- AHD Apps
- Insurance Transparency
Insurance Transparency
Federal legislation requires group health plans and other health insurance entities to routinely publish the rates paid to hospitals for inpatient services provided to their insureds. This app organizes rates for all plans accepted by an acute care hospital and reports average rates by MS-DRG for each type of rate (e.g. fee schedule, per diem, percentage of charges, etc.). The app is an interactive tool designed to support analysis by hospital, insurer, and MS-DRG. It also provides comparative statistics by CBSA, state, and national averages. For hospitals or health systems that encompass multiple operating entities the app can focus on individual provider NPIs. Medicare MedPAR data is also summarized to provide comparative statistics by MS-DRG for IPPS charges, costs, payments, and lengths of stay.