Commentary
IT Tools Help Patients Cut Prescription, Exam Costs
Change Healthcare provides companies' employees with a Web portal, data analytics, personalized text messages, and email alerts to help them find lower-cost healthcare services and prescription drugs.It's the start of a new benefits year for most employers, and workers are only beginning to tap into their companies' offering of 2012 healthcare coverage. However, they can expect to face rising healthcare costs and be asked to pay larger co-pays and deductibles than ever if recent years are any indication.
A September 2011 U.S. Government Accountability Office (GAO) report found that from 2006 to 2010, the percentage of covered workers enrolled in high-deductible health plans increased from 4% to 13% and the percentage of covered workers with a deductible of $1,000 or more for single coverage nearly tripled, from 10% to 27%. Meanwhile, overall U.S. healthcare spending has increased by an average of nearly 7% per year, from $1.4 trillion in 2000 to $2.5 trillion in 2009, according to the GAO report.
More Healthcare Insights
Webcasts
- Strategies for Managing Distributed IT Environments
- Forrester Total Economic Impact study of Midrange Storage
White Papers
- The value of analytics in healthcare: From insights to outcomes
- Redefining Value in Healthcare: Innovating to expand access, improve quality and reduce costs of care
Reports
More >>With the economy ailing, most consumers are looking to stretch a buck, including their share of healthcare spending. Finding price comparisons for care can be helpful. But although there are a variety of federal, state, and private efforts to provide better healthcare-cost transparency to consumers, tracking down this data isn't easy for most consumers, said the GAO.
[ Take control of your health. See 7 Health Education Tools For Patients. ]
Contractual terms between healthcare providers and payers that restrict disclosures of negotiated rates also complicate consumers' ability to find cost information, said the watchdog agency.
Among the small-but-growing set of private companies that are providing healthcare cost information to consumers are payers such as Aetna, which lists cost comparisons on a portal, and technology vendor Change Healthcare, which offers data analytics and Web-based services to employers--and their workers--and health plans.
Change Healthcare aims to ease the hunt for price comparisons by reaching out to individuals with information that's personalized and relevant to them, according to Change Healthcare president Doug Ghertner, who joined the private company six months ago from CVS Caremark.
"There are other look-up tools out there, but with our tool, you don't need to seek out costs," he said. By collecting and running algorithms against claims data, Change Healthcare "looks at what an individual is paying [for healthcare services and products], looks to find where these services and products are available for less, and then reaches out to individuals saying, 'you can save X dollars a year,'" said Ghertner in an interview with InformationWeek Healthcare.
For Change Healthcare clients, workers receive "personalized, timely and relevant" alerts by text or email, allowing them to go onto a portal and check out, for instance, a list of pharmacies in their area where they can refill a maintenance medication, such as allergy or gastric reflux pills, for less than they're paying now, said Ghertner.
Change Healthcare provides information about dental, medical and pharmacy products and services, "helping to maximize health plans once you make your purchase," he said. "We scan claims data monthly, always looking for savings opportunities," he said. That can range from less-expensive pharmacies for prescription medications to less costly medical testing.
"We see tremendous amount of opportunity [for savings] in physical therapy, dental, chiropractory, mental health, and medical imaging," he said.
"A CT scan might cost $538 or $6,000," depending on whether a patient in a particular region goes to a hospital, outpatient facility, in-network, or out-of-network provider for the test, he noted.
Related Reading
| To upload an avatar photo, first complete your Disqus profile. | View the list of supported HTML tags you can use to style comments. | Please read our commenting policy. |
Subscribe to RSSResource Links
Related Webcasts
- Strategies for Managing Distributed IT Environments
- Forrester Total Economic Impact study of Midrange Storage
- Health Insurance Billing Strategies: Preparing for an Uncertain Future
- Learn how Kettering Health Network maximized clinician patient time by virtualizing clinician access to data
- Insurance Workforce Optimization: How To Work Smarter To Benefit Your Customers, Employees and the Bottom Line
This Week's Issue
Free Print Subscription
SubscribeCurrent Healthcare Issue
- InformationWeek Healthcare CIO 25: Our second annual honor roll of the health IT leaders driving healthcare's transformation.
- EHR Unreadiness: Only a small percentage of physicians planning to apply for Meaningful Use funds have e-health record systems capable of achieving most of the requirements. .
- And much more!
- Read the Current Issue
Related Whitepapers
- Fade or flourish? Rethinking the role of life sciences companies in the healthcare ecosystem
- The Case for Smarter Healthcare
- The value of analytics in healthcare: From insights to outcomes
- Redefining Value in Healthcare: Innovating to expand access, improve quality and reduce costs of care
- Redefining Value and Success in Healthcare: Charting the path to the future
Featured Resource
Learn More













