DOTmed April 21, 2025
Healthcare professionals face increasing pressure on both clinical and administrative fronts, as employers and self-insured plans continue to confront rising healthcare costs. Historically, providers gained tactical and strategic advantages through network negotiations that included fragmented pricing and opaque fee structures. In that and other ways, the combination of very broad networks which include most providers, and the No Surprises Act in-network requirements have contributed to growing financial strain – leaving plan sponsors with limited control over costs.
The Healthcare Price Transparency Executive Order signals a decisive shift. It forces providers and insurers to disclose actual negotiated prices, offering a level of visibility previously unavailable. For healthcare professionals involved in hospital administration, contracting or benefits design, this policy change represents more...
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