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.

Hospitals and health systems are where the most complex care is provided for ill and injured patients. Yet spending on inpatient and outpatient care has grown more slowly than spending on other health services. Hospitals and health systems have worked hard to provide the best value to patients and…
As trusted sources of health care in the community, America’s hospitals and health systems are committed to providing high quality and safe care to all individuals, as well as delivering a care experience that meets patients’ needs and expectations from scheduling through billing.
Another major federal price transparency requirement went into effect July 1, 2022. There are three major federal price transparency policies: Hospital Price Transparency rule; Transparency in Coverage rule; and No Surprises Act.
The AHA hosted a members-only webinar during which its staff, along with representatives from Deloitte, provided important updates and insights on compliance with price transparency requirements, as well as the implications of the public reporting of hospital prices by insurers. The webinar also…
The transparency in coverage rule takes effect July 1, imposing new transparency requirements on most group health plans and issuers of health insurance coverage in the individual and group markets. Beginning next month most health plans must disclose publicly in machine-readable files all in-…
“Understanding potential costs is an important part of the patient experience when planning for care, and hospitals and health systems are committed to helping patients navigate that process,” writes Ari Levin, AHA’s director of coverage policy.
The AHA is supporting this activity by highlighting tools that aid patients and align with the new federal price transparency policy.
CMS announced the first civil monetary penalties under its hospital price transparency rule.
AHA experts take a deeper look at the latest RAND report on hospital pricing.
The RAND Corporation’s latest hospital pricing report again “overreaches and jumps to unfounded conclusions based on incomplete data,” said AHA President and CEO Rick Pollack.