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.
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.
Letter the AHA sent to Senators Grassley and Durbin in support of S. 2304, Drug-Price Transparency for Consumers Act of 2021. The bill will allow HHS to require the disclosure of drug pricing information in direct-to-consumer (DTC) advertising.
The hospital price transparency rule took effect Jan. 1, 2021. CMS verified for the AHA that the agency has begun proactive audits of hospital websites and a review of complaints submitted through the CMS Hospital Price Transparency website.
AHA urges the Centers for Medicare & Medicaid Services to align the Hospital Price Transparency Rule with new transparency requirements included in the No Surprises Act.
A recent report from RAND “misses the mark on solutions to the cost of health care and draws its conclusions from the same recycled and incomplete studies,” writes AHA President and CEO Rick Pollack.