Do customers want transparency based pricing tools


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Do customers want transparency and reference-based pricing tools, do they want that much empowerment? Yes, patients should be able to clearly see the price of a treatment and determine how much they will pay out of pocket before receiving care. The price transparency in the health care industry has a number of positive consequences. It is an important information gathering tool for consumers who want to compare prices so they can make more informed decisions about their health care. Price transparency also serves as an educational purpose because it actually lowers the cost of health care. According to an article in health affairs both price transparency and reference pricing the cost consumers can anticipate paying for a given procedure or health service have helped reduce costs in the long run.
Resource:
Mercer Signal - Understanding the New FAQ on Reference-Based Pricing. (n.d.). Retrieved April 22, 2016, from https://ushealthnews.mercer.com/article/249/understanding-the-new-faq-on-reference-based-pricing
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• Marketing Mix
Briana posted Apr 21, 2016 8:31 PM
The incentives for patients/ clients to search a reference based database like healthcarebluebook for information is that they are able to identify healthcare facilities that offers the best prices on medical services. According to Next Steps and New Tools: Transparency and reference- Based Pricing " Reference- based pricing motivates employees to seek reasonably priced, high-quality providers by setting a cap on the amount that an employer agrees to pay for a given service". The biggest incentive is that patients and clients get to save money.

Reference:

Alexander, S. (2013, November). Next Steps and New Tools: Transparency and Reference-Based Pricing. Employee Benefit Plan Review, 68(5), 20-21.
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• Week 6--Billie
• Billie posted Apr 20, 2016 11:19 AM
In the 2016 article by the Albuquerque Journal, it discusses a case against a former Albuquerque paramedic who was fired in 2013 after a Personnel Board found that he had provided substandard care. According to the article, Brad Tate was not only part of the AFD but he also was a paramedic, worked part time with Southwest Airlines and was also a mixed martial arts cutman. One specific case that the city had to pay out a settlement was when talked a girl's relatives out of taking her to the hospital with what he dismissed as a flu bug. It was later determined she had a ruptured appendix and had a hard recovery due to the lack of early care. Tate later initiated a legal battle stating that the city violated his constitutional rights as well as discriminating against him. A state district judge ruled that he had been fired in violation of the state's employment laws and after which the city opted to settle the cases against them and paid $295,000 to Tate.
During the cases against him, Tate denied that he did anything wrong as stated that the way he performed his work was the way he was trained and was the culture of the Fire Department. With his settlement with the city he is unable to seem employment with the city at any time. Tate argued during the cases that the way he acted was how he was trained and that stated that if he was truly committing the alleged acts that he should have been trained or counseled about his actions to ensure he knew properly how to care for patients.
In this situation, since EMS providers are not as trained as doctors or physicians it is possible for them to make mistakes in diagnosis. Additionally, since they have minimal tools that they have access to on the squad it makes it difficult to make a diagnosis on a patient who is complaining of abdominal pain and nausea. In my personal opinion I feel the only reason he was charged in this case is because the girl was the daughter of another Fire Department employee. If the claims were true and he arrived on scene with a patient only complaining of vomiting and nausea and was not complaining of pain then I could see where an error can occur. I am not sticking up for his actions in any way, but in this case there are too many gaping holes in the story for any one person to determine if Tate was guilty or innocent. If they felt at the time Tate was wrong they should have taken the girl to the ER immediately on their own instead of waiting until the next day.
Heild, C. (n.d.). Albuquerque Journal. Retrieved from https://www.abqjournal.com/750602/news/abq-news/paramedic-wont-get-job-back.html

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• Week 6
• Danielle posted Apr 21, 2016 10:15 PM
The term negligence is defined as "A failure to behave with the level of care that someone of ordinary prudence would have exercised under the same circumstances. The behavior usually consists of actions, but can also consist of omissions when there is some duty to act." (Cornell University Law School, n.d). Also, the term malpractice is defined as "a dereliction of professional duty or a failure to exercise an ordinary degree of professional skill or learning by one (as a physician) rendering professional services which results in injury, loss, or damage." (Merriam Webster, n.d) On April 14th, 2016 Nettie Gates filed a lawsuit against Princeton Community Hospital on the behalf of her deceased sister for alleged malpractice, both medically and professionally Nellie Arnold (sister of Nettie Gates) was hospitalized for two weeks over the summer in 2014. The article stated that the lawsuit claims signs of negligence from staff and Arnold fractured her right hip during a fall along with other injuries due to the lack of care and attention. On January 20th, 2015 Arnold passed away to what it perceived to be from the injuries she received while in medical care at Princeton Community. Gates is currently awaiting for the trial to begin to receive compensation. The factors I believe that led to the error is the lack of care Princeton provided Arnold. There are many ways to prevent injuries with patients which in this case could have prevented her death. West Virginia Record Reports. (2016, April 20). SIster of deceased patient files wrongful death claim against hospital. Retrieved April 20, 2016, from https://wvrecord.com/stories/510717854-sister-of-deceased-patient-files-wrongful-death-claim-against-hospital Merriam Webster. (n.d.). Malpractice definition. Retrieved April 20, 2016, from https://www.merriam-webster.com/dictionary/malpractice Cornell University Law School. (n.d.). Negligence definition. Retrieved April 20, 2016, from https://www.law.cornell.edu/wex/negligence

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