies. FAIR Health additionally makes use of its database to energy a free client web site obtainable in English and Spanish, which permits customers to estimate and plan for his or her healthcare expenditures and gives a wealthy academic platform on medical insurance. An English/Spanish cell app gives the identical academic platform in a concise format and hyperlinks to the associated fee estimation instruments. The web site has been honored by the White House Summit on Smart Disclosure, the Agency for Healthcare Research and Quality (AHRQ), URAC, the eHealthcare Leadership Awards, appPicker, Employee Benefit News and Kiplinger’s Personal Finance. FAIR Health additionally is known as a prime useful resource for sufferers in Dr. Marty Makary’s ebook The Price We Pay: What Broke American Health Care—and How to Fix It and Elisabeth Rosenthal’s ebook An American Sickness: How Healthcare Became Big Business and How You Can Take It Back. For extra info on FAIR Health, go to fairhealth.org.
Contact:
Dean Sicoli
Chief Communications Officer
FAIR Health
646-664-1645
[email protected]
SOURCE FAIR Health