Price Transparency

Hospitals seek reversals of Trump policies, among various requests of Biden

Hospitals are urging a range of policy changes, including halting the new price transparency rules, by the incoming Biden administration.

Rich Daly December 30, 2020

Election Special: As the votes are tallied, we look at what the possible outcomes mean for healthcare

As the world waits for the results of the presidential election and other key races, Rich Daly and Chad Mulvany discuss what could happen in the coming months. Also in this episode, Joe Fifer interviews 4sight Health CEO Dave Johnson about what's next for hospitals after COVID-19. This episode is sponsored by TRIMEDX.

Erika Grotto December 29, 2020

CMS warns a common hospital price transparency approach is noncompliant with new requirements

Many hospitals are using a rate-averaging approach to meet transparency requirements, which CMS recently deemed noncompliant.

Rich Daly December 28, 2020

CMS plans aggressive price transparency enforcement while hospitals urge a halt to the new rules

CMS plans aggressive enforcement of the looming hospital price transparency requirements, as hospitals urge judicial and Biden administration interventions.

Rich Daly December 23, 2020

Democratic advisers expect new (and some continued) healthcare policies under Biden

A Biden administration is likely to try new healthcare policy approaches and to build on some from the Trump administration, say Democratic advisers.

Rich Daly November 20, 2020

CMS finalizes requirement for hospitals to report MA plan rates

In the FY21 IPPS final rule, CMS expanded controversial negotiated-price reporting requirements.

Rich Daly November 2, 2020

Hospital finance leaders expect deteriorating payer mix, HFMA survey finds

Most hospitals expect their payer mix to shift in the next 12 months toward more Medicaid and individually insured patients.

Rich Daly November 2, 2020

Hospitals’ challenge to new transparency rule draws skepticism from appeals court

A federal appeals panel appeared hostile to many hospital arguments in a case challenging a looming price transparency requirement.

Rich Daly November 2, 2020

Requirements for drug price information added to final rule on health plan price transparency

Health plans are required by a new final rule to publicly release negotiated rates with all providers and give enrollees out-of-pocket cost information for each.

Rich Daly November 2, 2020

Deconstructing the CMS price transparency rule

By Jan. 1, 2021, hospitals and health systems must create and make public a list of standard charges for the top items and services they provide, per CMS. An executive discusses the challenges and opportunities this presents in this overview.

HFMA October 29, 2020
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