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.

Just as there are challenges to making health care more affordable, there are many opportunities to reduce costs without compromising care. Hospitals are pursuing these opportunities in variety of ways. Many are tackling the affordability issue already, seeking change that makes sense for them and…
A new blog from the AHA highlights a Centers for Medicare & Medicaid Services report that found that 70% of hospitals are in compliance with both parts of the Hospital Price Transparency Rule, up from 27% in 2021. The CMS data also showed 82% of hospitals are in compliance with at least one…
In a blog published in Health Affairs, leaders from the Centers for Medicare & Medicaid Services released updated findings on hospital compliance with the Hospital Price Transparency Rule.
The Centers for Medicare & Medicaid Services yesterday released three voluntary sample formats (wide, tall and plain) that hospitals may use to meet the federal requirement to make certain standard charges publicly available through a machine-readable file. The agency also posted a sample data…
Hospitals and health systems are where the most complex care is provided for ill and injured patients. Yet spending on inpatient and outpatient care has grown more slowly than spending on other health services. Hospitals and health systems have worked hard to provide the best value to patients and…
As trusted sources of health care in the community, America’s hospitals and health systems are committed to providing high quality and safe care to all individuals, as well as delivering a care experience that meets patients’ needs and expectations from scheduling through billing.
Another major federal price transparency requirement went into effect July 1, 2022. There are three major federal price transparency policies: Hospital Price Transparency rule; Transparency in Coverage rule; and No Surprises Act.
The AHA hosted a members-only webinar during which its staff, along with representatives from Deloitte, provided important updates and insights on compliance with price transparency requirements, as well as the implications of the public reporting of hospital prices by insurers. The webinar also…
The transparency in coverage rule takes effect July 1, imposing new transparency requirements on most group health plans and issuers of health insurance coverage in the individual and group markets. Beginning next month most health plans must disclose publicly in machine-readable files all in-…