KevinMD March 30, 2025
Christine Ward, MD

In his deluge of executive orders, Trump once again is focusing on health care cost transparency.

Efforts to open the lock on health care costs began in 2019 under the Trump administration with mandated publication of hospital price lists, called chargemasters. These price lists are arbitrary, as they have no relation to the contracted prices that hospitals and insurance companies negotiate. These negotiated prices were not available to the public but later were mandated to be published, despite lawsuits filed by hospitals.

Although the gates to the secretive world of health care costs are being hammered open with laws requiring price transparency, these data points have minimal utility to the average patient. Giving patients access to spreadsheets with up to...

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