Last week, the Senate Health, Education, Labor and Pensions (HELP, health) committee voted to advance the "Patients Deserve Price Tags Act," a bipartisan effort to require providers, plans and pharmacy benefit managers to publicly post prices they charge. But industry stakeholders are raising concerns that efforts to advance price...
Nonpartisan advocacy group United States of Care is offering an olive branch to Congressional Republicans with a new "Red State Affordability Cohort," which will serve as a working group of six conservative-leaning states, including Arizona, for cross-state collaboration on policy and mutual support. Republicans have yet to coalesce...CMS Rules
Last Friday, the Centers for Medicare and Medicaid Services (CMS) issued a new proposed rule that would overhaul disclosure rules for health payers' pricing and cost-sharing determinations.
The 2020 Transparency in Coverage (TiC) rule required payers to disclose cost-sharing information in a machine-readable format and create...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...CMS Rules
Last week, President Joe Biden announced that he would roll back a controversial Trump-era rule that would have required green card applicants and other immigrants to demonstrate that they would have health insurance upon arrival to the U.S. The so-called "public charge" rule would have allowed the government to deny visa applications if...Arizona News
The Centers for Medicare and Medicaid Services (CMS) price transparency rule went into effect on January 1st. The rule, which requires that hospitals disclose prices of basic procedures in searchable files or consumer-friendly interfaces, was met with uncertainty and criticism from hospitals and other stakeholders for being too strict a...Arizona News
The Centers for Medicare and Medicaid Services (CMS) announced the finalization of a rule this week that will require insurers to inform potential consumers of costs for tests and procedures. The goal, according to the Trump administration, is price transparency for patients rather than political gains.
From Health and Human...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
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
HHS released proposed rules for Medicare Advantage and Part D plans in November. On Tuesday February 26th, the Senate took testimony from seven drug company executives.
The pharmaceutical companies placed blame on the Pharmacy Benefit Management companies (PBMs) and warned that if they were to face outrageous solutions to lower...National News
Accenture study shows 91% of patients want to know out-of-pocket costs, only 25% of providers can provide the estimates.
HealthLeaders Media reports providers shouldn’t be afraid of sharing cost estimate information—the majority of patients aren’t using it to shop around, but rather to better plan their budgets, and 60% of...National News
It does not go well.
He wanted to compare prices for a procedure his daughter was to have. He began the price shopping process with several advantages: He lives in Massachusetts, which has price transparency laws; he's a physician; he has researched price transparency and consumerism; and he had a lot of time to shop around because...
