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Healthcare Business
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New Healthcare Cost and Quality Estimator Tool Available from Blue Cross/Blue Shield of Florida

Blue Cross/Blue Shield members can now compare the cost and quality of health services before they receive them.

A new transparency tool, “Know Before You Go,” designed to help members navigate through the healthcare system, is now available from Blue Cross/Blue Shield of Florida (BCBSF). Available on the BCBSF website, the tool provides information based on hospital data reported by CMS, which is available to the public.

There are three categories a member may select within the tool: Imaging, Office Visit or Surgery. The tool is customized to a member’s benefits and takes into account deductibles, copays and/or coinsurance amounts and estimates how much a treatment or procedure will cost. In addition, the tool:

  • Allows a comparison of up to five providers in a single transaction
  • Uses real-time claim adjudication to estimate costs; and
  • Provides member-level estimated liability based on contracted benefits

Later this year, members will also be able to rate their provider experience through Zagat®, a patient rating tool, when using "Know Before You Go." Providers will be rated on the following six categories:

  • Personal information
  • Trustworthiness
  • Friendliness and caring
  • Communication skills
  • Availability
  • Facilities and environment

Members will also be allowed to anonymously enter comments regarding providers and the service(s) rendered. These comments will be screened prior to being posted. Members may update comments, but can rate a provider only one time for a specific visit.

While the tool provides estimated costs on the most commonly used health services, members can get additional estimates by calling BCBSF.

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Source: Blue Cross/Blue Shield of Florida, September 2011


Related stories:

New Healthcare Cost Institute to Offer Access to U.S. Payor Data

Global Economic Uncertainty Makes Affordable Healthcare a Challenge for Consumers Worldwide, According to Deloitte Survey


Healthcare Trends & Forecasts in 2011: Performance Expectations for the Healthcare Industry

The responses of more than 70 healthcare organizations to the seventh annual HIN Healthcare Trends and Forecasts survey, in which respondents ranked top-of-mind concerns for the year ahead and reported their organization's best and worst business decisions in 2010, are documented in this resource.

Healthcare Trends & Forecasts in 2011: Performance Expectations for the Healthcare Industry is available from the Healthcare Intelligence Network for $117 by visiting our Online Bookstore or by calling toll-free (888) 446-3530.



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IMPORTANT NOTICE: This information is designed to provide accurate and authoritative information on the business of healthcare. It is distributed with the understanding that Healthcare Intelligence Network is not engaged in rendering legal advice. If legal advice is required, the services of a competent professional should be retained.



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