Becker's Healthcare November 15, 2019
CMS issued a final rule Nov. 15 that requires hospitals to disclose the rates they negotiate with insurers beginning in 2021. The Trump administration also released a proposed rule that would require health plans to share price and cost-sharing information with members up front.
Hospital price transparency final rule
1. Comprehensive “standard charges” file. The final rule requires hospitals to post their “standard charges” online in a machine-readable file. Under the definition adopted by CMS, standard charges include the following: 1) gross charges; 2) discounted cash prices; 3) payer-specific negotiated charges; 4) de-identified minimum negotiated charges; and 5) de-identified maximum negotiated charges.
Hospitals will be required to disclose the standard charges for all items and services, including supplies, facility fees...
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