Heathcare Provider Data and State Disclosure

This report describes state and regional efforts to achieve transparency and disclosure of health costs and health quality measures.

Hospital charge data is available to consumers in a number of different ways.  State law governs the disclosure of hospital charge data in a variety of ways.  For example, states may require disclosure of the most common diagnoses, disclosure of charge information upon a patient’s request, or disclosure or posting of the hospital’s “charge master."  The most common requirement is for certain health care providers, including hospitals and physicians, to disclose charge information to patients upon request.  The map below shows the states that have such requirements and exactly how consumers may access to the charge information. 

The Insurance Law and Public Health Law include important protections for health care providers with respect to network participation, provider contracting, claims processing, prompt payment for health care services, and dispute resolution for surprise bills and bills for emergency services. Some protections apply to all HMO and insurance coverage, while others apply only to HMO coverage and to managed care coverage offered by insurers (which most insurers do not offer).* The Public Health Law also includes disclosure requirements for health care providers.

MedPro’s Concur Connect solution allows real-time data access to the 15 million record MedProID® database via the Concur Expense System, to provide and facilitate accurate data entry for expense capture in support of State Disclosure and Federal Reporting requirements.