CMS should take stronger stance on hospital pricing compliance: GAO
Healthcare DIVE October 4, 2024
The CMS fails to check hospitals’ pricing data for accuracy and completeness, raising questions about whether the data can be used as intended to help payers and patients shop for services.
Dive Brief:
- The CMS does not routinely check required, publicly posted hospital pricing data for completeness or accuracy, raising questions about the usability of data provided, according to a report from the Government Accountability Office published Wednesday.
- Stakeholders say posted hospital pricing data is often difficult to use. They reported to GAO difficulty accessing pricing information and comparing files across sites due to missing and incomplete data, formatting inconsistencies and complexities of pricing data.
- The GAO recommended the CMS change its compliance review process and leverage “any...