When attempting to use transparency data to benchmark facility (hospital and ambulatory surgery center) pricing, Plato's Allegory of the Cave draws a stark parallel to how the Payer Price Transparency files have deviated from their original intent. In Plato's allegory, prisoners chained in a cave see only the shadows on the wall, mistaking them for reality. These distorted shadows are a far cry from the objects casting them.
The facility rates in Payer Transparency in Coverage files (or TIC files) often do not reflect the rates that the original payer-provider contracts would produce, and therefore are only part of the answer to hospital price research.
Complete your profile to continue reading and get FREE access to BenefitsPRO, part of your ALM digital membership.
Your access to unlimited BenefitsPRO content isn’t changing.
Once you are an ALM digital member, you’ll receive:
- Critical BenefitsPRO information including cutting edge post-reform success strategies, access to educational webcasts and videos, resources from industry leaders, and informative Newsletters.
- Exclusive discounts on ALM, BenefitsPRO magazine and BenefitsPRO.com events
- Access to other award-winning ALM websites including ThinkAdvisor.com and Law.com
Already have an account? Sign In
© 2024 ALM Global, LLC, All Rights Reserved. Request academic re-use from www.copyright.com. All other uses, submit a request to [email protected]. For more information visit Asset & Logo Licensing.
