Last week, President Donald Trump issued an executive order aimed at the Departments of Health and Human Services (HHS), Treasury and Labor that would create an enforcement mechanism for the 2019 executive order on hospital price transparency.
The executive order modifies the demands of the original 2019 directive, including an...CMS Rules
The Centers for Medicare and Medicaid Services (CMS) released the CY2024 Outpatient and Ambulatory Surgical Center Prospective Payment System (OPPS), which included an increase for outpatient hospitals and ASCs of 3.1%.
The final rule's raise was larger than the 2.8% initially proposed, which the agency attributed to industry response...National News
Consumer advocacy group Families USA is coordinating the formation of a new coalition in support of hospital price transparency reforms and advocating for legislation that would strengthen federal oversight on transparency regulations.
The Centers for Medicare and Medicaid Services (CMS) moved to improve oversight for the Hospital...CMS Rules
The Centers for Medicare and Medicaid Services (CMS) CY 2024 Physician Fee Schedule (PFS) and Outpatient Prospective Payment System (OPPS) proposed rules released this week have caught major criticism from the industry for cuts to physician pay and inadequate raises for hospitals. But the OPPS proposal also contains a number of...
A new blog post by the director and chief transformation officer of the Center for Medicare provides a public update on the progress of the Hospital Price Transparency Rule and compliance among hospitals.
As of January 2023, CMS had issued nearly 500 warning notices and over 230 requests for corrective action plans since the initial...
The bill introduction deadline for both chambers of the Arizona State Legislature has passed with 1,625 bills introduced this year. On Tuesday, the Senate Health Committee voted unanimously to move the purview of the Arizona State Hospital out of the Arizona Department of Health Services (ADHS) and to an independent committee.
The...
A new final rule is in effect as of July 1, 2022. CMS says that the Transparency in Coverage Final Rule is the first of several rules that will be met with stronger compliance enforcement in accordance with the No Surprises Act of 2021 and instead of targeting hospitals for the clear publication of potential prices for a range of...
The hospital price transparency rule, which was issued by the Centers for Medicare and Medicaid Services and went into effect on January 1, 2021, is largely being ignored by hospitals who would prefer to absorb any financial penalty than comply. CMS has only started to impose fines as of last Wednesday, according to an agency email, but...
On Tuesday, the Centers for Medicare and Medicaid Services (CMS) announced the final Outpatient Prospective Payment System (OPPS) rule for 2022. The final rule contains a substantial hike in the civil monetary penalty for hospitals not complying with price transparency rules, with a minimum $300 per day for hospitals with 30 or fewer...CMS Rules
The Centers for Medicare & Medicaid Services proposed a new rule last week that would impose higher penalties for large hospitals that fail to comply with price transparency rules.
From U.S. Department of Health and Human Services Secretary Xavier Becerra:
With today's proposed rule, we are simply showing hospitals through...National News
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
On Tuesday, the United States Court of Appeals for the District of Columbia ruled that the Department of Health and Human Services may continue with the hospital price transparency rule on January 1. The American Hospital Association requested an injunction against the 2019 final rule that will require hospitals to make their standard...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...Arizona News
Hospital prices continue to be scrutinized as employer groups deem costs way too high and pressure from the Trump Administration to publish negotiated prices increases.
According to a Rand report, significant discrepancies were found between what private health plans pay for hospital services versus Medicare, highlighting that...National News
The Centers for Medicare and Medicaid Services (CMS) published a notice on Thursday informing hospitals of its plans to survey facilities to collect information on their acquisition costs for certain covered outpatient drugs included in the 340B Drug Discount Program.
The notice follows a July proposed rule from the Trump...National News
On Monday, the Centers for Medicare and Medicaid Services (CMS) followed up on President Trump's June 24th executive order which directed a slew of federal agencies to start working on healthcare transparency issues.
Trump's executive order directed the Secretary of Health and Human Services (HHS) to propose a regulation to require...White Papers, E books, Reports and more
More than 60 percent of Americans have private health insurance; the updated health economics paper, "The Price Ain’t Right? Hospital Prices and Health Spending on the Privately Insured," uses claims data from Aetna, Humana, and UnitedHealth.
The prices hospitals negotiate with health insurance companies vary enormously within and...
