Tuesday's ruling from the U.S. District Court takes effect January 2021 and requires hospitals to publicize the rates they negotiate with individual insurers for all services, including drugs, supplies, facility fees and care by doctors who work for the facility.
A President Trump appointee, Judge Carl Nichols, delivered the...National News
The American Hospital Association with other industry groups and health systems brought the lawsuit against Health and Human Services (HHS) for its rule requiring hospitals to publicize their negotiated rates with insurers; the first round of oral arguments began May 7 in the U.S. District Court for the District of...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
The final rule provides details on the requirements for making public discounted cash prices, payer-specific negotiated charges and de-identified minimum and maximum negotiated charges for at least 300 ‘shoppable’ services, publicly available in a consumer-friendly format effective January 1, 2021.
The Health & Human Services...National News
Across the nation, hospitals treating patients with private health insurance were paid overall 2.4 times the Medicare rates in 2017, according to the RAND analysis. The difference was largest for outpatient care, where private prices were almost triple what Medicare would have paid. The study illustrates the widening chasm between what...National News
Always available upon request, prices for procedures are now posted online to encourage patients to exercise their healthcare literacy to make market decisions - first lesson: it's not what you'll pay.
Because the list price isn't what price your insurance company pays, critics say CMS' new rule may not be effective when it comes to...
