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Virginia Health Information Exchange – Consumer Healthcare Information

Virginia Health Information (vhi.org) is not just a term that describes some of the advice and guidance we provide to consumers about their medical coverage. It's also a specific website that helps state residents with a plethora of free references, tools, hospital and physician finders, and comprehensive consumer guides. VHI partners with various private organizations and public entities to utilize health data to improve conditions and treatment in the Commonwealth. Comprehensive data and information is provided regarding hospitals, nursing and long-term care facilities, HMOs, assisted living and continuing care facilities, physicians, and home care providers.

 

The Virginia Health Insurance Exchange is different from vhi.org. Affordable medical coverage rates through the Marketplace can be found by providing your zip code at the top of this page. We search and compare the top-rated companies so you can get quality coverage. You may also qualify for a federal subsidy. Under President Trump's "Affordable Health Care Act," tax credits will still be available to help pay policy premiums, although the legal requirement to purchase coverage will be eliminated. If legislation is approved, plans may be implemented in 2018 or 2019.
 

Listed below are some of the most helpful topics and a brief description of some of the provided services:

Health Care Prices

Unless you have a copay on small and large procedures, you will typically have to meet a deductible. This means you will be paying the "negotiated price" agreed by the insurer and provider. Wouldn't it be nice to know in advance what dollar amounts are approved for this type of treatment. Listed below are some of the results:
 

Angioplasty $23,843 in hospital.

Ankle X-Ray  $136 in physician's office. $292 outpatient in hospital.

Bone Density Scan $232 in physician's office. $382 outpatient in hospital.

Breast Bioposy $1,344 in physician's office. $3,435 outpatient in hospital.

Cesarean Delivery $13,287 in hospital.

Chest X-Ray $115 in physician's office. $169 outpatient in hospital.

Vaginal Delivery $9,995 in hospital.

Colonoscopy  $1,192 in physician's office. $2,484 in hospital.

CT Scan (Abdomen)  $385 in physician's office. $1,233 outpatient in hospital.

CT Scan (Head) $219 in physician's office. $874 outpatient in hospital.

ER Visit (Not Major) $491 outpatient in hospital.

Endoscopy $1,227 in physician's office $2,607 outpatient in hospital.

Foot X-Ray $129 in physician's office. $320 outpatient in hospital.

Gall Bladder Surgery $6,994 in licensed ambulatory surgical center. $9,461 in hospital.

Hernia $4,367 in Ambulatory Surgical Center. $6,221 outpatient in hospital.

Hip Replacement $20,697 in hospital.

Kidney Stone Removal $5,690 Ambulatory Surgical Center. $8,557 outpatient in hospital.

Knee Replacement $19,309 inpatient in hospital. No other alternatives.

Mammogram $264 in physician's office  $361 outpatient in hospital.

MRI On Back $406 in physician's office. $1,797 outpatient in hospital.

MRI On Knee $572 in physician's office. $1,657 outpatient in hospital.

Office Visit (Adult) $82 in physician's office.

Office Visit (Well Child) $117 in physician's office.

Rotator Cuff Surgery $9,756 Ambulatory Surgical Center. $11,971 outpatient in hospital.

Ultrasound $312 in physician's office  $1,145 outpatient in hospital.

 
Hospitals and medical centers located within the state, are divided into five Regions. Some of these facilities include:
 

Southwest Region -- Bedford Memorial, Buchanon General, Carilion, Centra, Danville Regional, Johnstown Memorial, Norton Community, Pioneer Community, Roanoke Valley, Russell County, Smyth County Community, Surgery Center Of Lynchburg, Twin County Regional, and Wythe County Community.

 

Northwest Region -- Augusta Health, Bath County Community, Charlottesville Surgical Center, Fauquier, Fredericksburg Ambulatory Surgery Center, Martha Jefferson, Mary Washington, Monticello Community, Page Memorial, Sentara RMH, Spotsylvania Regional, Stafford, University Of Virginia Medical Center, UVA Culpeper, and Valley Health.

 

Central Region -- Bon Secours, Centra Southside, CJW Medical Center, Colonial Heights Surgery Center, Cumberland, Henrico Doctor's Hospital, John Randolph Medical Center, Parham Surgery Center, Popular Springs, Sentara Halifax, Southside Regional, Stony Point Surgery Center, VCU Community Memorial, and Virginia Eye Institute.

 

Va Healthcare Exchange Prices

HMOs In Virginia Reduce Healthcare Costs

 

VHI also plays a vital role in helping consumers compare HMOs in Virginia. There are specific differences in benefits and cost, but also the network of providers along with the type of treatment that is administered. Some of the major HMO plans in the state are listed below:

Aetna

Kaiser

Coventry

UnitedHealthcare

CareFirst BlueChoice

Optima

HealthKeepers

MD-Individual Practice

Optimum Choice

When reviewing and comparing different HMOs, the amount of criteria used can be overwhelming. Some of the topics VHI uses include:

Preventive Care

Immunizations

Pediatric Illnesses

Alcohol and Drug Treatment

Obesity and Weight Assessment Counseling

Diabetes Care And Treatment

Usage Of Medications

Mental Health Diagnosis And Treatment

Rheumatoid Arthritis Treatment

ADD and ADHT Medication
 

Hospitals
 

One of the most comprehensive topics covered are Virginia hospitals. In addition to helping you choose the best facility, you can also learn about ratings and how to interpret results, determining the best facility for your treatment, and the difference between community and teaching hospitals. There are downloadable guides to assist and provide specific points of interest.

Data is divided into two components. They are "Hospital Specialty Service" and Psychiatric Hospital Diagnostic." Technical procedures are excluded, and an extensive checklist and comparison sheet helps you review nurse-to-patient ratios, modernization of facilities, percentage of physicians that are board-certified, and national accreditation information. A printer-friendly version is available upon request.
 
PAST UPDATES:
 
February 2015 -- The 2014 Industry report is now available. Employers and buyers of healthcare products often use these reports as a valuable tool and guideline for managing expenses and offering the best available products. The top-ranked hospitals from the latest report include Virginia Hospital Center, Bon Secours Memorial Regional Medical Center, Riverside Walter Reed, Norvant Prince William Medical Center, and Carilion Franklin Memorial.
 

May 2015 -- A report on Clostridium difficile (C.diff) is available for viewing and downloading. This bacteria can lead to serious health issues if not treated quickly and properly. Hospital confinements in Virginia have tripled in the last 10-15 years for this conditions so educating the public is important.
 

May 2017 -- The American Cancer Society released a report indicating that rectal and colon cancer rates are increasing for under age 55 adults. Not utilizing preventative healthcare benefits appears to be one of several relevant factors. A recommended colonoscopy is 100% covered on all qualified private and group health insurance plans. In the most recent HMO report for the state, about two out of three residents between the ages of 50 and 80 received regular colorectal cancer screenings.
 

You can download the pdf file here. Although the riskiest period ends in a few months, proper use of antibiotics will substantially reduce your risk. Most infections occur in a hospital, doctor's office or other place of treatment.

About the author

Edward Harris

Virginia's Premier Trusted Healthcare Authority With More Than 35 Years Of Experience Helping Consumers.