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Wait A Minute: Could Price Transparency Do More Harm Than Good?

last modified Nov 16, 2007 02:57 PM

The state of Massachusetts will soon begin testing a concept long-advocated by proponents of consumer-driven healthcare: price transparency. Will this experiment do more harm than good?

Wait A Minute: Could Price Transparency Do More Harm Than Good?

Price Transparency: Harmful?

Soon the state of Massachusetts, which has taken a leadership position in the struggle to improve access to care, will begin testing a concept long-advocated by proponents of consumer-driven healthcare: price transparency.  According to the Boston Globe: “[C]onsumers soon will have access to information long kept confidential by the healthcare industry: The prices individual hospitals are paid by insurers for performing specific procedures - data state officials hope will encourage comparison shopping and reduce medical costs.”  (Free registration required to view article.)

Some observers have praised this move, saying that this information will help people become better “consumers” of healthcare because they will start to select hospitals based on the quality and price. 

However, there are two potential problems with this approach:

1.    Low-cost hospitals may actually raise the prices they charge for procedures in order to match those set by more expensive institutions

2.    Access: What if a consumer finds a higher quality, less expensive hospital, but it is more than 50 miles away from where they live?  Will traveling to the hospital be worth it?

No one knows whether and how this experiment will work.  Nevertheless, it will be an interesting trial for those advocating market-based solutions to the cost and quality problems plaguing our health system.

What's your take?

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Free Markets and Transparency

Posted by Susan Betts at Nov 14, 2007 03:10 PM
Both scenarios are possible and even probable. But in the end, shouldn't the risk and reward balance each other out? In a free-market society, where health care consumers can truly act as consumers, issues such as pricing and access should be driven toward the mean. That is, low-cost hospitals may raise their prices, and that will be offset (at least partially) by high-cost hospitals lowering theirs. In the same way, some hospitals that are less-accessible will be "worth the trip" for consumers; other hospitals will not. There will be winners and losers, but at some point, they'll balance each other out.

Health care can not governed solely by the law of supply and demand. Within reason, however, it SHOULD be governed in such a way that the value of quality, access and other factors is determined by the consumer - the ultimate recipient and the ultimate buyer. Armed with the right transparency information, the consumer can play this role.

Thanks For Your Response

Posted by Susan Betts at Nov 14, 2007 03:10 PM
I agree with all of your points. It is likely that both scenarios will occur. In addition, I'm glad that you made the following point: "healthcare cannot be governed soley by the law of supply and demand." After all, there are lots of times, especially in trauma situations, where patients have no choice as to what hospital and doctors they see. However, better information is always good.

Fard Johnmar

Article.

Posted by at Feb 28, 2008 02:14 PM
Very outstanding article. I do hope other states will begin it. We all need that kind of information. SteveA.
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