Health Affairs September 21, 2021
On January 1, 2021, a federal rule went into effect requiring hospitals to publish negotiated prices for hundreds of commonly used health care services. These new transparency requirements hold the potential to empower the purchasers of health care services—employers, state governments, and consumers—in their efforts to identify and use the most cost-efficient providers. However, as of July 2021, only 6 percent of hospitals had fully complied; another study found that, as of March 2021, only 33 of 100 randomly sampled hospitals had reported their payer-specific negotiated rates.
Bipartisan committee leaders on the Hill have urged the Centers for Medicare and Medicaid Services (CMS) to do more to enforce the transparency requirements. CMS subsequently issued a proposal to increase the penalties...
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