HealthExec November 14, 2023
Seeking to uncover the rationale driving hospitals to flout compliance with CMS rules on price transparency, researchers interviewed hospital informants at 12 nonprofit institutions.
The team’s findings suggest fines, which took effect in early 2021, are not broadly decisive in shaping hospitals’ strategies for dealing with the price-transparency push.
Instead, many seem more concerned about their reputation, competitive edge and/or bottom line than about monetary penalties.
This might help explain why a 2022 survey found only 14% of hospitals compliant with the rule.
That’s despite a hike in CMS’s noncompliance penalties from a mean of $110,000 per year in 2021 to a mean of $511,000 in 2022. Penalties in 2022 were not lenient, either, averaging 0.49% of total hospital...
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