Health Affairs January 19, 2021
Transparency in health care pricing can help patients make informed decisions, increase competition, and drive down the cost of health care. Accordingly, the Centers for Medicare and Medicaid Services (CMS) has promulgated a new rule for hospital pricing, effective January 1, 2021, that would require disclosure of a wide range of hospital prices. This blog post reviews the history, requirements, and scope of the CMS rule, industry criticisms of the rule and the lawsuit challenging it, and the prospects for compliance. While the CMS rule will not single-handedly normalize health care pricing, it at least promises to make it more transparent.
The CMS Rule
As part of the Affordable Care Act (ACA), Congress enacted section 2718(e) of the Public Health...
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