Lexology June 25, 2020
Riker Danzig Scherer Hyland & Perretti LLP

Price Transparency Rule Upheld

In November 2019, the Department of Health and Human Services (“HHS”) published a transparency rule in the Federal Register requiring hospitals to disclose pricing information. The American Hospital Association and many other associations and hospital systems sued HHS arguing that HHS lacked statutory authority to require public disclosure of individually negotiated rates between commercial insurers and hospitals. On June 23, the United States District Court for the District of Columbia granted HHS’ motion for summary judgment upholding the rule. The American Hospital Association has already stated it will appeal the decision. The case is The American Hospital Association, et al., v. Alex M. Azar, II, Civil Action No. 1:19-cv-03619.

Court Strikes Down Wholesale Prices Rule

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Topics: CMS, Govt Agencies, Healthcare System, Insurance, Medicaid, Payer, Payment Models, Pharma / Biotech, Pricing / Spending, Provider, Value Based
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