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.
This Regulatory Advisory summarizes the Centers for Medicare & Medicaid Services’ fiscal year 2022 final rules and policy changes for the long-term care hospital (LTCH) prospective payment system.
This Regulatory Advisory summarizes the Centers for Medicare & Medicaid Services’ fiscal year 2022 final rules and policy changes for the skilled nursing facility (SNF) prospective payment system.
As requested by the AHA, the Departments of Health and Human Services, Labor, and Treasury will defer enforcement of the good faith estimate for insured patients and advanced explanation of benefit requirements in the No Surprises Act, according to new FAQs released Friday
The Departments of Health and Human Services, Labor, and Treasury (“the departments”) Aug. 20 released a set of Frequently Asked Questions (FAQs) related to provisions in the No Surprises Act and the Transparency in Coverage final rule. As requested several times by the AHA, the departments…
At Issue
The Centers for Medicare & Medicaid Services (CMS) Aug. 2 issued its hospital inpatient prospective payment system (PPS) and long-term care hospital (LTCH) PPS final rule for fiscal year (FY) 2022.
Last week, a series of emails that became public revealed communication between executives at UnitedHealth Group and researchers studying the frequency of surprise medical billing.
Last week a series of emails that became public revealed communication between executives at UnitedHealth Group and researchers studying the frequency of surprise medical billing.
The Hospital Price Transparency rule has been in effect since Jan. 1, 2021, requiring hospitals to disclose all of their privately negotiated rates with health plans, in addition to self-pay and chargemaster rates. Hospitals are also required to provide an online patient cost estimator tool or…
The Centers for Medicare & Medicaid Services will host an Aug. 11 webinar on complying with the hospital price transparency rule, which took effect Jan. 1.
AHA statement on executive order on competition from AHA President and CEO Rick Pollack.