Price Transparency

3 Hospital Price Transparency Strategies for Compliance, Patients

by Jacqueline LaPointe

Hospital price transparency goes beyond just compliance with federal regulations. Patients are also demanding more transparent pricing information from their providers in order to make more informed...

Self-Insured Employers Have Little Say in Hospital Price Negotiations

by Jill McKeon

Most self-insured employers in the US lack the market power necessary to take part in hospital price negotiations, according to a study published in the American Journal of Managed Care (AJMC)....

94% of Hospitals Noncompliant with Hospital Price Transparency Rule

by Jill McKeon

Only 5.6 percent of hospitals are compliant with the hospital price transparency rule just over six months after its implementation, according to a report on 500 randomly selected US hospitals...

CMS Proposes 2022 OPPS Rates, Higher Hospital Price Transparency Penalty

by Jacqueline LaPointe

CMS is seeking greater hospital price transparency enforcement through the newly proposed Medicare Outpatient Prospective Payment System (OPPS) rule for calendar year (CY) 2022. The rule proposed...

Hospital Price Transparency Rule Awareness Low Among Consumers

by Jacqueline LaPointe

Whether a hospital price transparency rule designed to enable consumers to shop for healthcare services will lower healthcare costs is still up in the air after a recent poll shows low awareness of the...

Fixed-Rate Hospital Contracts Are Associated with Lower Costs

by Victoria Bailey

Fixed-rate hospital contracts yield lower prices and costs compared to discounted charges contracts, according to a study from the American Journal of Managed Care (AJMC). Hospital visits result in...

Large Hospitals Using Price Estimator Tools for Price Transparency Rule

by Jacqueline LaPointe

The majority of the top 100 hospitals by gross revenue are using a price estimator tool to comply with a landmark hospital price transparency rule from HHS, according to a recent study. The study...

House Reps Urge HHS To Enforce Hospital Price Transparency Rule

by Hannah Nelson

After reports have indicated inconsistent adherence to the CMS price transparency final rule put into effect on January 1, 2021, ranking members on the US House Energy and Commerce Committee wrote a...

Hospital Price Transparency Rule Compliance Is Inconsistent

by Hannah Nelson

Many hospitals are not complying with the CMS price transparency rule more than four months after its passage, according to a new KFF analysis that calls for data standardization. Put into effect on...

Major Hospitals Still Not Complying with Price Transparency Rule

by Jacqueline LaPointe

Many of the largest hospitals in the country are still not complying with a new price transparency rule that went into effect on Jan. 1, 2021, according to a new analysis. Nearly two-thirds of the 100...

Hospital Price Transparency to Save Just $8.7B to $26.6B a Year

by Jacqueline LaPointe

Hospital price transparency policies are slated to save between $8.7 billion to $26.6 billion a year, but that may not make a big enough dent in the $1.2 trillion—and growing—hospital...

Resource Constraints Trouble Hospital Price Transparency Compliance

by Jacqueline LaPointe

About 30 percent of hospitals are not complying with a hospital price transparency rule that went into effect on Jan. 1, 2021, according to a new analysis from Guidehouse. Researchers at the...

Not All Hospitals Complying with New Price Transparency Rule

by Jacqueline LaPointe

Hospitals are struggling to comply with new price transparency requirements from CMS that took effect on Jan. 1, 2021. A new analysis from healthcare consulting firm ADVI found inconsistent and...

HHS Secretary Alex Azar Resigns, Effective Jan. 20

by Jacqueline LaPointe

Alex Azar has resigned as head of HHS to make room for President-elect Joe Biden’s pick for HHS Secretary following his inauguration on Jan. 20, 2021. Azar was sworn in as the 24th HHS Secretary...

3 Key Steps for Hospital Price Transparency Compliance

by Jacqueline LaPointe

CMS now requires US hospitals to post a list of their standard charges, including rates negotiated with private payers, on a publicly available website in both machine-readable and consumer-friendly...

Appeals Court Throws Out Hospital Price Transparency Challenge

by Jacqueline LaPointe

A federal appeals court has recently rejected the hospital industry’s challenge of the upcoming hospital price transparency rule that will require hospitals to disclose payer-specific rates to...

Providers Seek to Stop Hospital Price Transparency Enforcement

by Jacqueline LaPointe

Provider groups are calling on the court to prevent hospital price transparency enforcement in the 11th hour, citing the ongoing COVID-19 pandemic. The American Hospital Association, Association of...

CMS to Audit Some Hospitals for Price Transparency Compliance

by Jacqueline LaPointe

CMS is taking steps to ensure hospitals comply with a controversial price transparency rule taking effect on January 1, 2021. On that date, every hospital in the country is expected to provide...

What Healthcare CFOs Can Expect Under a Biden Presidency

by Jacqueline LaPointe

For many voters, the 2020 presidential election was less about red and blue and more about white, as in the white coat. Healthcare was a dominant issue in the race between the incumbent President Donald J. Trump and Democratic runner Vice...

Patients Want Healthcare Price Transparency, But Few Seek It Out

by Jacqueline LaPointe

Most consumers living in a state with some of the most comprehensive healthcare price transparency laws have never thought to seek out pricing information for provider services, according to a recent...