If you're like most people, you're taking more responsibility for your health care -- and picking up more of the tab. A growing number of Web sites can assist your efforts by showing how the price and quality of care offered by different providers measure up.
Insurer sites
Many health insurers have member sites, says Carlton Doty, a Forrester Research vice president and research director. Though their capabilities vary, most of the Web sites include educational content as well as information on average prices for procedures. If you're insured, you'll want to start your research here because the information should be most relevant to your situation, Doty says.Aetna Navigator, the member site of Aetna, for instance, lets members in more than 30 states compare prices charged by health care providers. For example, the overall cost of a colonoscopy at one surgery center ran $1,200 to $1,800. The same procedure at a nearby hospital was $2,240 to $2,800.
The figures are based on two years of claims data, from which any extreme outliers have been removed, says Wayne Gowdy, Aetna's senior product manager. The site also offers information on the number of procedures performed at a hospital or clinic over a time period, and it provides quality ratings. Aetna also offers a tool that lets members compare drug prices.
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Government sites
A number of states and the federal government host Web sites that provide price and/or quality information. For example, Wisconsin PricePoint lets residents of America's Dairyland search more than 100 procedures at hospitals and urgent-care centers. Use of the site is free.For each facility and procedure, the site lists the range of prices charged, as well as the number of procedures completed, and the average and median length of stay. The figures are based on data the hospitals are required to provide to the government, says Joe Kachelski, PricePoint's vice president. Though he and his staff double-check numbers that look out of whack, they don't eliminate outliers.
Again, the price differences can be significant. Case in point: Treating an ear infection at one urgent-care center runs about $111. It's $450 at an emergency room down the street.
Independent sites
A number of companies also operate sites. HealthGrades, for instance, assigns quality ratings of one, three or five stars to about 5,000 hospitals across the U.S., using data the hospitals submit to government agencies.To calculate the ratings, the HealthGrades team adjusts the information to account for differences in patient population, company Vice President Sarah Loughran says. For example, one hospital may serve a largely elderly population, and age usually affects patient outcomes.
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Then, Loughran and her staff will look at data on survival and complication rates, among other factors. Based on this, they'll run the numbers to determine whether a particular hospital, given its patient population, performed as expected (three stars), better than expected (five stars) or worse than expected (one star). Most of the information is free. The Web site also provides information on physicians and nursing homes.
For nearly all procedures, about 12% of hospitals earn five stars, another 12% get one star, and the rest come in with three stars, Loughran says. The differences among the ratings can be meaningful. A 2008 study by HealthGrades found that patients' chances of dying are 70% lower at top-rated hospitals than at lower-rated ones.
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