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Is the price right?

Amy Lynn Sorrel

|March 13, 2013

Summary

A Texas legislative committee explored requiring physicians to publicly report service payment amounts. The majority rejected this, favoring existing cost-estimation tools and encouraging patient inquiry for informed health care decisions.

Area of Science:

Health care policy
Health economics
Health services research

Background:

The Texas Institute of Health Care Quality and Efficiency was established by the 2011 Texas Legislature.
The institute was tasked with studying health care quality, efficiency, payment systems, and data transparency.
Discussions arose regarding public physician payment reporting to inform consumers.

Purpose of the Study:

To evaluate the feasibility and impact of requiring physicians to publicly report and adhere to payment amounts for specific services.
To determine if such transparency would enhance consumer decision-making in health care.
To recommend strategies for improving health care data transparency and consumer access to cost information.

Main Methods:

The study involved discussions and deliberations among the institute's board members.

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Analysis of existing remedies for estimating patient out-of-pocket costs.

Consideration of proposals for enhanced transparency in health care pricing.

Main Results:

A majority of the board members rejected the proposal for mandatory public physician payment reporting.
The institute's report to the legislature highlighted existing cost-estimation tools.
Recommendations focused on encouraging patients to proactively seek out-of-pocket cost information.

Conclusions:

Mandatory public reporting of physician payment amounts was not recommended by the majority of the institute's board.
Existing mechanisms for estimating patient costs and empowering patients to inquire about costs were favored.
The issue of health care price transparency is likely to be revisited in future legislative sessions.