The Alliance of Community Health Plans is calling for expanding and certifying voluntary price estimator tools offered by health plans.
On Tuesday, the trade group for not-for-profit plans presented a framework for certifying online tools that provide personalized, accurate and easily understandable price and quality information to consumers shopping for medical services. While many health plans and some hospitals already offer price estimators, there isn’t a certification process in place.
ACHP wants consumers to be able to see estimated out-of-pocket costs, relative to their current plan deductible and copays, for a wide range of services and providers in their local area. Price information would have to be updated at least monthly, and would extend to out-of-network allowed amounts.