hospital price transparency

Feds Getting Serious About Hospital Price Transparency

After warning many hospitals that they were not in compliance with a 2019 requirement that they post their prices on the internet, the Centers for Medicare & Medicaid Services has now fined two hospitals for failing to do so. Policy-makers and advocates have been warning for some time that too many hospitals were not complying with the requirement: a JAMA report found that within six to nine months of the requirement’s implementation only six percent of 5200 hospitals met the requirement and a later review conducted by patient advocates found only 14 percent of 1000 hospitals surveyed in compliance. Eventually [...]

iqtsupport2022-06-14T14:34:45-04:00June 14, 2022|Centers for Medicare & Medicaid Services|

Hospitals Starting to Comply With Price Transparency Requirement

One out of every three hospitals is in full compliance with a federal mandate to post payer rates publicly and transparently. And many others are partially in compliance with the federal requirement that took effect on January . Full compliance requires that the postings are machine-readable and include payer-negotiated rates for 300 “shoppable services.” 2000 of 6000 hospitals are already meeting four of five federal criteria and about 20 percent appear to be on their way to doing so. Hospitals began working to comply with the new federal mandate when their attempt to block it in court failed. Learn more [...]

iqtsupport2021-02-25T06:00:47-05:00February 25, 2021|hospitals|

Hospitals Advocate Losing Chargemaster

Hospitals would no longer need to post their chargemaster prices under a new approach to Medicare payments being advocated by a new hospital lobbying group. The small group, calling itself the Chargemaster Alternatives for Medicare Payment Alliance, wants Medicare to eliminate payment formulas based on chargemaster prices and base them instead on actual costs. Acting in response to a new proposal that hospitals be required to post their chargemaster prices, the group argues that chargemaster prices are irrelevant for all but a few consumers. Learn more about the group, its members, and its argument for ending use of chargemaster prices [...]

iqtsupport2019-10-28T06:00:54-04:00October 28, 2019|Medicare, Medicare reimbursement policy|