2014 Transparency Grade Changes

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After the 2014 price transparency report card came out last week, it could be inferred that not much has been accomplished over the last year in the way of transparency improvement. This is because of the significantly lower grades that Catalyst for Payment Reform has awarded the states this year.  It’s not all as “clear” as that though, because a lot has changed based on how their grading system worked.  This year they decided to raise the bar by no longer grading the states on a curve.  The result was that no states received A’s this year and a significantly larger number of states received failing grades.
There is a lot that goes into grading that states and it can be confusing to those that aren’t well versed in the language of price transparency. The Reader’s Digest version of this grading system is as follows:
–       Ability for patients to request pricing information prior to rendering services
–       Public report on pricing
–       Public website

  • Scope: number of services listed
  • Ease of Use: clear language, no jargon, easy navigation
  • Utility: estimates of a consumer’ out-of-pocket expenses
  • Accuracy/Data Exchange:  current data (from 2012 or more recent)

These components have a number of smaller details that go into them, based on hospital services, inpatient versus outpatient or provider costs. Sates scores are then based on the scope of information the state has available to patients.  Some have changed significantly in the last year, showing that they have a long way to go.

STATE

2013

2014

Alabama

F

F

Alaska

F

F

Arizona

F

F

Arkansas

D

F

California

D

F

Colorado

B

C

Connecticut

F

F

Delaware

F

F

Florida

D

F

Georgia

F

F

Hawaii

F

F

Idaho

F

F

Illinois

C

F

Indiana

F

F

Iowa

C

F

Kansas

F

F

Kentucky

C

F

Louisiana

D

F

Maine

B

B

Maryland

F

F

Massachusetts

A

B

Michigan

F

F

Minnesota

B

F

Mississippi

F

F

Missouri

F

F

Montana

F

F

Nebraska

F

F

Nevada

C

F

New Hampshire

A

F

New Jersey

F

F

New Mexico

F

F

New York

F

F

North Carolina

F

F

North Dakota

F

F

 

Ohio

D

F

Oklahoma

F

F

Oregon

F

F

Pennsylvania

F

F

Rhode Island

F

F

South Carolina

F

F

South Dakota

C

F

Tennessee

F

F

Texas

D

F

Utah

C

F

Vermont

C

C

Virginia

B

C

Washington

F

F

West Virginia

D

F

Wisconsin

B

F

Wyoming

F

F

 

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