Analysis of Southeast Region of the United States

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Southeast Region

The Centers for Medicare & Medicaid Services (CMS) issued a healthcare Price Transparency new rules, which requires six thousand hospitals in the US to publish their standard charges in a machine-readable format and a consumer-friendly manner on their websites by January 1, 2021. The requirement is the first step to taking complex healthcare pricing information and making it transparent.

According to CMS, the machine-readable file should include the following:

Comprehensive file with all items, services, and service packages which include:

Gross charges Comprehensive file with all items, services, and service packages which include:
• Gross charges
• Discounted cash prices
• Payer-specific negotiated charges
• De-identified minimum negotiated charges
• De-identified maximum negotiated charges

A consumer-friendly display that includes the following standard charges for at least 300 ‘shoppable’ services:

• Discounted cash prices (use gross charges if cash prices are not available) • Payer-specific negotiated charges
• De-identified minimum negotiated charges
• De-identified maximum negotiated charges

(or)
Hospitals can use a patient estimator tool instead of ‘shoppable’ services.

We have analyzed more than 5000 hospital data across the United States to see if they are compliant with CMS requirements and simplified the data into a user-friendly format so that anyone can easily understand.

Providers have defined their own column/field names. MR files were available in CSV, EXCEL, JSON, XML, PDF, DOCX, HTML, and Text. Some MR files had only billing IDs, and some gave service descriptions without code types like CPT, MS-DRG, APR-DRG, APC, HCPCS, NDC, Internal Codes. Most of the providers have not mentioned if the price includes all ancillary services.

We want to help hospitals that are non-compliant to become compliant using our price transparency Zeatool. Our goal is to help hospitals take this big pricing data, navigate new ways to cut waste, increase revenue, and bring the antiquated healthcare system into the E-commerce age. Once healthcare data is shoppable, consumers can better understand their healthcare costs before receiving treatment and avoid surprise bills. This healthcare pricing information is highly beneficial for uninsured & underinsured consumers and self-insured employers to price shop healthcare services.

We started with the Southeastern region, followed by the Southwest, Northeast, Midwest, West, and other areas, including Puerto Rico, Virgin Islands, and Washington DC.

ZeaTool

Southeast Region

We analyzed 1,334 hospitals in the Southeast Region and found 449 (34%) are compliant, and 885 (66%) are non-compliant with CMS requirements. As of March 26, 2021, the non-compliant hospitals will face a penalty of $300/day for a total of $22.30M, and the penalty for each non-compliant hospital is $25,200.

We analyzed 1,334 hospitals in the Southeast Region and found 449 (34%) are compliant, and 885 (66%) are non-compliant with CMS requirements

We analyzed 126 hospitals in Alabama. 53 (42%) hospitals are compliant, and 73 (58%) hospitals are non-compliant as per CMS price transparency guidelines. The 73 non-compliant hospitals will face a penalty of $1.86M in total.

List of hospitals in Alabama USA.

We analyzed 85 hospitals in Arkansas. Out of those, 36 (42%) hospitals are compliant, and 49 (58%) hospitals are non-compliant as per CMS price transparency guidelines. The 49 non-compliant hospitals will face a penalty of $1.25M in total.

We analyzed 207 hospitals in Florida...
We analyzed 207 hospitals in Florida. Out of those, 52 (25%) hospitals are compliant, and 155 (75%) hospitals are non-compliant as per CMS price transparency guidelines

We analyzed 207 hospitals in Florida. Out of those, 52 (25%) hospitals are compliant, and 155 (75%) hospitals are non-compliant as per CMS price transparency guidelines. The 155 non-compliant hospitals will face a penalty of $3.95M in total.

 We analyzed 142 hospitals in Georgia. List of hospitals in Georgia
We analyzed 142 hospitals in Georgia. 44 (31%) hospitals are compliant,

We analyzed 142 hospitals in Georgia. 44 (31%) hospitals are compliant, and 98(69%) hospitals are non-compliant as per CMS price transparency guidelines. The 155 non-compliant hospitals will face a penalty of $2.50M in total.

best hospitals in Kentucky usa
We analyzed 102 hospitals in Kentucky usa.

We analyzed 102 hospitals in Kentucky. 31 (30%) hospitals are compliant, and 71(70%) hospitals are non-compliant as per CMS price transparency guidelines. The 102 non-compliant hospitals will face a penalty of $1.81M in total.

Best hospitals in Louisiana usa
We analyzed 144 hospitals in Louisiana

We analyzed 144 hospitals in Louisiana. 42 (29%) hospitals are compliant, and 102(71%) hospitals are non-compliant as per CMS price transparency guidelines. The 144 non-compliant hospitals will face a penalty of $2.60M in total.

top hospitals in Mississippi us
We analyzed 96 hospitals in Mississippi

We analyzed 96 hospitals in Mississippi. 47 (49%) hospitals are compliant, and 49(51%) hospitals are non-compliant as per CMS price transparency guidelines. The 96 non-compliant hospitals will face a penalty of 1.25M in total.

We analyzed 112 hospitals in North Carolina
best 100 hospitals in North Carolina

We analyzed 112 hospitals in North Carolina. 29 (26%) hospitals are compliant, and 83(74%) hospitals are non-compliant as per CMS price transparency rules for hospitals. The 112 non-compliant hospitals will face a penalty of $2.12M in total.

We analyzed 67 hospitals in South Carolina
best hospitals in South Carolina

We analyzed 67 hospitals in South Carolina. 18 (27%) hospitals are compliant, and 49(73%) hospitals are non-compliant as per CMS price transparency checklist. The 67 non-compliant hospitals will face a penalty of $1.25M in total.

We analyzed 113 hospitals in Tennessee.
top hospitals in Tennessee.

We analyzed 113 hospitals in Tennessee. 59 (52%) hospitals are compliant, and 54(48%) hospitals are non-compliant as per CMS hospital price transparency new rules. The 113 non-compliant hospitals will face a penalty of $1.38M in total.

best hospitals in Virginia usa
We analyzed 87 hospitals in Virginia

We analyzed 87 hospitals in Virginia. 17 (20%) hospitals are compliant, and 70(80%) hospitals are non-compliant as per CMS price transparency final rule 2021. The 87 non-compliant hospitals will face a penalty of $1.78M in total.

best 50 hospitals in West Virginia

We analyzed 53 hospitals in West Virginia. 21 (40%) hospitals are compliant, and 32 (60%) hospitals are non-compliant as per CMS price transparency guidelines. The 53 non-compliant hospitals will face a penalty of $$816.00K in total.

The following thirteen hospitals have exceeded the CMS requirements by giving Chargemaster MR file, Shoppable Services MR file, and Estimator tools.

ZeaStar

• Northwest Medical Center- Winfield AL
• Highlands Medical Center- Scottsboro- AL
• St. Claire Regional Medical Center- Morehead – KY
• Murray-Calloway County Hospital -Murray- KY
• Monroe County Medical Center- Tompkinsville- KY
• Taylor Regional Hospital- Campbellsville- KY
• Rockcastle County Hospital- Mount Vernon – KY
• Breckinridge Memorial Hospital- Hardinsburg- KY
• Russell County Hospital- Russell Springs – KY
• Franklin Foundation Hospital- Franklin- LA
• Richland Parish Hospital Delhi- Delhi- LA
• Winston Medical Center and Swingbed- Louisville- MS
• Simpson General Hospital CAH- Mendenhall- MS

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