Turquoise Health

Our Turquoise Health Solutions Engineering team continues to expand! We've got two newly opened roles we're looking to fill: One Solutions Engineer to support our contracting platform through contract builds/modeling,?and another to support payer / provider customers on leveraging our data product offerings. We're looking for folks with a blend of demonstrated experience working with healthcare data & strong subject matter expertise in revenue cycle / managed care contracting. Check the roles out on our careers page!

Spencer Goodwin is back again to chat about everyone's favorite topic: #pricetransparency compliance ?? And thanks to Joe Wisniewski, they'll do it with strong jazz hand energy. In 60 minutes, Spencer and Joe will tell you everything you need to know to prepare for 2025 hospital price transparency rules. On September 5 at 2PM CT, they'll cover: - What rules go into effect 1/1/25 - How to best navigate the most challenging requirements - What you can expect over the next 12 months Register now: https://lnkd.in/gUb6texg

An all-company gathering with a group photo?!? Someone call Vogue. Seattle, thank you for hosting all 130+ of us who made it past the airport. Delta, you know what you did. Until next time! ?? #startup #nowhiring #healthcare

Early returns from the new 7/1 hospital transparency requirements show more organized data and more audits. Yesterday, a hospital was just fined $871K by CMS. Carol Skenes and I go into more detail in the blog post below. In short: we're seeing CMS establish the infrastructure for automated enforcement via website folders (TXT records), much like a red light camera would on your way to work. The hospital fined yesterday was found to be out of compliance for the old standards and not having their pricing listed on their website correctly. Previously, CMS audited 200 hospital files per month and sent out almost 3,000 individual notices to hospitals from 2021-2023. We'll know more about how these numbers are increasing soon. Link to blog: https://lnkd.in/gAZhBq3b

While you scrub fireworks and ice cream out of our eyes, why not also take a look at #pricetransparency compliance stats this fine Monday morning? From last Wednesday to today, the?number of new schema-compliant hospitals has more than doubled from ~12% ->?25.2%!?That's nearly 1,500 individual providers already in full compliance with the schema according to CMS's own validator. https://lnkd.in/gNNnhgVn

In a surprise to literally everyone, Oregon now claims the top spot in the race for #pricetransparency compliance. Home of Nike, looks like they finally decided to Just Do It. Alaska still not making the most of those daylight hours, languishing in 2nd place. Maybe they're more of a night owl? Iowa, briefly sitting pretty in 1st, is now resting on their laurels in 3rd place. Special mention to Washington DC for being the "state" in 4th place. While residents of DC continue their fight to become the 51st state, we're happy to bring Pluto back and finally give them a moment in the State sun. How do we think this will play out over the weekend?? https://lnkd.in/gNNnhgVn

We launched a Live MRF Tracker to celebrate yesterday's regulation effective date. This morning, we're seeing lots more systems joining the party already! Looking state by state, Alaska has taken the lead as the most compliant state (so far!) with Iowa, D.C., Oregon, and California trailing close behind in our top 5. Go check out which systems are making those numbers jump: https://lnkd.in/gNNnhgVn *Since results will show up in real-time as our team validates each hospital's files, keep hitting refresh to see those numbers change! #pricetransparency #compliance #hospitals

Nothing quite like a Monday to ring in some newly effective legislation! Today marks another round of updates to hospital #pricetransparency regulations that highlight even more transparency into the cost of care in the US While we tabulate the shoppable numbers, we encourage you to join us as we sit back and hit refresh every hour on the hour on our newest, real-time compliance indicator: the Live MRF Tracker https://lnkd.in/gZ_Bjk5h

What does it cost to have a baby in the United States? The answer has fundamentally changed as of today: July 1st, 2024. This question has always vexed me. I've tried unsuccessfully to prospectively price deliveries for others over the years with Price Is Right-like guesstimates of accuracy. Deliveries are expensive - anywhere from a couple hundred dollars, to a couple thousand, to over $10,000 depending on insurance and the complications (or lackthereof) of the birth. With 3.6 million babies born last year in the US, you might think we as a country should have this one figured out. We don't. About 67% of births in the US are normal vaginal deliveries. The remainder, generally, are C-Sections without major complications. Finally, there is a long tail of complex deliveries and NICU stays that require other clinical and insurance resources to kick in. Today, thanks to much needed updates in hospital price transparency regulations, the math for families welcoming babies gets a bit simpler. It's up to innovators to turn this new data into pre-visit, bedside, and post-visit experiences for patients that rival buying a flight on Kayak or booking a stay on?Booking. com. Here are the main updates: ?New data points emerge that make it easier to separate "no-nonsense pricing" from "complex math pricing." Patients, given the right tools, can opt for no-nonsense pricing experiences when they value peace of mind. ?New fields make it easier to compare payer and plan types, simplifying the ability to match prices to insurance cards. ?The new data format makes it leaps and bounds easier to enforce transparency compliance at a national level, leading to fewer gaps in data. Most importantly, sunlight continues to act as the best disinfectant. With the veil lifted on the math itself, hospitals and insurance companies can compete on pricing simplicity. What could it look like to offer an all inclusive delivery rate, regardless of professional fees, delivery method, or days in the hospital? What could it look like to inform a patient bedside that their stay is already included in a flat rate and they don't need to sweat every last charge? What could it look like to empower patients bedside to make basic cost-benefit decisions when they can save money with little to no risk on outcomes? How much could hospitals save if they didn't have to go after patient collections for bills sent weeks and months post-encounter? How would trust improve between patient and provider if the only mail received post-encounter was a congratulations card from the clinical staff? Before July 1st 2024, we could glimpse the potential for this type of patient experience but the math was still too fuzzy. Now, with higher resolution data available thanks to years of regulatory work and advocacy, it's time for Turquoise Health and others to step up for the 3.6M families that go through childbirth in the US every year.

That Friday afternoon "preparing for the weekend by browsing an analysis of CPI and commercial rate data" feeling ??