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.
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-…
“Understanding potential costs is an important part of the patient experience when planning for care, and hospitals and health systems are committed to helping patients navigate that process,” writes Ari Levin, AHA’s director of coverage policy.
The AHA is supporting this activity by highlighting tools that aid patients and align with the new federal price transparency policy.
CMS announced the first civil monetary penalties under its hospital price transparency rule.
AHA experts take a deeper look at the latest RAND report on hospital pricing.
The RAND Corporation’s latest hospital pricing report again “overreaches and jumps to unfounded conclusions based on incomplete data,” said AHA President and CEO Rick Pollack.
On Thursday, May 5, we expect the RAND Corporation to release the fourth version of its National Hospital Price Transparency Study, an employer-led initiative intended to measure and report publicly the prices paid for care at the hospital and service-line level. The AHA is taking a number of steps…
The Administration will provide an enforcement safe harbor for certain alternative reimbursement arrangements.