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.
The Centers for Medicare & Medicaid Services’ Hospital Price Transparency final rule goes into effect on Jan. 1, 2021. The AHA and three other national organizations sued the federal government challenging the final rule. The case is pending in a federal appeals court.
AHA policy staff hosted a webinar to review updates to the CMS Hospital Price Transparency GitHub following the recent changes to the requirements in the OPPS final rule. Presented by Terri Postma, principal at Health Policy Alternatives. Members can view the recording of the session.
The Centers for Medicare & Medicaid Services March 16 announced it will transition later this year to a new centralized platform for managing federal independent dispute resolution operations related to the No Surprises Act.
Health care costs can feel confusing, especially when bills arrive. Not every medical bill is hospital-related, but below are answers to some common questions about hospital care.
The Centers for Medicare & Medicaid Services has released a new link for its webinar on Feb. 11 at 2 p.m. ET on updated hospital price transparency requirements that were finalized in the hospital outpatient prospective payment system final rule for calendar year 2026.
The AHA and other stakeholders have proposed a practical and scalable solution: the mock claim proposal.
The Centers for Medicare & Medicaid Services will host a webinar Feb.
The White House released a health care plan Jan. 15 addressing drug prices, health insurance premiums and price transparency efforts.
The Departments of Treasury, Labor, and Health and Human Services proposed several changes Dec. 19 to the Transparency in Coverage requirements for insurers. The proposal includes changes to the insurer machine-readable files, in line with a February executive order on price transparency and…
This webinar reviews the latest changes to the Hospital Price Transparency requirements, which were finalized in the CY2026 OPPS Rule. These changes go into effect on January 1, 2026. However, CMS will delay enforcement until April 1, 2026. The webinar features Terri Postma, a principal at HPA and…