Opportunity to Provide Feedback on NYS PCMH and VBP is Right Around the Corner!

Price transparency is a hot topic in healthcare.  Patients are asking more questions related to the cost of their care.   Physicians are incorporating the topic into patient visits as part of whole-person care.  NYACP and ACP have supporting resources for addressing this topic.  The following are resources for the most common topics encountered in practice:

Getting the Conversation Started

• ACP Conversation Guide – Ideas and phrases to help guide the topic in a patient encounter.
• ACP Steps to Estimate Cost of Care – A template for planning a full course of treatment to help patients plan for costs.
• ACP Medical Treatment and Cost Planning Tool – Describes how to determine the cost of care. 

Finding/Getting Better Insurance Coverage

• Medicare Plan Finder – Compare Medicare and Medicare Advantage Plans along with expenses. 
• NY State Healthcare Marketplace – Compare commercial plans and expenses. 

Estimating and Planning Costs

• What’s Covered – An App for Medicare patients that provides information about coverage by service. 
• FAIR Health – A great place to get an idea of local pricing for services.  This is useful for uninsured patients and for dental estimates.
• GoodRx – Compare medication costs at local pharmacies and find alternatives.  Use it for your pet’s prescriptions, too!
• NYACP Donut Hole Handout – Help Medicare patients learn about and plan for their medication costs. 

Finding Assistance

• NeedyMeds – Search $4 generic lists, get a listing of patient assistance programs for medications, transportation and supplies.
• Community Health Advocates – Connect the patient with an organization that helps navigate insurance plans, surprise bills and find assistance programs. 

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