Becker's Healthcare July 5, 2022
The CMS transparency in coverage rule took effect July 1, requiring payers nationwide to publish the cost of nearly every healthcare service they’ve negotiated with providers. But it will take time before any of that data is useful to patients, according to The Washington Post.
The rule requires payers to disclose in-network provider rates for covered items and services, out-of-network allowed amounts and billed charges for all covered items and services, and negotiated rates and historical net prices for covered prescription drugs administered by providers.
The data must be posted online in machine-readable files, with large files meant to be analyzed by third-party researchers. According to the Post, until tools are created to help patients search through that data, it...
Today's Sponsors
Today's Sponsor