Becker's Healthcare January 25, 2022
Last year, CMS began requiring hospitals to post prices negotiated with private insurers online and enforced compliance. The agency is also requiring insurers and health plans to disclose in-network provider rates by July 1. Both policy changes could be a boon for ASCs.
Surgery centers are not required to post negotiated rates online as of yet, but typically they are the low-cost setting for surgical services. ASCs stand to win on cost data and often have strong quality metrics as well. As a result, price transparency could also make certificate of need laws obsolete.
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