Policy & Medicine December 20, 2024
The Government Accountability Office (GAO) released a report on the hospital pricing transparency initiative, finding that the Centers for Medicare and Medicaid Services (CMS) needs more information on hospital pricing data completeness and accuracy. In the report, GAO notes that in 2024, CMS updated some of the hospital pricing transparency requirements to address some of the challenges reported with using the pricing data but challenges remain with implementation and effectiveness of the requirements.
GAO reviewed the implementation of the hospital price transparency requirements. GAO reviewed relevant laws and regulations, CMS documentation, relevant studies, and comments on CMS’s updated 2024 requirements. GAO also analyzed enforcement actions taken by CMS against hospitals from 2021 through 2023. Interviews were also conducted with CMS...