Quarterly SCHIP Advisory Council Meeting Florida Price Transparency Initiative HCCI March 28, 2018

Outline FL Transparency Initiative Pre-Rule Site Post Rule Site Website Demo Datasets Next Steps

FloridaHealthPriceFinder (FHPF) Project Kick Off: April 2017 Website Development: June 2017 Ingest FL Medicaid Data: July 1, 2017 Pre-Rule MSA Website Launch: November 28, 2017 Post-Rule Facility Website Launch: ~4-6 weeks after the Rule is finalized Onboard Florida Blue and AvMed data once the Rule is finalized; this data will be displayed after the 2nd release of the website (timing TBD) Other payers’ data will be included in upcoming website releases

Pre & Post Rule Website Pre-Rule Website Post Rule Website Launched November 28, 2017 Estimated Launch early-mid May 2018 Co-branded site Data from Aetna, Humana, and United 24 month data period: 7/1/2013 – 6/30/2015; Trended to 7/1/17 24 month data period: 7/1/2014 – 6/30/2016; Trended to 7/1/18 National, State, MSA Level Prices National, State, County & Facility/Hospital Level Prices 295 Procedure Care Bundles

Accessing the FHPF Website Users can access the website 3 different ways: From Florida Health Finder - Access the site by clicking on the FloridaHealthPriceFinder link in the middle of the home page (http://www.floridahealthfinder.gov/index.html) From guroo.com – Change your location to a Florida city From the new URL designated by Florida https://pricing.floridahealthfinder.gov Note: The Pre-Rule website will be rendered until the Post Rule website is launched

Post Rule Website: Highlights Easily accessible from FloridaHealthFinder.gov

Post Rule Website: Highlights cont. Three Search Options to Find a Care Bundle of Interest

Post Rule Website: Highlights cont. Care Bundle Overview page displays Hospital and facility total prices along with other available geographic level prices for comparison

Post Rule Website: Highlights cont. Care Bundle Details page displays Hospital and facility step-level prices along with other available geographic level prices for comparison

Post Rule Website: Highlights cont. Commercial Price Data Set and Care Bundle Details Documentation

Post Rule Website: Highlights cont. Consumer Survey

Website Demo

Example of Commercial Price Data Set

Example of Care Bundle Details Document Knee Replacement   A B A X B Care Path ID Step ID Service Code Code Type Revenue Code Health Service Type Service Name Service Quantity/ Day(s) of Therapy Length of Stay (Inpatient) Unit Cost Example Total Cost TK001 Step 1 99203 CPT Specialist Consultation Office Visit - New Patient - Moderate Complexity 1 $ 100 $ 100 73560 Radiology Services - Minor X-ray X-ray - Knee (1 or 2 Views) $ 50 $ 50 Step 2 36415 Laboratory Services Collection of Blood by Venipuncture $ 5 $ 5 85025 Complete Blood Count - CBC Test $ 10 $ 10 85610 PT Blood Test 85730 PTT Blood Test 86900 ABO Blood Typing Test 86901 RH Blood Typing Test 86850 Antibody Screening Blood Test $ 15 $ 15 00470 DRG 0120 Hospital Facility - Inpatient Major Joint Replacement 4 $ 30,000 $ 30,000 01402 Anesthesia Services Anesthesia for Total Knee Replacement $ 1,500 $ 1,500 27447 Surgical Care Total Knee Replacement (TKR) $ 2,000 $ 2,000 99223 Physician Evaluation Initial Inpatient Physician Evaluation (High Complexity) $ 250 $ 250 99232 Follow-Up Inpatient Physician Evaluation (Moderate Complexity) 3 $ 300 Step 3 97001 Physical Therapy Physical Therapy Evaluation $ 75 $ 75 97110 Exercises 12 $ 70 $ 840 97140 Massage and Traction 7 $ 350 Step 4 99213 Office Visit - Established Patient - Moderate Complexity 2 $ 150 TOTAL $35,770 Step 1: An office visit with a specialist for a detailed evaluation and treatment of your symptoms Step 2: Inpatient surgery to replace a diseased or damaged knee joint with manmade parts Step 3: A guided physical therapy exercise program to reduce stiffness and improve range of motion in the knee Step 4: Two follow up office visits after you have left the hospital Trade secret, Confidential and Proprietary HCCI March 6, 2017

Requesting Care Bundle Details To request the Care Bundle details, please send an email to: carebundledownloadfl@guroo.com Requestors will need to sign a Request Form and acknowledge the Care Bundle License The license will be sent along with the Request Form Usage Requirements Entity/Individual will use the Care Bundle Details document solely to further the purpose of, and in a manner consistent with, Florida’s Act Relating to Transparency in Health Care (2016 FL House Bill 1175) and the regulations that may be promulgated thereunder

Next Steps Communications Education Enhancements Social Media Free Webinars FAQS Fact Sheets Enhancements Monitor feedback emails and Google Analytics Suggestions via word-of-mouth

Questions?