{"id":4086,"date":"2014-10-03T11:32:58","date_gmt":"2014-10-03T15:32:58","guid":{"rendered":"http:\/\/geiselmed.dartmouth.edu\/news\/?p=4086"},"modified":"2014-10-03T11:32:58","modified_gmt":"2014-10-03T15:32:58","slug":"jim-weinstein-how-we-can-increase-price-transparency-in-health-care","status":"publish","type":"post","link":"https:\/\/geiselmed.dartmouth.edu\/news\/2014\/jim-weinstein-how-we-can-increase-price-transparency-in-health-care\/","title":{"rendered":"Jim Weinstein: How we can increase price transparency in health care"},"content":{"rendered":"<p><em>by Dr. Jim Weinstein<\/em><\/p>\n<p><em>Note: This op-ed originally appeared in the <a href=\"http:\/\/www.unionleader.com\/article\/20141003\/OPINION02\/141009719\" target=\"_blank\">New Hampshire Union Leader<\/a> on Oct. 2, 2014<\/em><\/p>\n<p>&nbsp;<\/p>\n<p>There has been\u00a0a great deal of focus in recent months on hospital prices and the need for more public reporting \u2014 more transparency.<\/p>\n<p>I couldn\u2019t agree more, and that\u2019s why Dartmouth-Hitchcock posts its prices for common procedures on its web site.<\/p>\n<p>But knowing price only gives you one part of what one needs to know. Think about it: when you buy anything else, whether it\u2019s a car or a washing machine, or a service like having your house painted, you want to know the price ahead of your purchase.<\/p>\n<p>In addition though, you want to know about the quality and how it performs against other products on the market.<\/p>\n<p>Most don\u2019t automatically buy the cheapest car; most buy the one that gives them the most value for their money. You look at mileage, maintenance, reviews from over the counter products like Consumer Reports, you look on websites and talk to friends about their experience, and then you make your decision.<\/p>\n<p>Unless you know the quality and performance of the product of interest, buying simply based on price is flying blind.<\/p>\n<p>Well, today U.S. Health Care Airlines is flying blind.<\/p>\n<p>Health Care Airlines has no instrument panels, no gauges to tell us how high we are flying, how much fuel we have and yet everyday, tens of thousands of patients and families are getting on board and trusting that they\u2019ll get to their destination safely. Thankfully, most all do, because of the excellent training and skills of their physicians, nurses, and other health professionals.<\/p>\n<p>In health care, our instrument panel is data. In a sustainable health system, data is critical to our ability to measure quality and deliver transparent value to the patients and families we serve.<\/p>\n<p>Imagine if in addition to being able to obtain the price of any medical procedure you\u2019re contemplating, you could get information about quality and actual outcomes. After all, we can look at the side of any cereal box and it will list what is inside; why not your health care system, your doctor, your hospital, or why not all three.<\/p>\n<p>In a transparent sustainable health system, here are some questions every patient should be able to ask of me or any health care provider, to make a value-based judgment about where to have their surgery or treatment:<\/p>\n<ul>\n<li>How many of these procedures or treatments did you do this year, last year?<\/li>\n<li>What were\/are your results\/ outcomes at 3, 6, 12 and 24 months?<\/li>\n<li>What percentage of your patients experience complications?<\/li>\n<li>What is the average cost for the procedure you are recommending and what will be my personal out of pocket expense?<\/li>\n<li>What do your patients say about how they do and how they feel about the results?<\/li>\n<li>Can you show me data from your practice to help me answer these questions to help me make my decision?<\/li>\n<\/ul>\n<p>It\u2019s the last question that\u2019s often most important. I would suggest that 9 times out of 10, your provider will have to answer no; he or she doesn\u2019t have the data.<\/p>\n<p>That\u2019s where we\u2019re flying blind.<\/p>\n<p>Patients in most cases don\u2019t have the information that allows them to make an informed choice\/decision. It\u2019s not that the physicians are trying to hide anything; most doctors and health providers don\u2019t have the tools to collect and or share this important information.<\/p>\n<p>That\u2019s why at Dartmouth-Hitchcock we not only report our prices, but we report our outcomes \u2014 our results. And we include patient-reported outcomes \u2013 how the patient reports their perceived outcomes, their experience on how well they feel and\/or function following their treatment and or procedure.<\/p>\n<p>Sometimes the results aren\u2019t as good as we\u2019d like them to be, but the fact that we collect and share such information is a necessary ingredient if we are to have a truly transparent and sustainable health system. It is only because we collect and share this kind of information that we can improve and actually track those improvements. As the saying goes, \u201cyou can\u2019t manage what you can\u2019t measure.\u201d<\/p>\n<p>By all means, pricing transparency is essential in health care. But let\u2019s not stop there. We need more transparency so patients can compare quality and outcomes to make a truly informed choice.<\/p>\n<p><em>Dr. Jim Weinstein is president and CEO of Dartmouth-Hitchcock.<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>There has been a great deal of focus in recent months on hospital prices and the need for more public reporting \u2014 more transparency. I couldn\u2019t agree more, and that\u2019s why Dartmouth-Hitchcock posts its prices for common procedures on its web site. But knowing price only gives you one part of what one needs to know.<\/p>\n","protected":false},"author":15,"featured_media":4087,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2}},"categories":[1,15],"tags":[54,158,423],"class_list":["post-4086","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-news","category-voices","tag-dartmouth-hitchcock","tag-health-care-reform","tag-jim-weinstein","author-15"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/geiselmed.dartmouth.edu\/news\/wp-content\/uploads\/sites\/2\/2014\/10\/Weinstein_James_crop.jpg","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/p4r3h1-13U","_links":{"self":[{"href":"https:\/\/geiselmed.dartmouth.edu\/news\/wp-json\/wp\/v2\/posts\/4086","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/geiselmed.dartmouth.edu\/news\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/geiselmed.dartmouth.edu\/news\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/geiselmed.dartmouth.edu\/news\/wp-json\/wp\/v2\/users\/15"}],"replies":[{"embeddable":true,"href":"https:\/\/geiselmed.dartmouth.edu\/news\/wp-json\/wp\/v2\/comments?post=4086"}],"version-history":[{"count":8,"href":"https:\/\/geiselmed.dartmouth.edu\/news\/wp-json\/wp\/v2\/posts\/4086\/revisions"}],"predecessor-version":[{"id":4096,"href":"https:\/\/geiselmed.dartmouth.edu\/news\/wp-json\/wp\/v2\/posts\/4086\/revisions\/4096"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/geiselmed.dartmouth.edu\/news\/wp-json\/wp\/v2\/media\/4087"}],"wp:attachment":[{"href":"https:\/\/geiselmed.dartmouth.edu\/news\/wp-json\/wp\/v2\/media?parent=4086"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/geiselmed.dartmouth.edu\/news\/wp-json\/wp\/v2\/categories?post=4086"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/geiselmed.dartmouth.edu\/news\/wp-json\/wp\/v2\/tags?post=4086"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}