Price Transparency

Hospitals and health systems are committed to empowering patients and their families with all the information they need to live their healthiest lives. This includes ensuring they have access to accurate and timely price information when seeking care. Hospitals and health systems have made important progress in adopting federal price transparency requirements that require they both publicly post machine-readable files of a wide range of rate information and provide more consumer-friendly displays of pricing information for at least 300 shoppable services.

The Centers for Medicare & Medicaid Services’ Hospital Price Transparency final rule goes into effect on Jan. 1, 2021. The AHA and three other national organizations sued the federal government challenging the final rule. The case is pending in a federal appeals court.
CMS March 28 released an updated online validator tool that hospitals can use to test price transparency machine-readable files against the new format and data specifications going into effect on July 1, 2024, and Jan. 1, 2025.
Price estimator tools are currently patients’ best and most consumer-friendly source of information. They
AHA comments regarding the ongoing government funding discussion, AHA Urges Congress to eliminate Medicaid DSH cuts, reject Site-neutral payments.
At least 91% of hospitals had posted a machine-readable file containing rate information by the end of 2023, according to a new analysis by Turquoise Health.
AHA comments regarding provisions in the Lower Costs, More Transparency Act (H.R. 5378).
The House of Representatives as soon as next week could consider the Lower Costs, More Transparency Act (H.R. 5378), a bill that includes site-neutral payment cuts and detrimental provisions focused on hospital price transparency, among other issues.
A number of legislative proposals being considered by Congress would impose billions of dollars in additional Medicare payment cuts for services provided by hospital outpatient departments and reduce patient access to vital health care services, AHA Executive Vice President Stacey Hughes said today…
The House of Representatives is expected to consider the Lower Costs, More Transparency Act (H.R. 5378) next week, a bill that includes site-neutral payment cuts and detrimental provisions focused on hospital price transparency, among other issues.