Transparency in Health Costs for Consumers Has Arrived

February marks the Annual National Wise Health Care Consumer Month. FAIR Health, Inc., the subject of this post and podcast, is joined by the American Institute for Preventative Medicine (AIPM) in helping to educate people on ways to be smarter and healthier consumers.

Photo, Robin Gelburd, CEO, FAIR Health, Inc.

Robin Gelburd, President, discusses her leadership role in FAIR Health to provide consumers and businesses with transparency in health costs.

FAIR Health, Inc., is a national, independent not-for-profit corporation whose mission brings transparency to health costs and health insurance information through comprehensive data products and consumer resources. FAIR Health uses its database containing billions of billed medical and dental services to power a free Website that enables consumers to estimate and plan their medical and dental expenditures.

With continually rising health insurance premiums, deductibles, and co-payments, the FH Consumer Cost Look Up (www.fairhealthconsumer.org) is user-friendly and can help consumers do something new: navigate and negotiate fees with health providers. This will increasingly be done by even those with employer-provided health insurance seeking out-of network provider services and making health choices outside their plan.

FAIR Health arms consumers and businesses with the average costs associated with medical procedures and tests by locale.

The Website also offers clear, unbiased educational articles and videos about the health insurance reimbursement system. In addition to its consumer offerings, FAIR Health licenses data products to businesses, governmental agencies, health providers and researchers. With its professional staff of experts in health, statistics, technology and communications, FAIR Health strives to offer accurate, consistent and timely information to stakeholders in the health system.

President Robin Gelburd discusses the creation of FAIR Health in October of 2009, as part of the settlement of an investigation by then New York State Attorney General, Andrew M. Cuomo, into the health insurance industry’s methods for determining out-of-network reimbursement. The Attorney General alleged that it was a conflict-of-interest for health insurers to determine “usual, customary and reasonable” (UCR) charges for out-of-network services on the basis of data compiled and controlled by the industry. Allegations charged that the data was flawed, and that the database was a “black box,” opaque to providers, patients and other stakeholders. FAIR Health was formed to take over and improve the database and to bring transparency, objectivity and reliability to its construction and to the data products derived from it.

Podcast (19 Minutes) Transparency in Health Costs for Consumers Has Arrived
[podcast]http://seen-heard.com/blog/audio/Transparency.mp3[/podcast]

Bio, Robin Gelburd
FAIR Health Inc., Website Home Page
FH Consumer Cost Look Up

American Institute for Preventative Medicine (AIPM)

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