Fact Sheet | Pricing

Hospital Negotiated Charge Posting Requirement Final Rule Summary

Fact Sheet | Pricing

Hospital Negotiated Charge Posting Requirement Final Rule Summary

On November 15, 2019, the Centers for Medicare & Medicaid Services (CMS) released a final rule that establishes the requirements for hospitals operating in the United States to establish, update, and make public a list of their standard charges for the items and services they provide. The rule requires all hospitals to post gross charges, payer-specific negotiated charges, the de-identified minimum and maximum negotiated charge and the cash discount price for all items and services and service packages on a website in a machine-readable format.

Download the summary

Advertisements

Related Articles | Pricing

Blog | Consumerism

Not like the others: House Ways and Means surprise bill legislation

Provider friendly House Ways and Means surprise bill draft legislation doesn't rely on a benchmark payment rate like competing versions.

Blog | Consumerism

HFMA provides comments in support of its members on ‘tri-agency’ price transparency proposed rule

HFMA comments on and suggests improvements to a proposed rule issued by U.S. Departments of Health and Human Services, Labor and the Treasury requiring health plans to provide their members with out-of-pocket cost estimates.

Comment Letter | Consumerism

HFMA Comments on the Transparency in Coverage Proposed Rule

HFMA submitted comments to the Departments of Health and Human Services, Labor and Treasury on the Transparency in Coverage proposed rule. Comments include proposals related to providing out-of-pocket price estimates for insured patients.

Trend | Contracting

Why removing percent-of-charge provisions in managed care contracts won't address concerns about high hospital charges

Removing percent-of-charge provisions in favor of fixed fees would not remove the factors that drive price increases, nor would it reduce administrative hassles or decrease risk.