Price Transparency

Assessing Progress on the Hospital Price Transparency Rule

by Victoria Bailey

The Centers for Medicare and Medicaid Services (CMS) established the hospital price transparency rule to help individuals know the cost of a hospital item or service before receiving it. CMS proposed the price transparency rule in the...

Colorado Bill Aims to Limit Debt Collections, Boost Price Transparency

by Victoria Bailey

The Colorado House has passed a bill that seeks to prohibit hospitals from pursuing debt collections against patients if the health system does not comply with the CMS hospital price transparency...

Revenue Cycle Leaders Experience Price Transparency Rule Burden

by Victoria Bailey

The majority of revenue cycle leaders were dissatisfied with aspects of the CMS hospital price transparency rule and expressed doubt about the regulation’s efficacy, according to a KLAS report...

Consumers Faced Surprise Medical Bills, Payment Struggles in 2021

by Victoria Bailey

The majority of consumers faced surprise medical bills in 2021 and expressed concern about financial hardships due to outstanding healthcare costs, InstaMed’s 12th annual Trends in Healthcare...

Healthcare Tech Company Launches Online Price Transparency Tool

by Victoria Bailey

A healthcare technology company has launched an online price transparency tool that allows consumers to compare hospital costs before seeking care. Turquoise Health’s Price Transparency...

WEDI Voices Concerns About Good Faith Estimates Implementation

by Victoria Bailey

The Workgroup for Electronic Data Interchange (WEDI) expressed concerns to CMS regarding the good faith estimates policy under the No surprises Act and the problems it causes for providers and patients...

AHA: Good Faith Estimates Create Administrative Burden for Hospitals

by Victoria Bailey

The American Hospital Association (AHA) has asked CMS to adjust the good faith estimates policy under the No Surprises Act, citing the accompanying administrative burden and operational inefficiencies...

50% of Hospitals Meet Price Transparency Rule for Lumbar Spine MRI

by Victoria Bailey

Only 50 percent of hospitals that offered lumbar spine MRI services were compliant with the CMS hospital price transparency rule, according to a study from Harvey L. Neiman Health Policy...

Only 14% of Hospitals Met Price Transparency Rule Compliance

by Victoria Bailey

Less than 20 percent of hospitals are complying with the CMS price transparency rule that went into effect on January 1, 2021, according to a report from PatientRightsAdvocate.org. The hospital price...

Where Hospital Price Transparency Compliance Is Lagging

by Sarai Rodriguez

Hospital price transparency requirements aim to unveil healthcare pricing and support a consumer-oriented healthcare industry. However, hospital price transparency compliance is falling short,...

IU Health Holds Pricing Flat Amid Hospital Price Transparency Push

by Jacqueline LaPointe

As state lawmakers aim to advance hospital price transparency in Indiana, the state’s largest hospital system is putting a hold on pricing increases. At an annual public forum on hospital price...

Hospital Prices for Most Services Less than Payer-Negotiated Rates

by Sarai Rodriguez

According to a JAMA Network Open study, discounted cash prices for hospital services often cost less than negotiated commercial prices between hospitals and payers. However, not all hospital...

Study Identifies Major Issue with Hospital Price Transparency Rule

by Jacqueline LaPointe

Pricing information publicly disclosed by CMS’ hospital price transparency rule falls short of informing consumers of their charges for many common hospital-based services, a new study published...

APM Adoption Slows as Price Transparency Capabilities Heat Up

by Jacqueline LaPointe

Revenue cycle management and healthcare finance priorities shifted during the COVID-19 pandemic, with alternative payment model (APM) adoption taking a backseat to price transparency and other...

Out-of-Pocket Costs Less When Hospitals Don’t Bill Insurance

by Sarai Rodriguez

A study shows that patients with high deductible plans can save money on out-of-pocket costs by not going through their insurance and paying a reduced cash price. Hospitals must now publish their...

Few Physicians Accurately Estimate Patient Out-of-Pocket Costs

by Sarai Rodriguez

A study published in JAMA Network Open finds that very few physicians can accurately estimate patient out-of-pocket costs for medication filling. The study surveyed 371 primary care physicians to...

COVID-19 Hospitalizations Can Cost Over $100K, If Out of Network

by Jacqueline LaPointe

When delivered outside of a patient’s network, COVID-19 hospitalizations can cost hundreds of thousands of dollars depending on where a patient is a treated. California was the most expensive...

Employers to Leverage Hospital Price Transparency to Lower Rates

by Jacqueline LaPointe

A new report shows the employers will use payer-specific negotiated rates exposed by hospital price transparency requirements to extract lower reimbursement rates from providers in their...

NYT Slams Hospital Price Variation After Price Transparency Rule

by Jacqueline LaPointe

Hospital price variation is widespread and much more noticeable now that CMS has enforced a price transparency rule, according to a recent report published in The New York Times. The national news...

CMS Holds Off on Hospital Price Transparency Noncompliance Penalties

by Jill McKeon

CMS will hold off on hospital price transparency noncompliance penalties for the moment, a CMS spokesperson told Bloomberg Law. CMS proposed an increase in penalty amounts for noncompliant hospitals in...