Hospital Chargemaster there seems to be no process

Hospital Chargemaster “…there seems to be no process, or rationale, behind the core document that is the basis for hundreds of billions of dollars in health care bills. ” Steven Brill, Time Magazine Feb. 22, 2013 Our first care is your health care Arizona Health Care Cost Containment System 1 “Reaching across Arizona to provide comprehensive quality health care for those in need”

o Since 1972 Arizona hospitals have been required to submit their Chargemaster to ADHS at least quarterly Our first care is your health care Arizona Health Care Cost Containment System 2 “Reaching across Arizona to provide comprehensive quality health care for those in need”

A. R. S. § 36 -436 Our first care is your health care Arizona Health Care Cost Containment System 3 “Reaching across Arizona to provide comprehensive quality health care for those in need”

Public Access o o Chargemaster detail information is not available to the public except by special request. Posting is limited to information on the: Rates and Charges Overview Form Our first care is your health care Arizona Health Care Cost Containment System 4 “Reaching across Arizona to provide comprehensive quality health care for those in need”

Arizona Hospital Compare o o o Chargemaster information submitted to ADHS has no relationship to hospital cost information provided by Arizona Hospital Compare The Chargemaster is not used to create hospitals’ AHRQ cost to charge ratio Chargemaster line items have no association with the financial information disclosed in the Medicare Cost Report, Audited Financial Statements, and Uniform Accounting Report. Our first care is your health care Arizona Health Care Cost Containment System 5 “Reaching across Arizona to provide comprehensive quality health care for those in need”

Examples of How Charge Masters/Hospital Prices are Reported in Other States Our first care is your health care Arizona Health Care Cost Containment System 6 “Reaching across Arizona to provide comprehensive quality health care for those in need”

California o California has a public website with hospital charge data only for the most common procedures. Charge data on a wider array of procedures is available by request. No reporting format consistency. http: //www. oshpd. ca. gov/chargemaster/ Our first care is your health care Arizona Health Care Cost Containment System 7 “Reaching across Arizona to provide comprehensive quality health care for those in need”

Illinois o Illinois has hospital and provider charges online, but only for the most common inpatient and outpatient procedures. The state also makes the same information, for all procedures-- publicly available in a report. http: //www. healthcarereportcard. illinois. gov/h ospitals/view/101276 Our first care is your health care Arizona Health Care Cost Containment System 8 “Reaching across Arizona to provide comprehensive quality health care for those in need”

Virginia o Virginia has charge data for hospitals and providers, for most inpatient and outpatient procedures, publicly available on a website. A public report contains charge data and paid amounts for providers and hospitals for all procedures. http: //www. vhi. org/health_care_prices. asp Our first care is your health care Arizona Health Care Cost Containment System 9 “Reaching across Arizona to provide comprehensive quality health care for those in need”

Massachusetts o Massachusetts has a searchable public website with charges and paid amounts for hospitals and providers for most common inpatient and outpatient procedures. A subset of information is also available upon request in a public report. Website also includes quality measures. http: //hcqcc. hcf. state. ma. us/ Our first care is your health care Arizona Health Care Cost Containment System 10 “Reaching across Arizona to provide comprehensive quality health care for those in need”