Tag: Hospital Price Transparency Rule

Hospital Price Transparency Rule Compliance

Hospital Price Transparency Rule Compliance: A Deep Dive

Despite the federal Hospital Price Transparency Rule being in effect for nearly four years, many hospitals are still not fully compliant. While organizations like Hospital Price Transparency Company advocate for greater transparency, differing methodologies and criteria used by evaluators have led to varying assessments of hospital compliance. A Mixed Bag of Compliance While some hospitals […]
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Cancer Centers Fail to Comply with Hospital Price Transparency Rule

Cancer Centers Fail to Comply with Hospital Price Transparency Rule

Failing to post files in a machine-readable format was the most common violation of the hospital price transparency rule among NCI-designated cancer centers. Less than one-third of hospitals with National Cancer Institute (NCI) cancer center designation were fully compliant with the CMS hospital price transparency rule, according to research published in JAMA Surgery. The price […]
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healthcare-tech-company-launches-online-price-transparency-tool

Healthcare Tech Company Launches Online Price Transparency Tool

  Through the online price transparency tool, users can view hospital service prices and assess machine-readable file completeness. A healthcare technology company has launched an online price transparency tool that allows consumers to compare hospital costs before seeking care. Turquoise Health’s Price Transparency Scorecard lets consumers find prices by searching for specific services or providers. […]
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Hospital Price Transparency Strategies for Compliance, Patients

Hospital price transparency is now a requirement from CMS, but providers should be going beyond the rule to ensure transparency meets patient demands, too. Hospital price transparency goes beyond just compliance with federal regulations. Patients are also demanding more transparent pricing information from their providers in order to make more informed decisions about their healthcare. […]
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Price Transparency Rule Requirement

New Federal Transparency Requirements Impacting Health Providers and Plans

As promised, this is a follow-up to our first blog post on the new federal transparency requirements. In our prior post, we summarized the Hospital Price Transparency rule which went into effect on January 1, 2021, and here we discuss the transparency rules contained in the Consolidated Appropriations Act, 2021 (the “Act”), which apply to both health plans […]
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New Surprise Billing Rules

Key Ways Providers Can Prepare for New Surprise Billing Rules

Starting January 1, 2022, healthcare providers will be subject to a new surprise billing law that makes it illegal for providers to bill patients more than in-network cost-sharing for out-of-network services and establishes an arbitration process to resolve unexpected out-of-network charges. The law, the No Surprises Act, was passed in December 2020 as part of […]
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hospital price transparency rule

CMS to Audit Some Hospitals for Price Transparency Compliance

CMS is taking steps to ensure hospitals comply with a controversial price transparency rule taking effect on January 1, 2021. On that date, every hospital in the country is expected to provide publicly accessible standard charge information about the items and services they render. That includes gross charges, discounted cash prices, de-identified minimum and maximum negotiated […]
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