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.

A new blog from the AHA highlights a Centers for Medicare & Medicaid Services report that found that 70% of hospitals are in compliance with both parts of the Hospital Price Transparency Rule, up from 27% in 2021. The CMS data also showed 82% of hospitals are in compliance with at least one…
The Centers for Medicare & Medicaid Services (CMS) recently released the results of its assessment of hospital compliance. Importantly, CMS is the official arbiter of compliance with the transparency rules.
In a blog published in Health Affairs, leaders from the Centers for Medicare & Medicaid Services released updated findings on hospital compliance with the Hospital Price Transparency Rule.
The Centers for Medicare & Medicaid Services yesterday released three voluntary sample formats (wide, tall and plain) that hospitals may use to meet the federal requirement to make certain standard charges publicly available through a machine-readable file. The agency also posted a sample data…
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.