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

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

3. 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

4. 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

5. 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 (
From guroo.com – Change your location to a Florida city
From the new URL designated by Florida
Note: The Pre-Rule website will be rendered until the Post Rule website is launched

6. Post Rule Website: Highlights
Easily accessible from FloridaHealthFinder.gov

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

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

9. 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

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

11. Post Rule Website: Highlights cont.
Consumer Survey

12. Website Demo

13. Example of Commercial Price Data Set

14. 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 $ $
73560
Radiology Services - Minor X-ray
X-ray - Knee (1 or 2 Views) $ $
Step 2
36415
Laboratory Services
Collection of Blood by Venipuncture $ $
85025
Complete Blood Count - CBC Test $ $
85610
PT Blood Test
85730
PTT Blood Test
86900
ABO Blood Typing Test
86901
RH Blood Typing Test
86850
Antibody Screening Blood Test $ $
00470
DRG
0120
Hospital Facility - Inpatient
Major Joint Replacement 4
$ 30,000
$ ,000
01402
Anesthesia Services
Anesthesia for Total Knee Replacement
$ 1,500
$ ,500
27447
Surgical Care
Total Knee Replacement (TKR)
$ 2,000
$ ,000
99223
Physician Evaluation
Initial Inpatient Physician Evaluation (High Complexity) $ $
99232
Follow-Up Inpatient Physician Evaluation (Moderate Complexity) 3 $
Step 3
97001
Physical Therapy
Physical Therapy Evaluation $ $
97110
Exercises 12 $ $
97140
Massage and Traction 7 $
Step 4
99213
Office Visit - Established Patient - Moderate Complexity 2 $
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

15. Requesting Care Bundle Details
To request the Care Bundle details, please send an to:
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

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

17. Questions?