Health Affairs May 25, 2023
David Muhlestein

The negotiated prices or rates that insurers pay to hospitals, physicians, and other health care providers have long been shrouded in secrecy, with few people gaining access to the data, and those that did bound by confidentiality clauses. On June 24, 2019, then-President Donald Trump issued an “executive order on improving price and quality transparency in American health care to put patients first” with the belief that “making meaningful price and quality information more broadly available to more Americans will protect patients and increase competition, innovation, and value in the healthcare system.”

This regulation had three components. First, hospitals would be required to release machine-readable files with negotiated prices beginning January 1, 2021. Second, insurers would be required to create...

Today's Sponsors

LEK
ZeOmega

Today's Sponsor

LEK

 
Topics: Health System / Hospital, Healthcare System, Insurance, Payer, Physician, Pricing / Spending, Provider
Corporate groups pass hospitals in ownership of physician practices
CMS Is Not Solomon When It Comes To Healthcare
BCBS of Rhode Island reports $26M operating loss in 2023
Payer Roundup—UHG exec stock sell-off after DOJ probe; Michigan awards Medicaid contracts; Cigna announce innovation hub home
What lawmakers are saying about Optum's physician transactions

Share This Article