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1 “…there seems to be no process, or rationale, behind the core document that is the 1 “…there seems to be no process, or rationale, behind the core document that is the

1 “…there seems to be no process, or rationale, behind the core document that is the - PowerPoint Presentation

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1 “…there seems to be no process, or rationale, behind the core document that is the - PPT Presentation

Steven Brill Time Magazine Feb 22 2013 Hospital Chargemaster Since 1972 Arizona hospitals have been required to submit their Chargemaster to ADHS at least quarterly 2 ARS 36436 ID: 930603

information procedures hospital chargemaster procedures information chargemaster hospital public charge report hospitals website data http providers outpatient inpatient arizona

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“…there seems to be no process, or rationale, behind the core document that is the basis for hundreds of billions of dollars in health care bills.”Steven Brill, Time Magazine Feb. 22, 2013

Hospital

Chargemaster

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Since 1972 Arizona hospitals have been required to submit their Chargemaster to ADHS at least quarterly2

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A.R.S. § 36-436

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Public Access

Chargemaster detail information is not available to the public except by special request.Posting is limited to information on the:Rates and Charges Overview Form

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Arizona Hospital Compare

Chargemaster information submitted to ADHS has no relationship to hospital cost information provided by Arizona Hospital Compare The Chargemaster is not used to create hospitals’ AHRQ cost to charge ratio

Chargemaster

line items have no association with the financial information disclosed in the Medicare Cost Report, Audited Financial Statements, and Uniform Accounting Report.

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Examples of How Charge Masters/Hospital Prices are Reported in Other States

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California

California has a public website with hospital charge data only for the most common procedures. Charge data on a wider array of procedures is available by request. No reporting format consistency.http://www.oshpd.ca.gov/chargemaster/

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Illinois

Illinois has hospital and provider charges online, but only for the most common inpatient and outpatient procedures. The state also makes the same information, for all procedures-- publicly available in a report.http://www.healthcarereportcard.illinois.gov/hospitals/view/101276

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Virginia

Virginia has charge data for hospitals and providers, for most inpatient and outpatient procedures, publicly available on a website. A public report contains charge data and paid amounts for providers and hospitals for all procedures.http

://www.vhi.org/health_care_prices.asp

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Massachusetts

Massachusetts has a searchable public website with charges and paid amounts for hospitals and providers for most common inpatient and outpatient procedures. A subset of information is also available upon request in a public report. Website also includes quality measures. http://hcqcc.hcf.state.ma.us/

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