Texas 2036’s new online tool examines the differences in prices for the same health care services, the implications for patients and taxpayers, and significant information gaps
AUSTIN, TX – Texas 2036’s new online dashboard — which shows health care pricing data in an easy-to-visualize format — vividly demonstrates price discrepancies that help drive higher and higher government spending, insurance costs, out-of-pocket spending, and health-related inflation – but also how few hospitals are providing pricing data in compliance with transparency laws.
Texas 2036 began researching this data as part of an effort to evaluate the true prices of various health care services around the state. However, inconsistent compliance with state and federal hospital price transparency laws limited what pricing data was available. So, as a first step, the organization focused on data provided by hospitals and their compliance with these laws.
“The data available as of this spring suggests that only about 31 percent of Texas hospitals are mostly compliant with state and federal law,” says Charles Miller, senior policy advisor for health care at Texas 2036. “But even when data might be available, a lack of standards makes it really difficult to utilize. There’s a lot of room for improvement.”
To help facilitate those improvements, Texas 2036 is offering recommendations to make the data more accessible, including the adoption of a clear data standard that could encourage and improve reporting and provide researchers with better data for analysis.
These data files offer the potential for a unique and vital reference point for Texas legislators and leaders as they consider options for reducing health care spending while maintaining high levels of care and access in every part of Texas, said Texas 2036 Vice President of Data and Analytics Dr. Holly Heard.
“By spotlighting and addressing market inefficiencies, we hope to help lawmakers and all Texans get better care at a better price – especially those communities disproportionately affected by high health care prices,” Heard said. “The disclosure of health care pricing data has the potential to significantly improve our understanding of health care markets.”
The new public dashboard, which can be found at pricetransparency.Texas2036.org, represents the most comprehensive, publicly available Texas health care pricing transparency tool to date. It analyzes pricing data for a range of health procedures and services, both statewide and within 11 Public Health Regions — providing Texans a snapshot of how prices for the same health care services vary among different hospitals, payers, and geographic regions.
As part of an ongoing effort by federal agencies to empower employers and consumers to make more informed decisions about their health care spending, federal law required hospitals operating in the United States to provide clear, accessible pricing information about their services beginning January 1, 2021. Texas passed a similar law that went into effect in September of that year.
Working with data science firm January Advisors, Texas 2036 attempted to locate and download data for 644 hospitals in Texas. Analysts then reviewed and classified each of the data files. As of April 2022, key findings include:
- Only 65% of hospitals had made pricing data available in a way that researchers were able to access it.
- 31% of hospitals were mostly compliant with the law, meaning that they listed standard charges, cash prices, minimum and maximum negotiated rates, and insurer-specific rates in their data. It is unclear whether the lists include all services offered at each hospital.
- Most large hospital systems in Texas are missing key pieces of data, such as insurer-specific rates.
- Comparisons between hospitals are often difficult or impossible due to issues with the availability and formatting of hospital codes and insurer-specific information.
Most insurers and employers were required to disclose their own transparency files as of July 1, 2022, and beginning in 2024 will be required to provide their enrollees with consumer-friendly comparison shopping tools that show consumers their out-of-pocket costs for specific providers.
To learn more about health care pricing transparency in Texas and access the data, visit: https://texas2036.org/health-care-price-transparency
About Texas 2036
Texas 2036 is a nonprofit organization building long-term, data-driven strategies to secure Texas’ prosperity through our state’s bicentennial and beyond. We offer non-partisan ideas and modern solutions that are grounded in research and data on issues that matter most to all Texans. For more information, visit www.texas2036.org.
Christmas comes to Montague County this weekend
Christmas comes to Montague County this weekend.
Schedule of events
Dec. 2, 5-8 p.m., Sip & Stroll downtown
4-6 p.m., Bowie Economic Development Corporation Open House, 101 E. Pecan.
Dec. 3 – 7-10 a.m., Pancakes with Santa, fire hall.
Elf ‘N’ Magic, 8-11 a.m., Bowie Library.
Christmas Village, 3 p.m. to after parade, 104 N. Smythe.
Live entertainment on Smythe by Christmas tree, starts at 5 p.m.
Christmas tree lighting, 6:45 p.m.
Fantasy of Lights parade, 7 p.m.
The Smalltown Christmas 4:30 -6:30 p.m. Parade downtown starts the evening with other activities at Mary Beckham Davis Park.
Leadership Day added to youth fair
By BARBARA GREEN
In an effort to grow and expand opportunities through the Montague County Fair, the fair board has added a Leadership Day on Jan. 4 that will feature public speaking and robotic contests, skill-a-thons and a barbecue cooking contest.
The 2023 Youth Fair will take place Jan. 4-7 at the Montague County Agriculture Center at the H.J. Justin Community Room and Nocona Community Center, all in Nocona. Entries opened Dec. 1 and continues through Dec. 15. Read all the rules and entry information at https://sites.google.com/view/montaguecountyyouthfair/.
Kristy Tillman, president of the youth fair, said the idea for expanding contests into areas other than livestock, home economics and shop has been discussed in recent times after seeing newer events in some of the larger stock shows.
Read the full story on the new leadership day in the weekend Bowie News.
Bowie ISD staff feels good about where its facilities are with the safety standard
By BARBARA GREEN
Texas school districts received the latest school safety standards and have begun checking the status of their buildings and how they are going to pay for the updates required by the state.
Spurred by the May 24 shooting at Robb Elementary in Uvalde where 19 children and two adults were killed, Gov. Greg Abbott charged the Commissioner of Education Mike Morath with rule development to ensure existing school facilities are held to heightened safety standards and to determine costs of more secure facilities in schools. On Oct. 3, the governor also appointed John P. Scott as the new Texas Education Agency chief of school safety and security.
With these directives and $400 million in additional school safety funding, districts have been informed of the standards rule and state-funded grant opportunities, plus information on the silent panic alert technology grant now available.
The commissioner is proposing legislation to address school safety and ensure minimum school safety standards. It requires all school system instructional facilities have access points that are secured by design, maintained to operate as intended and be appropriately monitored.
Read the full story in the weekend Bowie News.
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