Despite impassioned criticism from the hospital industry and a lawsuit from the American Hospital Association, CMS finally implemented its long-delayed hospital transparency rule on January 1, 2021. Multiple reports suggest that now, hospitals' are resisting complying with it.
The CMS Rule requires hospitals to “establish,...CMS Rules
Along with an increase to Medicare inpatient payment rates, a Centers for Medicare and Medicaid Services (CMS) proposed rule released on Monday is suggesting price transparency requirements that include hospitals disclosing median payer-specific rates negotiated with Medicare Advantage organizations and third-party payers.
CMS is...News
Following last year’s controversial price transparency rule mandating that hospitals disclose the rates they negotiate with insurers online for specific services, payers have decided to counter the rule with an initiative of their own.
The Centers for Medicare and Medicaid Services (CMS) revealed the list of 70 mandated...CMS Rules
After the publication of the Outpatient Prospective Payment System (OPPS) on Friday, the Trump Administration is holding off on a controversial transparency rule that would require hospitals to publicly post all privately negotiated payer rates. The Centers for Medicare and Medicaid Services (CMS) has promised to issue a "forthcoming...National News
No details yet on how the federal government will get its hands on what many see as proprietary, discounted and negotiated rates between insurers, hospitals, doctors and other clinicians.
The Wall Street Journal reported that while The White House won't comment, the executive order is a result of months of behind the scenes strategy...
