The hospital chargemaster is key to optimal reimbursement. The collection of standard prices for services and items used by a hospital determines how much providers should bill payers and patients for...
UPDATED 09/30/2020 An executive order on a number of healthcare issues includes a new timeline for a surprise billing solution and further advancements in hospital price transparency.
Signed by...
The American Hospital Association (AHA) is speaking out against a new RAND Corporation study that found private health plans pay 247 percent more, on average, than what Medicare would pay for the same...
A global pandemic may not be enough to stop one of CMS’ more controversial rules from taking effect in just a couple of months.
On January 1, 2021, US hospitals will need to comply with the...
Yesterday, CMS unveiled the highly anticipated Inpatient Prospective Payment System (IPPS) final rule for the 2021 fiscal year (FY). Chief among the rule’s updated policies is a 2.9 percent...
COVID-19 test prices significantly varied by hospital, with some facilities charging as little as $20 for the diagnostic test, while others charged as much as $850, according to a recent Peterson-KFF...
Hospital groups are urging HHS to delay requirements mandating the public disclosure of privately negotiated rates about a week after a federal judge dismissed their case challenging the upcoming price...
A federal judge dismissed a case challenging a hospital price transparency rule that will require the providers to disclose privately negotiated rates with commercial payers.
The ruling released...
A leading hospital group criticized CMS for its latest efforts to move forward with hospital price transparency requirements that will require hospitals to disclose their privately negotiated rates to...
Patient financial responsibility has been impacting the hospital revenue cycle far before the world knew what COVID-19 was. But the unprecedented public health crisis has shed new light on...
Massachusetts, Alaska, and Minnesota are among the states with the most comprehensive healthcare price transparency laws, which require providers, payers, or both to disclose costs to consumers, a new...
As the healthcare industry continues to move towards value-based reimbursement, providers are calling for increased cost transparency to succeed in these models.
Earlier work from Insights...
Patients should be able to know the prices of services before they receive care, HHS stated in response to a lawsuit challenging the department’s most recent hospital price transparency...
A recent analysis conducted by the Health Care Cost Institute (HCCI) is raising questions about the efficacy of a consumer-centered hospital price transparency requirement slated to take effect next...
The national disparity between gross charges for hospital procedures is substantial, at an average of 297 percent difference between the lowest and highest gross charge for each individual procedure,...
Hospital price transparency is coming to New York, according to an announcement from the state’s governor.
Governor Andrew M. Cuomo unveiled on Dec. 27 his plans to create a consumer-friendly...
Healthcare Price transparency tools can provide accurate real-time estimates of ambulatory procedures. And a new cost estimation tool showed an 83.9 percent accuracy rate among patients, according to a...
California Attorney General Xavier Bacerra recently announced a $575 million settlement with Sutter Health to resolve the health system’s alleged anti-trust behaviors, which a class action...
Patient billing, policy and regulation, healthcare mergers and acquisitions, and workforce diversity will be some of the top priorities for provider organizations in 2020, predicted researchers at...
A lot can change in a year. From innovative technologies and value-based care to hospital mergers and acquisitions and new competitors, the healthcare industry has undergone yet another year of immense...
