MedCity News June 27, 2022
Experts believe CMS’ price transparency rule is flawed in its design because the highly complex billing data it is asking hospitals to post is too confusing for consumers to understand. The complicated structure of the healthcare system — from care variance to deductibles to billing codes — means that producing an accurate price estimate is virtually impossible. To improve compliance, hospitals will need health tech companies to step in.
“How do you make a spreadsheet or database with 50,000 rows of highly technical, clinical billing information consumer-friendly?”
That is the question Niall Brennan posed in a recent interview following the first stinging fine that the Centers for Medicare and Medicaid Services levied on a health system in Atlanta. Having served...