HPCI News: Consumerism Hits Health Care

To: Members and selected others

The front cover article of this month's Hospitals and Health Networks magazine, published by the American Hospital Association, has this headline: "Consumerism Hits Health Care". The sub-heading is "Consumers want pricing, they want value and they want great customer service. Are you providing all that?"

Turns out this is the first in a five-part series on the rise of the health care consumer. The series will examine the distinction between patients and consumers; how retailers, Internet giants and other consumer-friendly businesses are disrupting the health care system; the emergence of new payment models; and the growing sophistication of Americans when it comes to understanding - and demanding - information about providers prices, quality and customer service.

Iowa employers and purchasers have been working on obtaining information on all three of these for some time. There is now good customer service information available on the CMS Healthcare Compare national website. Hospital information is from HCAPS, a national standardized survey of Medicare patients. Physician and other provider customer service information is to follow.

Meaningful quality information has been slower coming to Iowa. Some is available, such as readmission rates by hospital and Hospital Safety Scores published by the Leapfrog Group. Thus, Iowa ranks low in quality transparency compared to other states.

Cost transparency of hospitals was graded a "D+" by Iowa employers according to David P. Lind Benchmarks. Iowa received an "F" grade for its price transparency laws by the Catalyst for Payment Reform.

Some limited price information is becoming available. The Hospital Pricing Specialists have been making some national comparative data available. Last month's HPCI News included price information for echocardiogram procedures for greater Iowa hospitals. This time prices for Total Knee Replacement is shown below.

Price for Total Knee Replacement
$73,894 - Creighton University Hospital, Omaha
$64,361 - Lakeside Hospital, Omaha
$62,761 - Immunel Medical Center, Omaha
$53,535 - Mercy Hospital, Council Bluffs
$53,153 - Mercy Hospital, Iowa City
$48,722 - Methodist Hospital, Omaha
$48,287 - Iowa Lutheran Hospital, Des Moines
$47,144 - St. Luke's Hospital, Cedar Rapids
$46,920 - Stanford USD Medical Center, Sioux Falls
$46,878 - Iowa Methodist Medical Center - Methodist West, West Des Moines
$46,657 - University of Iowa Hospitals and Clinics, Iowa City
$46,156 - Trinity Muscatine, Muscatine
$46,123 - Avera McKennan Hospital, Sioux Falls
$44,598 - Sartori Memorial Hospital, Cedar Falls
$43,555 - Trinity Regional Medical Center, Fort Dodge
$43,349 - Jennie Edmundson Hospital, Council Bluffs
$40,850 - St. Lukes Regional Medical Center, Sioux City
$40,714 - Mercy Medical Center North Iowa, Mason City
$40,515 - Mercy Medical Center, Cedar Rapids
$40,461 - Nebraska Medical Center, Omaha
$40,291 - Mary Greeley Medical Center, Ames
$37,905 - Mercy Medical Center, Sioux City
$37,493 - Genesis Medical Center, Davenport
$36,496 - Ottumwa Regional Health Care, Ottumwa
$35,948 - Mercy Medical Center - West Lakes, West Des Moines
$35,552 - Covenant Medical Center, Waterloo
$35,092 - Great River Medical Center, West Burlington
$33,593 - Finley Hospital, Dubuque
$32,546 - Mercy Medical Center, Dubuque
$28,407 - Rochester Methodist Hospital, Rochester, MN
$28,144 - Allen Memorial Hospital, Waterloo
$24,318 - Nebraska Orthopedic Hospital, Omaha

Stay tuned. Much more to come.

Paul M. Pietzsch, MPH
HPCI - IHBA Office
4430 Ashley Park Drive
West Des Moines, Iowa 50265
(515) 778-6300

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