Texas Leads the Way in Surgical Pricing Transparency

Clariti offers the tools to make it relevant for all patients

Branford, CT – January 4, 2019

Texas has led the nation promoting the cost of healthcare services to its consumers. Today, hospitals must publish their charge master amounts and facilities very commonly offer surgical shoppers a fixed cash fee for bundled services. All of that is great step towards transparency and competition, but what about the overwhelming majority of Texans who depend on medical insurance to mitigate their cost share?

The troubling answer is contained in the testimony of Dr. David Bryant on behalf of the Texas Medical Association in 2017: “…Physicians and their practices do not control and do not always know the details of a patient’s health plan, such as a patient’s maximum allowable.

To have the full equation of what a patient may owe — or a reasonable estimate — the health plans must also contribute information…”

Those of us in administration understand the value in being transparent. Not only is it good customer service, but it also assists in patient collections. As we increasingly move towards higher deductible health plans, patients are financially responsible for an increasing share of healthcare costs. If our patients know what to expect, it becomes much easier for us as providers to collect.

A significant part of the transparency challenge is determining how to resource the added burden. Many providers’ business offices are already stretched; how do they find the time to liaise with each patient’s insurance carrier to determine where the patient is in their deductible and how each plan design’s structure will determine the patient’s financial obligation?

Clariti Health was founded by elective surgical IT leaders who recognize the importance of cost transparency to our patients. Consumer expectations in Texas are shifting, which we as surgical administrators know ought to be best practices anyway.

Clariti’s Impact software offers your business office staff two essential services:

• Instantaneous calculation of an accurate patient estimate via perpetual communication with your patients’ insurance carriers, and by applying your facility’s in and out-of-network payor arrangements.

• Patient communication; estimates are delivered to patients via text, email, print or phone and we smartly connect patients with payment options of your choosing.

Clariti integrates with most ASC scheduling and billing systems and we do all the setup and preparation. Recommended by dozens of leading ASC management companies and consultants, Clariti is the new standard in patient estimation.

Facilities that have implemented Clariti have realized financial improvement, significant business office time savings, identifying cases you probably shouldn’t consider performing, and improved patient loyalty. For further information about how Clariti’s Impact software can help your elective surgical business, please contact us to schedule a demonstration or no obligation trial.

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