KFF January 13, 2021
Nisha Kurani, Matthew Rae, Karen Pollitz, Krutika Amin, Cynthia Cox

A new issue brief summarizes the key requirements for hospitals, insurers, and self-funded employer plans under new federal price transparency rules. As of January 1, 2021, hospitals are required to make payer-negotiated rates for common services available to consumers on an online tool, and for all services in a machine-readable file. A second rule requires insurers in the individual and group markets and self-funded employer plans to make rates and individualized cost-sharing estimates for certain common services...

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Topics: CMS, Employer, Govt Agencies, Healthcare System, Insurance, Patient / Consumer, Pricing / Spending, Provider
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