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Pricing / Affordability Resources

  • Reid Health Price Transparency |
    • When it comes to making the best decision about your care, the financial impact of your treatment or procedure is an important factor. Although costs for all patients are the same, each person’s financial responsibility may vary, depending on their insurance coverage. To help you get an estimate of costs, we’ve created a tool that lists services by category, including specialty services, imaging, labs, surgery, and therapy.
  • Indiana Hospital Association Reinforces Commitment to Health Care Affordability |
    • Indiana hospitals remain committed to addressing health care affordability for Hoosiers and have demonstrated this commitment by working with insurers and collaborating directly with employers to lower costs for patients and businesses. Indiana hospitals are leaders in efforts to lower costs while improving the state’s health. However, until all sectors across health care are at the table, these efforts will always fall short. We are confident that Indiana is heading in the right direction and that hospitals will continue to prioritize market solutions as the path to reducing overall health care costs for employers and individuals.

Reid Health’s Positive Impact on the Community

  • Reid Community Benefit |
    • Community Benefit can be defined as any program or activity that provides treatment and/or promotes health and healing as a response to community needs. As a not-for profit hospital, Reid provides community benefit to give back to the communities we serve, establish community partnerships and encourage those partnerships among other organizations, and work toward common goals for improving health.
  • Reid Health attains Epic Gold Stars Level 9, leading the way in healthcare innovation |
    • Reid Health continues to make investments into the digital systems it uses to manage patient care. Epic serves as a complete digital care management system, and Reid has now reached Level 9 of Epic’s Gold Stars Program after adopting more than 85 percent of the software’s features. The Gold Stars Program helps organizations get the most out of the Epic system and identify areas for continuous improvement. It also measures critical areas such as patient access and experience, clinical quality and safety, population health management, and physician, nursing, and clinical team productivity.

Insurers Creating Barriers to Care

  • How rural hospitals are fighting Medicare Advantage | Modern Healthcare
    • Rural healthcare providers tend to be disproportionately affected by factors such as reimbursement cuts or denied and delayed payments from Medicare Advantage plans because Medicare enrollees make up most of their patient populations. Cutting off Medicare Advantage plans, or at least declaring that to be a possibility, is a response to the growing market power these carriers have, especially over rural providers.
  • Hospitals are dropping Medicare Advantage left and right |
    • Medicare Advantage provides health coverage to more than half of the nation’s seniors, but a growing number of hospitals and health systems nationwide are pushing back and dropping the private plans altogether. Among the most commonly cited reasons are excessive prior authorization denial rates and slow payments from insurers. Some systems have noted that most MA carriers have faced allegations of billing fraud from the federal government and are being probed by lawmakers over their high denial rates.
  • Proposed Medicare Cuts Jeopardize Access to Care for Patients and Communities | The Hill
    • Congress is considering several pieces of legislation that would impose billions of dollars in additional Medicare payment cuts for services provided by hospital outpatient departments (HOPDs). If enacted, these misguided so-called “site-neutral” policies would reduce patient access to vital health care services, particularly in rural and other medically underserved communities.
  • Representative takes aim at prior authorizations in Medicare, Medicare Advantage | Medical Economics
    • A physician lawmaker is joining the fight against prior authorizations (PAs) that bog down medical care, frustrating physicians, and patients alike – and sometimes jeopardizing treatments. Rep. Mark Green, MD (R-Tennessee), announced he has reintroduced the “Reducing Medically Unnecessary Delays in Care Act” to address PAs in Medicare and Medicare Advantage plans. The bill also has changes in store for PAs for prescription drugs under Medicare.
  • New Consumer Poll Finds Patients Are Concerned about Commercial Insurer Barriers to Care: Infographic | AHA
    • Commercial health insurer policies and administrative practices delay patient care, overburden clinicians and add unnecessary costs to the health care system. 62% of patients report their household has experienced at least one insurance coverage-related barrier in the past two years; 43% of those patients report their health has gotten worse as a result. Further, a majority of patients find health insurance companies responsible for the health care roadblocks they have experienced.
  • Health Insurance Barriers Delay, Disrupt and Deny Patient Care | US News Opinion
    • Health insurance should be a bridge to medical care, not a barrier. Yet too many commercial health insurance policies often delay, disrupt and deny medically necessary care to patients. Hospitals and health systems are increasingly seeing commercial insurers limit patient access and issue more burdensome requirements for medically necessary care.
  • ‘The house always wins’: Insurers’ record profits clash with hospitals’ hardship | Becker’s Healthcare
    • The nation’s largest insurers, UnitedHealth Group and Elevance Health, reported profits that were 28 percent and 7 percent higher than the same period last year, respectively. UnitedHealth raked in $5.3 billion, while Elevance took in $1.6 billion. In contrast, some of the nation’s largest health systems, HCA and Tenet, saw their profits fall dramatically compared to the third quarter of 2021. With the evidence piling up, health economists have classified 2022 as the worst financial year for hospitals in decades.