Price Transparency

Hospital Chargemaster Heavily Influences Cash Prices, Payer Rates

by Jacqueline LaPointe

While neither patients nor payers typically pay what hospitals charge for services, a new Health Affairs study finds that those hospital chargemaster rates still matter. Researchers at Johns Hopkins...

Price Transparency Data Reveals Most Expensive Brain MRI Locations

by Jacqueline LaPointe

A study of negotiated rates under the new hospital price transparency rule has identified the most expensive type of hospital to receive a brain MRI. Since Jan. 1, 2021, the federal government has...

Negotiated Prices for Surgical Procedures Higher in Hospital Networks

by Victoria Bailey

Negotiated prices for surgical procedures were higher at facilities within hospital networks compared to independent hospitals, according to a study published in JAMA Network Open. The hospital price...

CMS Eyes Stricter Enforcement of Hospital Price Transparency Compliance

by Jacqueline LaPointe

Hospital price transparency compliance is a top priority for CMS, which plans to take “aggressive additional steps” to identify hospitals lacking required pricing information on their...

KFF Study: Hospital Price Transparency Data Messy, Inconsistent

by Jacqueline LaPointe

Hospital price transparency data shared with the public is lacking in quality, challenging the usefulness of the information, according to Kaiser Family Foundation (KFF). KFF analyzed hospital price...

Only 25% of Hospitals Are Complying with the Price Transparency Rule

by Victoria Bailey

Less than a quarter of hospitals are complying with the hospital price transparency rule over two years after the regulation went into effect, according to a report from PatientRightsAdvocate.org. The...

HHS Gives Providers More Time for Good Faith Estimate Compliance

by Jacqueline LaPointe

HHS has extended enforcement discretion for the delivery of some good faith estimates (GFEs) under the No Surprises Act, according to new guidance. The guidance released by HHS on Friday says that CMS...

CMS Offers Up New Hospital Price Transparency Resources

by Jacqueline LaPointe

CMS has published on its website new hospital price transparency resources to help hospitals meet the federal requirement to make certain standard charges available to the public via a machine-readable...

House Committee Urges GAO to Examine Hospital Price Transparency Compliance

by Victoria Bailey

The House Committee on Energy and Commerce has urged the Government Accountability Office (GAO) to investigate compliance with the hospital price transparency rule following continuous reports of...

More Hospitals Complying With Price Transparency Rule Requirements

by Victoria Bailey

Almost two-thirds of hospitals are complying with hospital price transparency rule requirements and have published machine-readable files with negotiated rates or cash rates, according to Turquoise...

Most Healthcare Consumers Do Not Research Pricing Options in Advance

by Victoria Bailey

Most healthcare consumers do not typically research different pricing options before receiving healthcare services, indicating the need for greater price transparency, according to a survey from...

New Paper Claims Hospital Prices Are “Bleeding Americans Dry”

by Jacqueline LaPointe

A new paper from the patient advocacy group Families USA is taking aim at hospitals and health systems. The report claims that high hospital prices are “bleeding Americans dry” as these...

HHS Requests Stakeholder Feedback on Good Faith Estimate Requirements

by Victoria Bailey

HHS, along with three other federal agencies, has issued a request for information (RFI) to gather stakeholder feedback on the advanced explanation of benefits (AEOB) and good faith estimate (GFE)...

Cancer Centers Fail to Comply with Hospital Price Transparency Rule

by Victoria Bailey

Less than one-third of hospitals with National Cancer Institute (NCI) cancer center designation were fully compliant with the CMS hospital price transparency rule, according to research published in...

Hospital Price Transparency Compliance Lags Nearly 20 Months Later

by Jacqueline LaPointe

Just 16 percent of 2,000 hospitals reviewed as part of PatientsRightsAdvocate.org’s Semi-Annual Hospital Price Transparency Report are complying with the regulation requiring all hospitals...

Most Consumers Look to Payers for Healthcare Price Transparency

by Jacqueline LaPointe

Not many consumers are asking how much healthcare services cost but among those who do, they are seeking answers primarily from their insurance companies, according to a new poll on healthcare price...

Hospital Price Transparency Higher in Less Competitive Markets

by Victoria Bailey

Hospitals with greater market shares and those in less competitive regions had higher compliance with the payer-specific negotiated prices requirement of the hospital price transparency rule, according...

Georgia Hospitals Fined for Hospital Price Transparency Violations

by Victoria Bailey

Two Georgia hospitals have received fines from CMS for violating the hospital price transparency rule. Following unanswered warning notices, CMS sent notices of imposition of a civil monetary penalty...

AMGA Asks CMS to Amend Good Faith Estimate Policy, Guidance

by Victoria Bailey

The American Medical Group Association (AMGA) has asked CMS to amend aspects of the good faith estimate (GFE) requirements that contain unclear guidance, exacerbate staffing constraints, and create...

Top-Ranked Hospitals Not Complying with Price Transparency Rule

by Victoria Bailey

Top-ranked hospitals are not complying with the CMS hospital price transparency rule, as many facilities have failed to report complete pricing data for common shoppable services, according to a report...