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.
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…
CMS updates GitHub repository with information related to changes in price transparency requirements
The Centers for Medicare & Medicaid Services has updated its GitHub repository with new resources to help hospitals comply with changes to hospital price transparency requirements finalized in the Medicare hospital outpatient prospective payment system final rule for calendar year 2026.
The health care field has entered a period of disruption, from sweeping coverage changes to the rise of artificial intelligence (AI)-enabled tools.
The AHA provided a statement for a Senate Special Committee on Aging hearing today on shoppable services that improve health outcomes and lower costs.
AHA shares the hospital field’s comments on how to reduce health care costs for seniors.
An AHA-authored essay published by Health Affairs today analyzes why a hospital price cap simulator tool, created by Brown University’s Center for Advancing Health Policy through Research, has limited use. The tool is designed to estimate potential savings if states impose caps on commercial…
RE: CMS–1832–P Medicare and Medicaid Programs; Calendar Year 2026 Payment Policies Under the Physician Fee Schedule and Other Changes to Part B Payment and Coverage Policies; Medicare Shared Savings Program Requirements; and Medicare Prescription Drug Inflation Rebate Program
America’s hospitals and health systems are deeply concerned about Aetna’s recently announced “level of severity inpatient payment” policy.