A New Transparency Tool From Anthem Blue Cross Blue Shield
Kudos to Anthem Blue Cross and Blue Shield of Colorado. They’ve launched a new online system called Anthem Care Comparison that is being touted as an industry-leading transparency tool. Anthem’s insureds in the metropolitan areas of Colorado can now see total estimated costs of 39 different medical procedures, including expenses for office visits and lab work. The information is specific to particular hospitals and outpatient surgery clinics, so members can really gain an understanding of how the costs compare from one provider to the next. This will be particularly helpful to members with Anthem’s Lumenos HSA-qualified policies, since the members have to pay for procedures themselves until the deductible is met.
Health care has long been an area where comparison shopping was a difficult task. When people have low deductibles and employer-sponsored health insurance, there isn’t a lot of incentive to shop around and compare prices on medical procedures. And even when a patient is paying out of pocket, it can be very difficult to get pricing estimates before a procedure is done.
As health care prices climb, and more people choose higher deductible policies in order to keep health insurance premiums affordable, comparison shopping will likely become more common in health care. But there has to be a resource for people - somewhere other than the EOB (which arrives after the procedure is done) - where patients can see how much they’re going to have to budget for health care. I’m thrilled to see that Anthem is making this a priority, and has introduced such a useful tool for their Colorado members. I hope that as time goes on, Anthem will expand their transparency tool to include more procedures, and that other health insurance carriers will get on board with similar programs. It’s time to lift the veil of secrecy that surrounds network negotiated pricing. Health care is too important - and way too expensive - for consumers to have to guess when it comes to pricing and picking a provider.

IMO, it is a token effort for transparency. They reveal the costs of 39 medical procedures but anyone that has a procedure knows the real cost will be 3-4 times that estimate. After all, you have to pay $10 for a bandaid and other itemized supplies and things. A real transparency occurs when a the cost of a medical procedure is given as a total, final cost.
The excuse given by clinics is that know one really knows how long a procedure will take or if there will be complications. So what!?
When I go to buy a t-shirt at a store, I don’t care how long it takes or if there were complications in its manufacture. I only care if the I receive the product I selected with quality customer service.
The same thing can be done in healthcare. Say a knee operation is given as $10,000 total, regardless of what happens or how long it takes. The doctor will make money by becoming more efficient. If something happens, they make less money. This is how the real world works. Most health care policy administrators have been living in a fantasy world for far too long thinking they can continue to receive blank checks.