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| Defensible Pricing Modeling Services |
| Improve pricing consistency and establish defensible market-based pricing to prepare for healthcare consumerism and open chargemaster laws. |
- Permits establishment for defensible hospital charges by conducting market comparisons, examining the relationship of charges to cost and reviewing the impact of price changes on net revenue
- Targets specific competitors from publicly available sources at the and clinical service level
- Offers access to benchmarks that cover 100 percent of the chargemaster including all inpatient and outpatient services, supplies and drugs
- Sets prices based on highly flexible cost markup rules to ensure consistency and defensibility at the line-item, department and facility level
- Allows a corporate facility to standardize prices within local markets
- Understands and controls the bottom line impact of any new pricing strategy
- Models each insurance plan to accurately gauge the impact of price changes
- Models the impact of price changes at the patient level to factor in the projected increase or decrease in managed care stop-loss payments
- Determines how net revenue will be affected by proposed pricing changes
- Provides ability to explain and support pricing strategy
- Identifies outliers in current pricing
- Shows pre- and post-modeling relationships of prices to cost and the market
- Presents recommendations and findings to the board in a concise document
- Details final price markups relative to cost
- Utilizes chargemaster consultants to analyze pricing approaches to meet hospital objectives
 *HFMA staff and volunteers determined that this product
has met specific criteria developed under the HFMA Peer
Review Process. HFMA does not endorse or guaranty the
use of this product |  |
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