MinuteClinic price list gives cash prices for hundreds of services or tests, many priced in the $99 to $139 range. MinuteClinic is owned by CVS Pharmacy. Published list prices range from $99 to $139 for strep throat, plus $35 for the strep throat test. Sport physical $69, but summer “special” $49 during July to September 2020 only; seasonal flu shot $50 or $70; Vitamin B12 injection $35; pregnancy test $25 (pregnancy evaluation is $89 plus test costs). Other prices include costs for bug bites, skin rash, ear wax removal ($89-$99, possibly per ear); A1c checks, Shingles vaccine $179, urinary tract and bladder infections (up to $139); flu test for influenza A & B $70 to $100; monitoring or treatment for high blood pressure or high cholesterol; one-time medication renewal $99 to $139; HPV vaccination at $250 each; and many more. Services available in 33 states and DC, including AZ, CA, IL, TX, FL, New York, New Jersey, MN, WI, PA, OH. Current 2020 prices are listed, but are subject to change. Updated July 2020. Clinic wait times are also shown on the clinic locator.
Look up your nursing home to see how many confirmed COVID-19 cases and deaths occurred among residents and staff as of January 3, 2021. CMS (Centers for Medicare & Medicaid Services) reports that nearly 523,000 nursing home resident confirmed cases have occurred nursing homes. Some nursing homes may not have reported data yet. The nursing homes that did report also indicated 102,000 Covid deaths had occurred. More than 448,000 staff have also contracted Covid. The report is expected to be updated weekly. Scroll down to “Related Content Using this Data”. or use the filter in the Nursing Home Dataset , using the name of the facility. You must click on Apply, in order for the filter to work. Not user-friendly.
Additionally, CMS conducted special surveys on over 15,000 nursing homes as of November 20 (all but 7 of more than 15,300 of US nursing homes.) The targeted inspection reports on nursing homes are not available for reading, but key statistics may be in the nursing home profiles in the Dataset. Published by the federal government.
Compare Pennsylvania nursing care facilities and inspection reports. This site by the PA Department of Health allows a search for nursing homes by county, city, or zip code radius. Find out about inspection survey results and citations. It can be difficult to find citations from the full licensure surveys, unless you know the date of the survey. Shows nursing hours per resident per day at each nursing home. Updated 2021.
Pennsylvania financial reports for hospitals and ambulatory surgery centers, 2019, by PHC4. Annual reports of financial health show facility-specific net patient revenue, total and operating margins. Acute care hospitals had an average operating margin of 5.63% in FY 2019. Volume 1 is general acute hospitals (2019 data available); Volume 2 is Ambulatory Surgery Centers (2018 data); Vol. 3 is “non-general” rehab, psych and long-term hospitals (2018 data). By PHC4, Pennsylvania Health Care Cost Containment Council, updated April 2020.
Find inspection reports for personal care homes or assisted living facilities in Pennsylvania. The directory is operated by the PA Department of Human Services. The licensed assisted living facility directory provides addresses, and inspection or violation reports. Includes facility size and whether non-profit or for-profit. Search by county. Updated 2021.
Pennsylvania Cardiac Surgery, by hospital & surgeon 2016, lets you compare hospital ratings or cardiac surgeons (by name) side-by-side. Cardiac (heart) Bypass surgery (CABG) and heart valve cases for 27 months 2014-2016. Risk-adjusted Mortality (survival) rate and readmissions, open heart surgery volume, length of stay in hospital, and average charges (price). Case volume and performance ratings by surgeon’s name are shown in separate reports. Survival rates for CABG without valve were high (1.5% mortality) in 2015. In 2014, Medicare paid an average of $44,246 for a valve procedure, about the same they paid in 2011. Average charge for a valve procedure was $221,000. Report by PHC4, the PA Health Care Cost Containment Council, Jan. 2017.
Find a licensed healthcare facility or home health agency in Pennsylvania. Use the directory or locator to search by county for an Ambulatory Surgical Center, Birth Center, Community Mental Health Center, FQHC, Outpatient Rehab, End Stage Renal Disease, Home Health Agency, Home Care, Hospice, Hospital, Intermediate Care for Individuals with Intellectual Disabilities, Nursing Home, Pediatric Extended Care, Speech and Physical Therapy, Abortion, Psychiatric Residential Treatment Facility, and Rural Health Clinic in PA. Many of the sites have links to facility-specific inspection survey reports. Pennsylvania Department of Health
Pennsylvania daily room rates in 2019 for hospitals are provided in Table 13, under the Individual Reports. The Excel file shows the per-day charge (price) of a PA hospital inpatient room. Median rate is about $2,100 cost per day for a private hospital room. Range goes up to nearly $10,000 per day. Nine hospitals had average daily room rates over $7,000 per day. Daily room rates do not include any surgery, lab or imaging tests, or doctor fees, so use information with great caution. Rates are in an Excel file. From Pennsylvania Dept. of Health, Dec. 31, 2019 prices.
Find hospital performance reports in Pennsylvania for 2018, through PHC4. Compare PA hospitals on Mortality Rating (relative survival rate), Average Charge (price), and Readmission rates. Seventeen (17) conditions in the reports include heart failure, abnormal heartbeat, heart attack, angioplasty and stent, pneumonia, stroke, intestinal obstruction, COPD, colorectal surgical procedures, diabetes, kidney failure, urinary tract infections, sepsis, chest pain, and respiratory failure. Grouped by region. As an example, there were nearly 73,000 sepsis cases in Pennsylvania in 2017-2018, with an average mortality rate of 8.7% (a great improvement from 5 years earlier), and an average charge over $57,000; about 18% were readmitted. There were 22 hospitals that had worse mortality than expected for sepsis; and 17 hospitals that had significantly lower mortality than expected. Symbols for Mortality ratings can be confusing – a higher mortality rating means worse survival. Older reports may have laparoscopic gallbladder removal information. No orthopedic (hip or knee) surgery included. Data from Oct. 2017 to Sept. 2018, published by the Pennsylvania Health Care Cost Containment Council (PHC4), November 2019.
Pennsylvania Hospital Utilization Report by County, through at least 3rd quarter, 2019. Quarterly Inpatient Market share for PA hospitals (number of cases and percent of charges or patient days) is shown in the Utilization Reports by county. Overall statewide market share by hospital is also shown. Reports by the Pennsylvania Health Care Cost Containment Council.
Annual report for 2019 from the Pennsylvania Patient Safety Authority provides an analysis of over 284,000 reportable events, such as complications of procedures, falls, skin integrity (e.g. bedsores), medication errors and complications of procedures or tests. Both Serious Events and Near Misses (Incidents) in hospitals, ambulatory surgery, birthing centers and nursing homes are included. Aggregate data only, no hospital names. PA the first state in the US to require reporting of near misses. Report released in 2020 or 2021.
Medical license lookup for Pennsylvania physicians. License verification for PA doctors. Select State Board of Medicine or State Board of Osteopathic Medicine in the Professions drop-down menu box, depending on whether you’re looking for MD or Doctor of Osteopathic Medicine. Can search separately for disciplinary actions. Site by the Pennsylvania Dept. of State Bureau of Professional and Occupational Affairs co-mingles all licenses.
U.S. News 2020 list of best nursing homes use federal government CMS star ratings and quality measures from the CMS data in July 2019. Fewer than 3,000 nursing homes gained Top Performing status, out of more than 15,000. The top rated nursing homes selected by US News had to be high performing for either short-term rehab care, or long-term care, or both. Just 420 nursing homes qualified as top performing for both. There were 784 nursing homes that were categorized as Below Average for both short and long-term care. The methodology changed in 2019, and may not be compared to prior top nursing home lists. Also, consumers should check Nursing Home Compare ratings, which may show star ratings that are quite different than (possibly even opposite to) the US News ratings. Information on nursing homes from NursingHomeCompare published by US News. Updated October 2019
Pennsylvania Total Hip and Knee Replacements Cost and Quality. 2016 report shows hospital complication rates for hip & knee replacements in 2014. Statewide, the rate was 2.2% for knees and 2.8% for hip complications. The older 2015 report shows 2013 volume and readmission rates by hospitals in Penn. Average PA hospital charges also shown, with 2013 prices (excluding surgeon fee) at $52,912 and $55,493 for knees and hip replacements, respectively. Consumers may wish to add about 22% medical inflation to translate to 2020 dollars. Separately, consumers can find surgeon volume and what Medicare paid (less than 25% of the average charge) in 2012. The orthopedic reports by PHC4 are quite dated.
County Health Rankings 2021 for all states, lets consumers compare your county’s health status to the rest of your state. It provides the latest results for smoking, obesity, alcohol use, flu vaccination rates, preventable hospital stays; primary care, dentist and mental health provider rates, percent uninsured (as of 2018), alcohol impaired driving deaths, severe housing problems, social associations, and much more. The data reflect available results from 2017-2019. Consequently, the impact of COVID-19 is not directly included in the rankings. Very interesting information on health behaviors and health outcomes. Robert Wood Johnson Foundation and Univ. of WI Population Health Institute
Annual United States Chartbook on Health is a report on trends in health statistics. Publication: Health, United States, 2019 edition, by the National Center for Health Statistics (NCHS). Chartbook contains text and figures showing long term trends in the health and healthcare of Americans; most data to 2018; 49 trend tables; 20 figures with charts. Published by CDC 2021
Kaiser State Health Facts provides individual state profiles and for the US as a whole on a variety of healthcare subjects. Compare states on health status, health insurance coverage, costs, minority health, and more. Covid-19 cases, deaths and testing have been added to the Health Status category in 2020. In the Demographics and the Economy category, find information on population, poverty, income, employment, state budgets, taxes, voting and voter registration. From the highly respected and trusted Kaiser Family Foundation; Dates vary from 2015 to 2020
All states are ranked by The Commonwealth Fund in this 2020 State Scorecard on Health System Performance. Interactive database to see just your state. Better yet, check out who is at the top of the list: Hawaii, Massachusetts, Minnesota, Iowa, Connecticut,Colorado, Vermont, Washington, Utah and New York. Data periods vary; most are current to 2018; 49 measures that cover access, affordability, prevention, treatment, potentially avoidable hospital use and cost, and healthy lives. Published September 2020.
State-by-state snapshots from AHRQ details quality and disparities in healthcare in your state. How does your state rate? State snapshots show strengths, weaknesses and opportunities for improvement in health and healthcare, based on data from the National Healthcare Quality and Disparities Report (NHQDR). Updated annually by the Agency for Healthcare Research and Quality, although dates are not clear unless you drill down to the specific measure.
HealthGrades gave 2021 Bariatric Surgery excellence awards to hospitals in 13 states for top quality in Bariatric surgical procedures; 16 states were studied with 13 states (FL, IA, IL, MD, NV, NJ, NY, OR, PA, TX, VA, WV and WI), having excellent hospitals. Inpatient complication rates in 16 states were studied using all-payer 2016-2018 data. Pub. 2021
Find an accredited ambulatory health care facility or surgery center. AAAHC, the Accreditation Association for Ambulatory Health Care is a nonprofit that currently accredits over 6,100 organizations in a wide variety of ambulatory health care settings, including ambulatory and office based outpatient surgery centers, community health centers, endoscopy centers, lithotripsy centers, some managed health plans, medical group practices, retail clinics, urgent care centers, specialty services, and workplace clinics. (See also Joint Commission website for hospital-owned ambulatory surgery center accreditation.)
Find accredited healthcare facilities in all states, by The Joint Commission (TJC). TJC is formerly JCAHO – Joint Commission on Accreditation of Healthcare Organizations. It accredits hospitals and other healthcare organizations. Quality Check provides accreditation and comparison information for hospitals, behavioral health care, home health/hospice, laboratories, some nursing homes (called nursing care centers) & assisted living centers, and other health care services. A few actual scores for acute care hospitals and behavioral health (mental health) programs may be available for 2018. For nursing homes, consumers are advised also to check state inspection reports . We recently discovered a 1-star Florida nursing home (the lowest possible rating in the state) had been accredited by the Joint Commission. Consumers are always advised to check multiple sources and ratings when researching quality of care. Conflicts in scores may suggest quality is not consistent.
List of Accredited heart care centers from the nonprofit American College of Cardiology (ACC). The ACC accreditation program includes the Chest Pain Centers program previously within the Society of Cardiovascular Patient Care and the Society of Chest Pain Centers (both known as SCPC.) Some accredited centers have PCI (percutaneous cardiac intervention). Must meet emergency department requirements and standards for timely diagnosis and treatment. List is interactive by state or type of accreditation, including atrial fibrillation (A Fib), cardiac cath, chest pain center, heart failure, heartCARE center and more. Shows location of each hospital. Consumers might be surprised to learn that their favorite hospital’s heart program is not accredited.
Find accredited hospitals and facilities through the Healthcare Facilities Accreditation Program. HFAP, founded by the American Osteopathic Association, lists names of acute hospitals and their laboratories, critical access hospitals, office-based and other ambulatory surgery centers; behavioral health, and primary stroke centers, that are accredited under the HFAP program. Competitor to the Joint Commission. Search function is not very user friendly.
The Acupuncture Referral Service helps consumers find an acupuncturist in the United States. List of people who do acupuncture, by city, zip code, or state. Note, some people mention their license; others do not. Consumers may wish to verify whether the practitioner is licensed, by contacting their state licensure site. Additionally, some people are listed twice in the directory.
Find an affordable clinic for primary care, mental health or a dentist. List from HRSA, shows federally funded community health centers that provide primary medical care, pregnancy care, physician office visits, immunizations, dental care, mental health and other services, regardless of ability to pay. Search by state, county or zip code. Every state appears to have special clinics for those without insurance. Federally qualified health centers (FQHCs) have sliding fee scales for people up to 200% of poverty level. Perhaps one of the best healthcare programs in the United States, and not that many people know about it.
Find an ALS center or clinic that is certified. The ALS Association is a non-profit dedicated to amyotrophic lateral sclerosis (“Lou Gehrig’s disease”). They select, certify and support regional ALS centers and clinics they recognize as the best in the field; and which have neurological diagnostics and imaging, and available certain on-site licensed and certified ancillary services. As of October 2020, they listed 188 certified ALS clinics.
American Medical Association (AMA) Doctor Finder site provides information on members of the AMA first, but also lists information on non-member physicians. Site reports over 814,000 physicians listed, and if they are members of the AMA, shows a detailed profile with board certification as well as training. Click on non-members to see full list. May show whether physician is Board-certified or not.
Find average charge for about 80 outpatient ambulatory surgery procedures done in hospitals in 2007 (excluding surgeon’s or other physician fees.) Consumers will need to adjust the 2007 prices to estimate 2020 costs; add at least 48% for a rough estimate. Overall average was $6,100, compared to nearly $40,000 for inpatient surgery. In today’s 2020 medical dollars, that would be over $9,000 vs. $59,000. Average colonoscopy & biopsy price in 2007 was $2,369; upper GI endoscopy $3,131; cataract & lens was $4,870; tonsillectomy $5,286; knee cartilage $7,357; hernia repair $8,187; outpatient gallbladder removal (cholecystectomy) $10,838; breast biopsy $3,863; lumpectomy $7,458; ear tube surgery (myringotomy) $3,547; D&C $6,366; arthroscopy $8,970; incontinence procedures $9,929; varicose veins $8459; bunionectomy $7699; wrist fracture $7,807; $4,770 for circumcision. AHRQ Statistical Brief #86 published February 2010 unfortunately still has not been updated by the federal government. No longer Editor’s Pick
HealthGrades 2021 list of America’s Best Hospitals shows their choice for the top 50 hospitals and 100 best and top 250 hospitals in the US. List is based on clinical quality for Medicare patients over 3 years ending 2019. It shows which hospitals have held clinical excellence in consecutive years over “an extended period of time” (top 1%), and those in the top 2%. The 250 best hospitals (top 5%) were formerly known as receiving the Distinguished Hospital Award for Clinical Excellence. HealthGrades examined complication rates or survival rates for 32 diagnoses (such as heart failure, COPD, pneumonia, stroke, diabetes, pancreatitis, sepsis) or surgical procedures (such as hip or knee replacement, gall bladder removal, back surgery, bowel obstruction, prostatectomy, angioplasty, valve surgery, and heart bypass). Hospitals are listed by state; about 39 states had hospitals that ranked in the top 5%. Published Feb. 2021
Find out what your doctor’s specialty is by checking his/her certification at the American Board of Medical Specialties (ABMS). ABMS is a highly-regarded, not-for-profit organization comprising 24 medical specialty boards, that oversees physician certification in the US. See whether your doctor is board-certified in his/her specialty (such as Internal Medicine, Pediatrics, Family Medicine, OB/GYN, Surgery, Orthopedics, Emergency Medicine, Radiology, etc.) and in his/her subspecialty (such as Cardiovascular Disease, Geriatric Medicine, Oncology, Endocrinology, Neonatal Medicine, Pulmonary Disease, etc.) Click on Is Your Doctor Board Certified on the certificationmatters.org page (sponsored by abms.org). Registration (free) is no longer required, but well worth it if required in the future. We encourage visitors to use the site.
Use the American Dental Association (ADA) Directory to find a dentist near you. This database helps you find a dentist who belongs to the American Dental Association. Brief listing shows name, practice specialty, location and contact information. Some listings show where the doctor received dental education, and which insurances are accepted.
The American Hospital Directory at ahd.com shows average charge and average cost for many hospital outpatient services. Charges and average costs for the 20 outpatient Ambulatory Payment Classifications (APCs) that made up the highest Medicare outpatient payment to each hospital. Critical access hospitals are excluded. List varies by hospital. Top 20 procedures may include volume (number of claims) and cost for colonoscopy, laparoscopy, CT, MRI, clinic and emergency (ED or ER) visits, x-ray tests, upper GI, lower GI endoscopy, arthroscopy, cataract with lens, angiography, echocardiography, hernia repair, infusion therapy, nerve injection, observation services, outpatient cardiac catheterization, ultrasound. Scroll to bottom of the hospital page to find Outpatient Utilization Statistics. Some rural critical access hospitals may not show any outpatient test and visit prices. Also shown: inpatient market share by local zip code; net income. Link is to the Free Hospital Information
What are the average costs for assisted living, home health, and nursing home care in 2020? According to Genworth, the typical cost for home health aide in a licensed agency was $24 per hour nationwide (median). A homemaker cost was slightly lower. The highest hourly cost for a home health aide was in Minnesota, at $33 per hour (median). Three other states also were at least $30 an hour: Hawaii, Rhode Island and Washington. The lowest rate was in Louisiana, at $17.
A private one bedroom Assisted Living facility cost more than $51,000 per year ($4,300 per month), though assisted living cost about $80,000 per year in Delaware, New Hampshire and New Jersey. The Semi-private nursing home median room rate in the US was $255 per day (more than $93,000 for a full year); $290 per day for a private room. Rates vary greatly across the states. In Alaska, the median price for a semi-private room in a nursing home was a whopping $1,230 daily rate. More than half (26) of the states and DC have an annual median cost for a semi-private nursing home room at over $100,000 per year. All states listed; adult day care and homemaker rates also shown. Survey by Genworth Financial (CareScout) in July and August 2020; published December 2020.
Find the average health insurance cost for each state in 2019. The Kaiser Family Foundation (KFF) shows average Single, Family and Employee Plus One health insurance premiums and deductibles using MEPS data for 2019. For US employer coverage, the average Single premium cost was $6,972 ($581 per month), and the average Family premium cost was $20,486. Average Family premiums topped $20,000 for the first time. Arkansas had the lowest Single premium rates ($6,054), followed by Mississippi ($6,199). Alaska had the highest average single premium cost at $8,933. Family rates were lowest in Alabama ($17,734); highest in Alaska ($22,969).
Deductibles: Single deductibles averaged $1,931, up 4.6%. Hawaii had the lowest single person deductibles again in 2019, averaging $1,264. Washington DC had an average $1,306 single deductible. These were the only two that had average deductibles under $1,500. The highest average deductible for a single plan topped $2,500 (Montana). Family deductibles averaged $3,655, ranging from $2,619 in Hawaii, to $4,615 in Tennessee.
Amounts paid by Employers: On average, employers paid 79% of the single premium cost, and paid 72% of the family premium. Employees paid the difference: 21% of single premium cost and 28% of the family monthly premium. See specifics in each state. MEPS is the Medical Expenditure Panel Survey. Updated September 2020.
The 2019 average health insurance premiums and amounts of employee contribution are shown for selected cities and metropolitan regions. MEPS table IX.A.2 shows annual premium costs for single, single-plus-one, and family coverage for private-sector businesses. Only 3 areas had average single premiums under $6,000 per year. Average single premiums in many parts of the country continue to exceed $8,000. Anchorage Alaska had an average single premium of $9,530. Lowest single rate $5,605 was in San Antonio-New Braunfels, Texas. Average employee-plus-one premiums were over $11,000 across the US; just one exception was the San Antonio area, where premiums for employee-plus-one cost $10,894. The New Haven-Milford, Connecticut employee-plus-one rate topped $17,000. Family premiums were best in Virginia Beach-Norfolk-Newport News, VA and Fargo, North Dakota at just over $17,000 per year. Family premiums were highest in parts of New Jersey, nearing $25,000. Average Single contribution was under $2000 across the US. Coverage levels and plan design will vary. Data from MEPS, the Medical Expenditure Panel Survey, Insurance Component.
The Behavioral Health Facility Locator helps consumers find a treatment clinic or facility for mental health, alcohol, drug, and substance abuse treatment center “near me”. Search up to a 200-mile radius or more, including crossing state lines. The Detailed search allows specifying outpatient, inpatient, residential treatment, or a mix of mental health and substance abuse services, and permits a full national search. Site by the federal Substance Abuse & Mental Health Services Administration (SAMHSA).
If you’re looking for the Best Cardiac Surgery hospitals, consider these ratings by STS – the Society of Thoracic Surgeons. Compare hospital ratings for cardiac surgery in your state. Many hospitals voluntarily report their results, which are posted here for adult coronary artery bypass graft (CABG), valve replacement, congenital heart surgery and lobectomy for lung cancer. Most results cover the time period through June 2019. Most hospitals get two stars for “as expected” performance. Outstanding hospitals get 3 stars; under-performing hospitals get 1 star. Search by state or name of hospital to find the best. Excellent website. The Society of Thoracic Surgeons is a not-for-profit organization representing more than 7,500 surgeons and others dedicated to ensuring the best possible outcomes for surgeries of the heart, lungs, esophagus, and other surgical chest procedures.
The Blue Cross and Blue Shield companies have designated national Blue Distinction Centers meeting their standards and selection criteria for bariatric weight loss surgery, cancer care, cardiac (heart) care, fertility care, organ transplants (e.g. adult and pediatric bone marrow/stem cell, heart, lung, liver), pancreas (adult only) transplants, total knee and hip replacement, maternity care, spine surgery, Substance Use Treatment and Recovery (new in 2020), cellular immunotherapy, and gene therapy for ocular disorders. Quality criteria can be found from the home page. In addition to Blue Distinction Centers, the Blue Distinction+ (Plus) designates high quality centers considered to have “more affordable care”. (No further information is available on prices.) Interactive database; updated 2020.
CareChex by Quantros lists the 2021 top hospital in each state for Medical Excellence. No methodology is shown at the website. (Some of your questions may be answered by a chatbox person. Last year’s 2020 awards were based on data from CMS, from Oct. 2015 to Sept. 2018; HCAHPS patient satisfaction survey scores may or may not be included in the scoring). In addition, five health systems were selected for excellence. Winners were announced Oct. 1, 2020. CareChex is a division of Quantros, a for-profit software solutions company. The company appears to be a competitor to HealthGrades or Watson Health (Truven).
Find certified mammography facilities near you. Searchable list of nearly 8,700 mammography facilities by zip code or state that are certified by the Food and Drug Administration (FDA) or Certifying State. The facilities must meet baseline Mammography Quality Standards for equipment, personnel and practices. Use the complete state list (sort by city) if you want a mammogram in another zip code – or you will likely miss some nearby facilities. As of October 2020, just 75% of facilities had been inspected, likely slowed down due to the Covid pandemic; 87.5% had no violations, according to the MQSA Scorecard Statistics. About 40 million mammograms are done annually.
CMS lists nursing homes in any state and District of Columbia that have a history of serious quality problems. These Special Focus Facilities (SFF) have been officially entered into the federal government’s SFF program to monitor care. Homes on the list may have a history of “yo-yo” compliance, with a good survey followed by substandard quality on the next, thus unable to sustain good care. Some nursing homes are listed as Showing Improvement or having graduated out of the program. In addition, last year, CMS added hundreds of nursing homes (7 pages) that are candidates for the SFF program, based on quality issues over the prior 3 years. Up to 30 nursing homes per state are on the Special Focus Facility Candidate list. Updated July 29, 2020.
Commission on Cancer Hospital Locator shows Accredited Cancer Programs. The Commission on Cancer search tool helps you find Cancer Centers or Surgeons. Search by zip code (or city and state) and up to a 100 mile driving distance. Facilities are accredited by the Commission on Cancer (CoC) of the American College of Surgeons. Accreditation of a cancer center is based on ability to comply with established CoC standards.
Find and compare performance levels of nearly 1400 federally qualified community health centers (FQHCs) in each state. Together, they served nearly 30 million patients in 2019. Ratings on clinical measures include diabetes, hypertension, prenatal care, low birth weight, asthma, childhood immunizations, depression screening, weight management, dental sealants, cervical cancer screening and more. See Clinical Data section for three-year trends on “Awardees”. Altogether, the health centers have about 12,000 different sites across the US. They receive federal money to lower the price to low income patients. They are locally owned and managed. Services include primary medical care, dentist services, and mental health care. Excellent program if your community is lucky enough to have a community health center. UDS data from 2019.
Find the cost of assisted living, home health aides and nursing homes from this 2015 study. Northwestern Mutual surveyed assisted living facilities, home health agencies and Medicare-certified nursing homes in all states and DC in 2015. Average rate for assisted living was $4,383 per month ($52,591 per year). Average daily rate for nursing home private room was $273 per day; home health aides averaged $26 per hour, but ranged from $18 per hour to $43/hr. depending on city
The Dartmouth Atlas of Health Care highlights the wide variations in how health care is delivered across the United States. The project is run by Center for the Evaluative Clinical Sciences at Dartmouth Medical School. Online tool provides comparisons by geographic region (state, HSAs-Hospital Service Areas, or HRR-Hospital Referral Region) for Medicare healthcare use (data through 2015). While the tool is relatively easy to use, the conceptual understanding of the reports requires technical sophistication. In 2020, the number of COVID-19 cases in the past 14 days is shown for each region. A timelapse map of the growth in COVID cases in the US, total cases and deaths are also shown by region.
Compare services and ratings on kidney dialysis facilities in any state or US territory, by Medicare.gov. Compare kidney dialysis centers from Fresenius, DaVita, US Renal Care, American Renal Association, Dialysis Clinic, Satellite Healthcare, Mayo, and more. They are all here. Quality measures show relative survival among facilities and quality of care provided to Medicare patients at hospital-sponsored centers, nonprofit and for-profit dialysis centers. Patient satisfaction results also shown for each dialysis center. Time periods covered vary (and are difficult to find), generally 2018 or 2018-2019. Resources on kidney failure and end stage renal disease (ESRD) also linked. Updated 2020.
The Directories website at MedlinePlus may be the only directory mega-list you will ever need. Directory links for doctors, dentists, hospitals, chiropractors, psychologists, hospice programs, and more. Extensive list of directories, although some sites only list those who are members of their association, and do not list others who may be licensed in that field. Specialized directories (e.g. Find an Eye MD, Directory of Asthma Camps, Sleep Centers, or Alzheimer’s Disease Research Centers) can also be located here. Five pages of listings
Directory of hospitals in America is alphabetical; or search state-by-state. Comprehensive hospital index of over 6000 hospitals prepared jointly by the American Hospital Association and US News & World Report. Search by location. Descriptive information, and links to hospitals’ websites. Includes Guam, Puerto Rico. Well-maintained site. However, we removed the Editor’s Pick when we discovered an Orlando Florida hospital marked as “high performing” for knee replacement, only to find “worse than average” survival rating for knee replacement patients. Read carefully.
Patients may review and rate anyone called Doctor (such as chiropractors and dentists) in the US and selected countries at this site: RateMDs.com. As of November 2020, few physicians had more than 30 patient ratings. Most physicians only have one patient rating. Doctors are rated on their staff, their punctuality, helpfulness and knowledge. Unable to sort list by rankings or number of ratings. Consumers may add a comment. Be VERY CAUTIOUS in using these ratings as the results may NOT be valid.
Estimates of the number and percent uninsured under age 65, by state and county for 2018, provided by the U.S. Census Bureau. Small Area Health Insurance Estimates (SAHIE) released April 2020. Once you’ve located your counties of interest, click on it to see the actual numbers and recent trends. The first year that subsidized insurance was available on the health insurance exchange was 2014. Uninsured rates in the US declined steadily from 2013 when the uninsured rate was 16.8% through 2016 when it reached a low of 10.0%. Since 2016, the percent uninsured has crept up slightly to 10.4% in 2018. Compare your county’s rate to your state and the US.
Find Fertility Clinic Success rates in ART clinics (Assisted Reproductive Technology) in the US and Puerto Rico. This 585-page report is by the CDC in conjunction with Reproductive Medicine societies. Shows success rates by age of woman, and both fresh and frozen embryo transfers (nondonor and donor eggs). One-page summaries for each of 448 fertility clinics reporting 2017 data. Approximately 1.7% of all infants born in the United States every year are conceived using ART. Nationally, for women under age 35, 48.5% of transfers using their own eggs resulted in live births. Success rates declined with age of woman. Success rates for ART transfers using frozen embryos from a donor resulted in live births 46.5% of the time (women of all ages combined). In evaluating fertility clinics, consumers can see how large or small the reproductive program is in any state. Published Oct. 2019.
Find a doctor at Physician Compare, at the Care Compare Federal government website (medicare.gov). This bare-bones site lists many physicians by city and specialty, including podiatry. Not too much information, usually less than you get at a state’s licensing site. Maybe in the future it will contain useful quality comparisons. In addition, not all licensed physicians are included. Some nurse anesthetists, psychologists, social workers, therapists, nurse practitioners, physician assistants & audiologists may be included. Find them by using the Keyword box.
Use the online directory to find a board-certified plastic surgeon for your plastic surgery such as breast augmentation or breast reduction, eyelid surgery, facelift, botox or hyaluronic acid injection, laser hair removal, liposuction, nonsurgical fat reduction, nose surgery (rhinoplasty) or tummy tuck. Web site by The Aesthetic Society, also known as the American Society for Aesthetic Plastic Surgery (ASAPS).
Find an Aging Life Care Professional, formerly called geriatric care manager. This national directory is easy to use, to help consumers and caregivers find an expert to assist in managing their loved one’s care. The Aging Life Care Association (ALCA) was formerly the National Association of Professional Geriatric Care Managers, Inc. Credentials of members listed will vary widely. The credentials of the Advanced Professionals may be the most useful. Not all areas of the US are covered.
Find an oncologist (cancer specialist) through the American Society of Clinical Oncology (cancer.net) ASCO website. Use the interactive database to help you find a board-certified physician with specialties in the specific type of cancer expertise you’re interested in, or types of oncology, tumors, etc.
Find an orthopedic surgeon (orthopaedist) anywhere in the US. Easy-to-use site, by the American Academy of Orthopaedic Surgeons (AAOS). Provides office location address.
Find Plan Finder options and costs for health insurance plans at healthcare.gov. This official health insurance exchange website helps small businesses and individuals know what health insurance options are available to them. These are private plans that are OUTSIDE of the health insurance exchange marketplace, and do not qualify for advance premium tax credit. Search by zip code. Can compare 3 companies or plans at once; approximate monthly premiums are shown. No recommendations or rankings. This list may help you get an idea of prices before talking with an insurance agent. From HHS at US government.
Find individual health insurance plan options and prices at healthcare.gov. This is the ONLY health insurance site to use if you want (and qualify for) the federal subsidies for affordable health insurance AND your state participates in the federal marketplace exchange. Compare plans on monthly premium prices, deductibles, plan features and star quality ratings. The federal marketplace exchange shows Bronze, Silver, Gold and Platinum metal levels. It first opened for 2014. People who don’t get subsidies can also choose a plan and enroll at healthcare.gov. Open enrollment for everybody (except Medicare) between November 1 and December 15, 2020 for 2021. Select Preview Now if you just want to scan the plans before you create an account. At minimum, enter your age, or you may get false prices. If you lose coverage during the year, you may also qualify to enroll outside of the Nov.-Dec. open enrollment. Links are provided to your state marketplace if your state has its own health insurance website. Editor’s Pick.
A list of accredited Geriatric Emergency Departments in hospital ERs is provided by ACEP Geriatrics, the American College of Emergency Physicians. Click on Geriatric ED Accredited List. Unfortunately, it is not user-friendly, as an Excel file. The first tab GED Accreditation will provide the basic information about who is meets accreditation standards, city and state, accreditation level – Gold (1) is the highest level; and date the organization was accredited. Read about the standards for optimal emergency care for older adults. When last checked, May 1, 2021, just 235 EDs in the US met some level of the geriatric ED accreditation standards. Updated 2021.
Health insurance plan cost comparisons in 2021 for Federal government employees. Compare the benefits, member satisfaction, and employee costs for all plans at once. Consumers can also select 3 health insurance plans at one time to see out of network benefits. Web site for Federal Employees Health Benefits (FEHB) Program is from US Office of Personnel Management (OPM). Enrollee premium, deductible, copays and maximum out of pocket costs are shown. Search by zip code; choose local plans and/or national plans. Convenient and current for 2021. Helpful to federal employees and others. The amount that taxpayers and government institutions pay toward the total health care premiums is no longer available, as it was a few years ago.
Check GuideStar.org to find executive compensation and other Form 990 information on nonprofit organizations. Free registration is required to access the basic database, but it is worth your time. GuideStar.org is a go-to source, now a part of Candid. Most tax-exempt nonprofits file a Form 990 with the IRS, which shows important financial information and executive compensation (or portion of executive comp) received from that organization. GuideStar reports the ability to search 1.8 tax-exempt organizations, as well as thousands of faith-based nonprofits.
Find patient survey ratings for hospitals in 2020. Compare HCAHPS patient satisfaction scores. Hospital Compare is part of Care Compare at Medicare, as of December 1, 2020. The time periods represented in the data are no longer disclosed, so we have removed Editor’s Pick. But this site is still one of the best for hospital comparisons. Compare 3 hospitals at a time, side by side. Find out how many patients would recommend their hospital, and the percent who give their hospital a 9 or 10 score. Voluntary hospital participation. Federal government oversees the HCAHPS survey process (H-Caps) – Hospital Consumer Assessment of Healthcare Providers and Systems.
Preview the health insurance company rate increases for 2021. Healthcare.gov reports the rate requests and final (not yet posted) rate increase or decrease for Jan. 1, 2021, by name of health insurance plan for both Individual policies and Small Group enrollment. Health plans on – and off- the health insurance exchange. Search by state, and look for increases effective January 1, 2021. Updated for 2021.
Find 2020 hospital awards for women’s health care from HealthGrades. HealthGrades lists its 5-star hospitals (Excellence Awards) in women’s care defined as labor & delivery maternity ratings, gynecologic procedures (such as hysterectomy) and Ob-Gyn services. HealthGrades used 2016-2018 “all-payer” data from 16 states for the awards in selected states. States include CO, FL, IA, IL, MD, NV, NY, NJ, OR, PA, RI, TX, VA, WA, WI, and WV.
Home Health Compare is a free search tool from Medicare that gives detailed information about Medicare-certified home health agencies. Search by county or zip code and see performance scores related to home care services. Find the graphs to compare agencies on measures related to managing daily activities, pain, teaching patients or their caregivers, getting readmitted to the hospital and more. Five star rating system and actual scores. Patient satisfaction ratings included, with a national average of 78% who would recommend their agency. Report card shows 2019 data in the latest federal update October 2020.
Find a hospice or palliative care provider at this site by NHPCO. The National Hospice and Palliative Care Organization (NHPCO) is the largest nonprofit membership organization representing hospice and palliative care programs and professionals in the US. Their searchable database helps consumers find a member hospice, palliative care program or bereavement service.
Compare up to 3 hospices at a time at Hospice Compare by Medicare.gov. Site currently reports performance on quality measures related to patient preferences and quality of care in managing pain and treating symptoms, 2019 data. Family satisfaction is also reported, including family training and communication, emotional support, pain management, overall rating of the hospice and willingness to recommend the hospice (national average is that 84% would recommend). Check to see what kinds of patients the hospice tends to serve – for example, cancer, dementia, heart disease, stroke. Site is updated quarterly by CMS. Search by zip code, state or city. All hospice agencies report, or face financial penalties. Published by the federal government. Good, reliable website.
Find Hospital Clinic and Office Visit charges (average price) for 2018, and the payments that Medicare made. Find average charges for about 13,000 different codes (depending whether office or hospital facility-based). National average prices are in the Procedure Summary file. Extremely difficult to use, even if somewhat familiar with using Excel files. File uses HCPCS codes. The most common codes were office visits 99213 (average charge about $138) and 99214 (average charge about $208). Medicare allowed about $71 for code 99213 and about $105 for 99214. Therapeutic exercise (code 97110) had average charge of $61, with Medicare allowing about $26. Lab tests, x-ray, emergency department visits are in the file. An Emergency Department visit (code 99285) had a national average facility charge of $1,118, with Medicare allowing just $174. Physician charges may be available in the Provider Summary Table. Calendar year 2018 data from CMS updated November 2020.
Find 30-day death rates for cardiac hospitalizations: heart failure, heart attack and CABG patients. Hospital Compare, the federal government site from CMS, shows whether hospitals meet expected 30-day survival rates for heart attack and heart failure Medicare cases. National death rates were 12.7% for heart attack, 11.3% for heart failure and 3% for CABG (heart bypass) surgery patients. Compare hospitals in your area. The report identifies if your hospital is significantly better or worse than the national value. Dates of data can be found under the Overall Star Rating: “Learn how Medicare calculates this rating” (get detail). The data period for these measures was a 3-year period ending 6/30/2019; as shown May 1, 2021.
Find 30-death rates for each hospital’s pneumonia patients at Hospital Compare. Federal government site from CMS shows whether hospitals met expected 30-day survival rates for Medicare pneumonia patients. The national Risk-Adjusted death rates (mortality rates) were 15.4% for pneumonia (3 years ending 6-30-2019). Find pneumonia mortality ratings under Complications and Deaths measures. Results were updated 2021.
Find 30-day death rates for patients with stroke, at Hospital Compare. Select the Complications and Deaths tab after you’ve selected your hospitals. Federal government site from CMS shows whether hospitals met expected 30-day survival rates for Medicare stroke patients. The national Risk-Adjusted death rates (mortality rates) were 13.6% for stroke in the latest reporting period 3 years ending June 30, 2019. Updated 2021.
Visit Hospital Compare to find hospital star ratings and complications for hospitals in all states. Compare 3 hospitals at one time. Federal government (at medicare.gov) gives 1 to 5 stars and compares hospital ratings for heart attack (AMI), heart failure, pneumonia, COPD, stroke, hip & knee, preventing infections and surgical complications, timeliness of Emergency (ER) dept., use of medical imaging. Most data are from calendar 2019, but may vary by measure. Includes death rate comparisons from heart failure, heart attack, pneumonia, COPD, stroke, CABG; and return to hospital (readmission) rates. Click on Timely & Effective Care, or Complications. Shows patient satisfaction HCAHPS ratings (patient experience opinions) from 2019. Some info on colonoscopies and cataracts. Editor’s Pick because it’s the best of what is out there. The federal government standardized broad ratings for all hospitals, and most ratings are based on more than just Medicare patients. Small volume hospitals will not show data for some measures. Graphs are no longer available. Today’s stars may reflect older data than shown at the website. Read the fine print. Updated 2021.
Find 30-day death rates for COPD patients at Hospital Compare. Select the Complications and Deaths tab after you’ve chosen the hospitals you want to compare. Federal government site from CMS shows whether hospitals met expected 30-day survival rates for Medicare COPD patients. The latest reported national Risk-Adjusted death rate (mortality rate) was 8.4% for COPD (3 year period ending 6-30-2019). Updated annually and each July. Updated 2021.
HealthGrades Hospital Ratings (5-star, 3-star, 1-star) for 2020 on over 30 diseases & inpatient procedures: Stroke, back surgery, COPD, diabetes, gall bladder surgery, bowel obstruction, GI Bleed, hip fracture repair, hip replacement, total knee replacement, prostate removal, TURP, hysterectomy (listed under gynecologic surgeries), respiratory failure, pneumonia, cardiac bypass, heart attack, heart failure, angioplasty, defibrillator, pacemaker, valve surgery, sepsis, pancreatitis, pulmonary embolism, abdominal aneurysm, stomach surgery, peripheral vascular bypass & more. Probably Medicare-only data for most conditions, although some states provide maternity, appendectomy, and bariatric surgery (gastric bypass) data. More extensive list than the federal government’s site. Publicly-traded company. Most data in 2020 ratings are from Medicare patients, from 2016 to 2018. Patient satisfaction ratings (2018-2019 data) are featured by HealthGrades. One hospital at time, unfortunately. No longer Editor’s Pick, since HealthGrades removed the 3-year patient volume, and actual mortality or complication rates compared to predicted. Mostly, the site shows which ratings awards were given to the hospital by HealthGrades – a fee likely was required for publicizing the award.
Average health insurance premium cost was $6,772 per year (about $581 per month) in 2019 for an individual employee. This was up about 3.8% from last year. See table of costs for single person policy. Costs are for employee enrollees. No states managed to come in under $6,000 for a year for one person. Employee contributions were the lowest in Hawaii at about $60 per month, and in Washington state, at about $81 per month. Employer contributions picked up the rest of the cost. Employees paid on average $149 per month in Massachusetts, the highest contribution. Average single employee contribution in US was about $124 per mo. ($1,489 per year) or 21% of the total premium; employers paid 79% of single coverage premiums on average. Employers paid the most in Alaska and Delaware, where total premiums were over $8,000 for single employee coverage. Compare how much a month health insurance costs in each state. Benefit coverage varies by state and policy. Kaiser Family Foundation (KFF) prepared the tables using MEPS data (Medical Expenditure Panel Study).
J.D. Power and Associates selected Highmark and Kaiser Foundation Health Plan as their top 2 Medicare Advantage plans for 2020. Humana came in third; UnitedHealthcare came in 4th. Other Medicare Advantage plans compared (in order of preference) were Aetna, Cigna HealthSpring, Anthem, BlueCross BlueShield of Michigan, Centene, and WellCare. Medicare Advantage plans were evaluated on six factors (in order of importance): coverage and benefits (29%); provider choice (17%); cost (15%); customer service (14%); information and communication (13%); and billing and payment (12%). Commercial plan ratings are listed by state, for selected states only. Ratings factors were Overall member satisfaction (consumer opinions), Billing and payment, Communication, Costs, Coverage and benefits, Provider choice and Customer service.
Kaiser State Health Facts shows total uninsured and race/ethnicity minority comparisons for health insurance coverage and uninsured. Shows 2018 data, the fifth year of coverage through the Health Exchanges. Highest overall uninsured rates were in TX (20%); Florida and Oklahoma and Georgia tied for second worst at 16% uninsured; Mississippi followed with 15% uninsured. American Indian/Alaska Native uninsured was 22%; Hispanic uninsured was 19%; black uninsured was 11%, compared to 10% for US overall. This represented no improvement over 2017. White uninsured was 8%; Asian uninsured remained at 7%.
The Leapfrog Group, an employer-based coalition, asks hospitals to voluntarily report how closely they follow recommended quality and safety practices. CLICK on the Show More arrow underneath each green bar chart to find additional important information. You will find actual rates of performance,and whether the hospital you’re interested in, meets volume standards for certain complex surgeries. Many, but unfortunately not all hospitals participate; easy to compare. Updated December 2020, using a shortened survey due to the Covid-19 pandemic. The period covered is unclear. Leapfrog was a pioneer in getting ratings in the public eye.
Leapfrog named 105 hospitals to its 2020 Top Hospitals list, including 9 top children’s hospitals and 19 rural hospitals. Hospitals must have responded to Leapfrog’s Hospital Survey. Leapfrog Group is a large employer-based organization whose mission is to trigger giant leaps forward in the safety, quality and affordability of health care. The measures emphasize patient safety. Published December 2020.
List of state Insurance Departments for all states. If you like to browse, your state’s site may have additional information about health insurance. These links are provided by the National Association of Insurance Commissioners (NAIC), the organization of insurance regulators from the 50 states, the District of Columbia, Puerto Rico and the other four U.S. territories. The NAIC site has a Consumer Information Source to find medical loss ratios, financial information, and complaint information on the exchange, HMOs and other health insurance plan providers.
The List of Excluded Individuals and Entities (LEIE) is a Medicare fraud prevention site by the HHS Office of Inspector General. It allows consumer to search for a specific name of a person or business to see if they have been excluded from receiving payment from Medicare and Medicaid, due to license revocation, suspension or surrender; program-related fraud; patient abuse or neglect, and other reasons such as default on Health Education Assistance Loans. Exclusions Database contains physicians, nurses, nurses’ aides, hospital employees, pharmacists, nursing home operators and more. More than 74,000 names on the list as of April 2021.
Compare quality at long-term care hospitals for inpatient rehab in the US. Site is called Long Term Care Hospital (LTCH) Compare. These hospitals may also be referred to as long term acute care (LTAC) facilities. Compare 3 hospitals at one time, side by side, on quality measures for each hospital. Infections, complications, percent of staff that got their flu vaccination, effective care, and more. Graph view will show the actual performance results. Most data are from 2018 or 2019. Provided by Medicare.gov.
Find a medical fitness facility. The Medical Fitness Association (MFA) is a non-profit organization that tracks, supports and promotes the industry of medical fitness centers. Facility locator identifies centers worldwide. However, your state may not have any fitness centers that belong to the association. About 138 medical fitness facilities were listed in the US as of September 2020.
Medicare inpatient prices for hospitalizations during 2018 are in this difficult to use Excel file. Amounts paid to hospitals by Medicare, on average for FY 2018 hospital stays, are shown. Listed by DRG and provider. Consumers can see the Medicare volume for that diagnosis and how much the hospital was allowed as Covered Charges, plus what Medicare payments were. If you can wade through it, you’ll see that total payments were quite often only one-fourth of what the covered charges were – a 75% discount. Hence, the file illustrates how hospital pricing (charge) has become meaningless for most people. Here are a few examples. A hip or knee joint replacement at the Hospital for Special Surgery in New York City, had an average charge of $72,000 for over 4,000 cases. However, the total payment on average was just over $22,000, an effective discount of 69% of the total charges. The hospital with the second largest Medicare volume of hip and knee replacements, New England Baptist Hospital in Boston, had an average charge of about $24,000, and average total payment of $15,500. Their average discount was 35%. NorthShore University in Evanston, IL and NYU Langone Hospital in NYC, had effective discounts of 70% and 82% respectively. All four hospitals received total average payments for joint replacement (DRG 470), between $16,000 and $26,000, but average charges ranged from $24,000 to $141,000.
Medicare Ambulatory Surgery Allowed Costs are shown for 25 commonly performed procedures. This file shows 25 procedure payments by Medicare and what they considered the Allowed Amount. It also shows average amounts Medicare paid to Ambulatory Surgery Center (ASC) facilities for selected outpatient surgery such as spinal injection (example: CPT code 62311 Medicare allowed $377, and paid $297), knee arthroscopy (CPT 29881 $1631 allowed), prostate needle biopsy (CPT code 55700 $670 average allowable cost; $530 average cost paid), simple cataract removal & lens insertion ($1,679 allowed; Medicare paid $1,339), bunion correction ($1,825 allowed), crushing kidney stones ($2,330 allowed), large bowel endoscopy ($586 allowed, plus $671 for removal of polyps), and more. Includes physician fees and payment to the ASC. Confusing file unless you know CPT codes and can use Excel files. Actual prices or charges are not shown. Old 2012 data published Sept. 2013. No updates available. Consumers may wish to add a minimum medical inflation factor of 25% to estimate 2020 prices.
Medicare Prescription Drug Plans – Premiums and Quality Ratings for consumers. Compare the prices (monthly premium average cost) for prescription drug coverage through Medicare (medicare.gov) and see which plans have higher ratings. Uses a 5-star quality rating system that includes member satisfaction survey reports. The more accurate prices will be available if you create an account and log in. Part D plans for 2021 should be updated by early October, 2020, ahead of Medicare’s open enrollment October 15, 2020.
NCQA ratings and report card for 2021 on health insurance plans were canceled this year due to COVID. However, the 2020 ratings are available. Compare quality ratings for HMOs and PPO health insurance plans. Aetna, Anthem Blue Cross, Cigna, Humana, Kaiser, United Healthcare – they’re all here, as are many non-profit regional plans. Star ratings and number of enrollees shown for accredited commercial, Medicare and Medicaid plans. Five private commercial plans received the highest possible 5-point star rating: two Capital District Physicians’ plans (CDPHP and CDPHN), Kaiser Foundation Mid-Atlantic States, and two Tufts plans (Tufts Associated HMO and Tufts Benefit Administrators). Thirty-three (33) plans received ratings of 4.5 stars. NCQA (National Committee for Quality Assurance) is a private nonprofit organization that sets standards for quality of care and service that health plans provide to their members. NCQA Accreditation is a nationally recognized seal of approval. Presumably, the ratings will be updated next in 2021.
Free 5-star ratings from Nursing Home Compare for nursing homes that are Medicare or Medicaid certified and provide skilled nursing care. Quality ratings, nursing staffing and CNA hours per resident day, and results from survey inspection reports are updated with 2021 data. If you cannot find the nursing home you’re interested in, the facility might not accept Medicare and Medicaid patients. A one-star rating on the inspections means that nursing home is in the bottom 20% of all nursing homes. Check your state reports for additional information. Consumers can also ask the nursing facility to share their reports on resident and family satisfaction. Good nursing homes welcome your inquiry. Nursing Home Compare is now part of Medicare’s Care Compare mega-site.
Directory to help consumers find nursing homes and assisted living facilities. Browse this database of members in the LeadingAge (formerly American Association of Homes and Services for the Aging, AAHSA) to find nursing homes, assisted living facilities, independent living, adult day care and home & community-based services. Shaped by not-for-profit values
State-by-state obesity rates for adults from 2017 to 2019. CDC collected self-reported prevalence data shown in the maps through CDC’s Behavioral Risk Factor Surveillance System (BRFSS). Updated September 2020. Obesity is a risk factor for severe COVID-19 disease.
Medicare reported its average allowed cost for established patients’ physician office visit in 2012: $69 for CPT code 99213 (the most common office visit), $102 for 99214. For new patients, office visit 99203 was $103, and 99204 was $158 Allowed by Medicare. More allowed costs and Medicare payments are shown, including ear wax removal ($49 allowed) and Annual wellness visit for new Medicare enrollees ($165 allowed, and $165 paid by Medicare). Average payments exclude the amount the patient pays directly for co-pays and deductibles. Consumers are expected to know CPT codes and how to use Excel files. Terribly outdated; 2012 data published Sept. 2013. No updates as of April 2021.
Organ Procurement and Transplantation Network (OPTN) is a secure transplant information database that has all national data on the candidate waiting list, organ donation and matching, and transplantation. Transplant survival rates on a regional basis (1-year, 3-year, 5-year) are compared to national; kidney, pancreas, liver, heart, lung, intestine. Blood type, age, sex and many other comparisons are available. Updated 2020 with 2015 survival data. Volume of transplants by transplant center updated year-to-date 2020.
Hospitals with Palliative Care programs are listed in this provider directory by the Center to Advance Palliative Care (CAPC) in conjunction with the National Palliative Care Registry. Palliative care specializes in the relief of the pain, symptoms and stress of serious illness; it can be provided along with curative treatment.
Find out what Medicare paid for certain types of office visits and procedures in 2012. Average doctor’s price is NOT SHOWN, but only the allowed amount determined by Medicare, and how much Medicare paid on average (for every state). Must know how to use Excel files and billing code knowledge would also be helpful. Medicare paid $49 for a 99213 office code (15 minute office visit for an established patient) and $73 for a 25-minute office visit, and just $101 for a 60-minute visit (est. patients). If the patient was new, Medicare paid $73 on average for a 30 minute visit, and $116 for 45 minutes. Medicare’s annual wellness visit was paid at $165 for new enrollees, then $111 for subsequent annual visits. The most common EKG was paid at $14, ear wax removal at $36, pneumonia or annual flu shot at $23. Difficult file to use. Terribly dated; last updated Sept. 2013
Find the Allowed Medicare amounts (rather than prices) in the Ambulatory Surgery file for 25 Common high volume outpatient surgical procedures in an Ambulatory Surgery Center (not hospital-based). File shows what Medicare paid during 2012 for cataract surgery, different types of endoscopy, spinal injections, some hernia repairs, carpal tunnel release, kidney stone crushing, prostate biopsy (avg $530 paid on $670 allowable charge; full charge is not shown), correction of bunion, and more. Uses CPT codes, and all states are listed. Difficult file for consumers to use unless familiar with Excel. Terribly dated; last updated Sept. 2013. Federal government could show its commitment to price transparency by updating this file, and showing full sticker prices.
Premier selected 8 hospitals to receive the 2019 QUEST® Award for High-value Healthcare. They achieved top performance in all five of the areas measured: cost, inpatient and outpatient evidence-based care, safety, patient experience and unplanned readmissions.
Find a list of Quality Improvement and Innovation Organizations – QIOs. The mission of the QIO program is to improve the effectiveness, efficiency, economy, and quality of services delivered to Medicare beneficiaries. It has been modified to incorporate Quality Innovation Networks and complaints on behalf of patients and beneficiaries. Find a Quality Improvement Organization here, searchable by state. Updated 2020.
Find rehabilitation hospitals that are accredited by CARF – The Commission on Accreditation of Rehabilitation Facilities. CARF offers the ability to do an online search for accredited facilities with specific rehab programs you may be interested in. Select Program Focus to search for Addictions, Brain Injury, Mental Health, Opioids, Spinal Cord, Stroke Specialty Services, and more. Choose Age Group to search for older adult focus. Search engine is either simple (just put in state or zip code) or very complicated because of its detailed program choices. Updated 2020.
Have you ever wondered where the nearly 29 million people under age 65 and without health insurance are located, after the Marketplace Exchange went into effect? Kaiser Family Foundation shows the number uninsured (nonelderly, ages 0 to 64) by state, in 2019. Ten states make up 60% (over 17 million) of the US uninsured under 65: Texas, California, Florida, Georgia, North Carolina, New York, Illinois, Arizona, Ohio and Pennsylvania. KFF statehealthfacts.org updated 2020
Compare state by state map and table for percent of smokers who tried to Quit Smoking. Overall 57% tried to quit, US-wide according to the most recent (2018) data, down 2 percentage points from 2017. What is happening in your state? Puerto Rico and the District of Columbia (DC) had the greatest percentage trying to quit. Montana and South Dakota were the lowest in percent of smokers trying to quit smoking; though still, at 51%. Breakouts by racial groups are shown for each state. From the Kaiser Family Foundation State Health Facts.
The CDC links to all state health departments. Updated 2020 by the Centers for Disease Control
The most recent guide identifies 26 states and Washington DC that require adverse event reporting. (Texas has since instituted a preventable adverse event reporting system, in 2015.) The 2014 Guide to State Adverse Event Reporting Systems was prepared by the National Academy for State Health Policy, a non-profit, non-partisan organization dedicated to helping states achieve excellence in health policy and practice. Published Feb. 2015.
Surgeon Scorecard for knee, hip, gallbladder, spinal fusion and prostate surgery shows complications for each hospital and doctor. It compares individual surgeons’ complication rates (risk-adjusted) for Medicare patients having one of 8 types of inpatient surgery: hip or knee replacement, laparoscopic gallbladder removal, cervical (neck) or lumbar spinal fusion (either posterior or anterior technique), and prostate resection or removal. Analysis by ProPublica looked at billing records from 2009 to 2013. Numbers of cases shown are MEDICARE-ONLY (although the column title omits that point), and require at least 20 cases for a doctor’s rate to be shown. Physician’s rate combines his/her Medicare cases at all hospitals. Website was somewhat controversial in 2015. Tool is easy to use. Unfortunately, data have not been updated by ProPublica.
View the 2021 list of top critical access hospitals (CAHs), rural and community hospitals in the U.S. Compiled by iVantage and The Chartis Group for 2021. Methodology is not readily identified.
From usatopdentists.com, comes this list of top dentists in every state who received higher ratings in surveys of general dentists and specialists in all states. Search city-specific or statewide within a specialty (including General Dentistry.) Details on dates, methods and how many dentists responded to the survey are unclear (see Selection Process)
Waiting list numbers of people waiting for a transplant: Kidney, pancreas, liver, intestine, heart, lung transplants. In June 2020, about 93,000 people were waiting for a kidney (19,000 in California alone) and 12,000 for a liver. Survival rates shown by age, sex and ethnicity.
Find hospital trauma programs that are Verified Trauma Centers by ACS. Level I, II and III Trauma Centers are listed here, by state (and other international locations), at the American College of Surgeons’ (ACS) website. Trauma Center designation is a voluntary process that hospitals may choose to pursue for Adult and/or Pediatric care. Level I is the highest level of five levels. A description of what’s expected to be available at each level can be found at www.amtrauma.org.
USNews.com identifies America’s Best Hospitals on the 2020-2021 Honor Roll. Mayo Clinic (Rochester, MN), Cleveland Clinic (OH) and Johns Hopkins (Baltimore) top the list of 20 US hospitals identified (from over 4,500 evaluated nationwide), who rank favorably in multiple specialties. Check the details to see specifics for a certain illness, since one hospital may not be ranked (by US News) as best in everything. Methodology report shows how the hospitals scored. Outcomes (such as Survival/mortality rate) for Medicare patients and Structure (such as nurse staffing and ICU specialists) are two of the factors used in the rankings for most of the specialties. Reputation assessed by other physicians was the only component used for Ophthalmology, Psychiatry, Rehabilitation and Rheumatology. 2020-2021 ratings use Medicare data from calendar years 2016-2018.
Best Hospitals Cancer rankings for 2020-2021 from usnews.com. US News & World Report again named University of Texas MD Anderson (Houston, TX) and Memorial Sloan-Kettering (New York) as its 2020-2021 leaders of the top 50 hospitals for cancer care in the US. Scoring includes survival (30-day mortality), professional reputation, designation from the National Cancer Institute and other factors. Minimum number of Medicare cases was 197 (over 3 years, 2016-2018).
Who are the best hospitals in cardiology and heart surgery for 2020-2021, according to the usnews.com rankings? The top of the Cardiac specialty list are Cleveland Clinic (Ohio) and Mayo Clinic (Rochester, MN). Top 52 hospitals ranked. See if there is one in your state. Rankings include survival ratings using Medicare data from 2016 to 2018. Hospitals ranked higher if they participated in public transparency reporting by the medical professional societies. Minimum volume of 1,817 Medicare cases over 3 years.
US News & World Report’s top pediatric hospitals for 2020-2021. Best children’s hospitals listed for cancer; cardiology and heart surgery; diabetes and endocrinology; gastroenterology (digestive disorders) & GI surgery; neonatology; nephrology (kidney); neurology and neurosurgery; orthopedics; pulmonology (respiratory problems) and lung surgery; and urology. Honor roll of 10 hospitals is led by Boston Children’s, Children’s Hospital of Philadelphia (second), and Cincinnati Children’s (third). List called Best Children’s Hospitals updated June 2020. Detailed hospital scores for individual measures such as survival, are in the Methodology report. Consumers can compare children’s hospital scores side-by-side.
What are the best Medicare Advantage Health Insurance companies for 2021, according to usnews.com? Medicare Advantage health insurance companies are shown by state if their plans – together, across the state – have achieved an average of 4.5 of 5 stars by Medicare. Rankings use Medicare’s 2021 Star Ratings. Advantage plans combine Part A and Part B. Not every state has a highly rated company. For example, there is no top Medicare Advantage company in Arizona…where 18% of the population is age 65+. Announcement made in October 2020 by U.S. News & World Report.
USnews.com lists Best Medicare Part D (drug) health plan rankings for 2021. Just 11 companies had plans that earned on average, 4.5 or 5 stars from Medicare for Part D (drug) coverage. Additionally, these companies’ individual plans had to rate at least 3 stars. All companies were some form of Blue Cross drug plan. Uses the CMS Star Ratings.
Compare VA hospitals and clinics on wait times, patient satisfaction and quality scores. Detailed ratings on all of the Veterans Health Administration hospitals using current data. Easy to compare waiting time and access for VA clinics in your area, crossing state lines. Very quick to find how long you might have to wait for primary care, mental health, or other specialty appointments. Satisfaction ratings, and ratings of outpatient care (depression, heart care, diabetes, cancer screening, smoking cessation, flu vaccination). Access and waiting times are updated for 2020. For comparisons to private hospitals and nursing homes, the VA provides links to the federal HospitalCompare and NursingHomeCompare sites. Website is very user friendly for all types of VA clinics, hospitals, nursing homes. Editor’s Pick.
Find VA hospital and medical facility inspection reports. The Veterans Affairs Office of Inspector General (OIG) makes its VA Medical Center inspection reports available online. Types of reports include audits, healthcare investigations, inspections and more. Outpatient clinics and nursing homes are included. Listed by date; use filters on right within each category to select location. Updated 2020.
Easy to use directory to look up a VA medical facility. The Department of Veterans Affairs provides a convenient search tool to find the location of medical facilities such as hospitals and clinics. Facilities in the US, American Samoa, Philippine Islands, Guam, Puerto Rico and Virgin Islands are all listed.
Check Walmart’s cost for some generic drugs for $4 or $10, although some will cost more. Walmart has implemented a limited-scope program for about 30 generic drugs (with multiple drug/dose combinations) offered at a $4 price for a 30-day supply, or $10 for 90 day supply. About 60 other drugs are listed for $9 or $15 for a 30 day supply. The 90-day supply prices for those drugs are $24, and $38. Albuterol HFA is listed for $24 for a 30-day supply. If dosage is higher for any listed drug, the cost will be higher. Available in all states except North Dakota. However: Due to FAIR PRICING laws in CA and MN, many drugs will carry higher prices, or may not be available. Other states may also carry higher prices. Revised price list dated June 2020.
Watson Health (formerly Truven Health Analytics) list names top 100 hospitals in categories according to size and teaching status using Medicare data primarily from 2017 and 2018, other publicly reported (at HospitalCompare) patient satisfaction scores and results such as mortality rates, readmissions, ER times and spending. While no data are shown for individual hospital performance, Watson Health makes a case that as a group these hospitals outperform their peers in quality and efficiency (lower expenses). Free report shows winners’ names only; some winners received the Everest Award for also improving at the fastest rate over the long term. Methodology examines survival, complications and readmissions, patient recommendations; efficiency and profitability. Published June 2020 by IBM Watson Health.
Watson Health (formerly Truven Health Analytics) 2021 selection of the top 50 cardiovascular hospitals. Top selected hospitals with significant heart care programs are listed in categories: teaching hospitals with cardiovascular residencies, teaching hospitals without such residencies, and community hospitals. List only, organized by state; study primarily used Medicare data from 2018 and 2019. It examined both clinical outcomes (e.g. survival or mortality, complications, readmissions) and efficiency measures. Released November 2020 by IBM Watson Health.