State-sponsored price transparency programs for ophthalmic services

John C. Lin; Sophia Y. Ghauri; Dustin D. French; Ingrid U. Scott; Paul B. Greenberg

doi:10.1016/j.hlpt.2022.100679

State-sponsored price transparency programs for ophthalmic services

John C. Lin, Sophia Y. Ghauri, Dustin D. French, Ingrid U. Scott, Paul B. Greenberg^*

^*Corresponding author for this work

Ophthalmology

Research output: Contribution to journal › Article › peer-review

Abstract

Objectives: To characterize the information provided by state-sponsored price transparency programs and describe price variation for ophthalmic services. Methods: We searched for state-sponsored price transparency programs and reviewed all available information on ophthalmic services. Results: In total, 55% (6/11) of state-sponsored price transparency programs included ophthalmic services. Three provided nonfinancial value metrics, five provided prices by clinician organization, and none reported out-of-pocket costs, insurance costs, or prices by insurers for ophthalmic services. The median within-state price ratio was 3.65 (interquartile ratio [IQR]: 2.04–7.91). Mean prices for cataract surgery ranged from $2575 to $5097 and from $873 and $27,801.66 for retinal detachment repair. Discussion: Most of the eleven state-sponsored price transparency programs included pricing information for ophthalmic services. No programs provided specific out-of-pocket costs, insurance costs, or prices by insurers for ophthalmic services. There was substantial variation in prices for all included ophthalmic services within and between states.

Original language	English (US)
Article number	100679
Journal	Health Policy and Technology
Volume	11
Issue number	4
DOIs	https://doi.org/10.1016/j.hlpt.2022.100679
State	Published - Dec 2022

Keywords

Cataract surgery
Cost
Laser posterior capsulotomy
Price transparency
Websites

ASJC Scopus subject areas

Biomedical Engineering
Health Policy

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1016/j.hlpt.2022.100679

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title = "State-sponsored price transparency programs for ophthalmic services",

abstract = "Objectives: To characterize the information provided by state-sponsored price transparency programs and describe price variation for ophthalmic services. Methods: We searched for state-sponsored price transparency programs and reviewed all available information on ophthalmic services. Results: In total, 55% (6/11) of state-sponsored price transparency programs included ophthalmic services. Three provided nonfinancial value metrics, five provided prices by clinician organization, and none reported out-of-pocket costs, insurance costs, or prices by insurers for ophthalmic services. The median within-state price ratio was 3.65 (interquartile ratio [IQR]: 2.04–7.91). Mean prices for cataract surgery ranged from $2575 to $5097 and from $873 and $27,801.66 for retinal detachment repair. Discussion: Most of the eleven state-sponsored price transparency programs included pricing information for ophthalmic services. No programs provided specific out-of-pocket costs, insurance costs, or prices by insurers for ophthalmic services. There was substantial variation in prices for all included ophthalmic services within and between states.",

keywords = "Cataract surgery, Cost, Laser posterior capsulotomy, Price transparency, Websites",

author = "Lin, {John C.} and Ghauri, {Sophia Y.} and French, {Dustin D.} and Scott, {Ingrid U.} and Greenberg, {Paul B.}",

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doi = "10.1016/j.hlpt.2022.100679",

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AU - Greenberg, Paul B.

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Y1 - 2022/12

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AB - Objectives: To characterize the information provided by state-sponsored price transparency programs and describe price variation for ophthalmic services. Methods: We searched for state-sponsored price transparency programs and reviewed all available information on ophthalmic services. Results: In total, 55% (6/11) of state-sponsored price transparency programs included ophthalmic services. Three provided nonfinancial value metrics, five provided prices by clinician organization, and none reported out-of-pocket costs, insurance costs, or prices by insurers for ophthalmic services. The median within-state price ratio was 3.65 (interquartile ratio [IQR]: 2.04–7.91). Mean prices for cataract surgery ranged from $2575 to $5097 and from $873 and $27,801.66 for retinal detachment repair. Discussion: Most of the eleven state-sponsored price transparency programs included pricing information for ophthalmic services. No programs provided specific out-of-pocket costs, insurance costs, or prices by insurers for ophthalmic services. There was substantial variation in prices for all included ophthalmic services within and between states.

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State-sponsored price transparency programs for ophthalmic services

Abstract

Keywords

ASJC Scopus subject areas

UN SDGs

Access to Document

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