Price Transparency / en Wed, 30 Jul 2025 16:58:08 -0500 Tue, 22 Jul 25 14:36:15 -0500 Hospital Price Transparency Final Rule /pricetransparencyrule <div class="container"><div class="row"><div class="col-md-8"><h3><strong>The Centers for Medicare & Medicaid Services’ Hospital Price Transparency final rule goes into effect on Jan. 1, 2021.</strong></h3><h2>Issue</h2><p>The Centers for Medicare & Medicaid Services’ (CMS) hospital price transparency final rule, issued Nov. 14, 2019, will require hospitals to provide an out-of-pocket price estimator tool or information on 300 “shoppable” services for patients as well as disclose their privately negotiated rates with health insurers, discounted cash prices and gross charges beginning Jan. 1, 2021. The agency will monitor and enforce compliance, including civil monetary penalties of up to $300 a day</p><h2>AHA Take</h2><p>Hospitals and health systems are committed to providing patients with meaningful information that patients can use to make the best decisions for themselves and their families, such as an out-of-pocket cost-estimator tool for shoppable services. However, the AHA continues to oppose the requirement to publicly list privately negotiated prices. That part of the rule will do nothing to help patients become more knowledgeable consumers of health care and instead will confuse and frustrate them. And, according to one large national health insurer, it will accelerate anticompetitive behavior by insurers with market power including stymieing badly needed innovations in care delivery.</p><p>The U.S. Court of Appeals for the District of Columbia Circuit Oct.15 heard oral arguments in an appeal from the AHA and hospital groups challenging CMS’ final rule. We urged the court to overturn the rule and do so quickly due to the looming Jan.1 compliance deadline and the unreasonable burden it places on hospitals. Concurrent with our legal strategy, we have been working to prepare the field for the rule’s implementation, should it take effect on Jan. 1.</p><h2>AHA Resources</h2><p>AHA offers resources to help you meet patient demand for easier access to out-of-pocket cost estimates. These resources also can help you implement the hospital price transparency rule shoppable service requirement. We also partnered with AVIA, a digital health consultant firm, and Deloitte to create educational opportunities related to implementation.</p><p>See below for a collection of all AHA and CMS resources related to this final rule. This webpage will be updated regularly as new resources are available.</p><hr><p><a class="ck-anchor" id="ptvideo"></a></p><p>AHA members, <a href="/system/files/media/video/2020/12/AHA-Price-Transparency-Version-A.mp4">download an unbranded version of this video</a> to share with your communities on your website. Use the "Download" or "Save video as" link within the video player option menu to download the .mp4 video file. You may need to right click on the video for this menu to appear.</p><hr><div class="col-md-12 cc_tabs">/* reset */ .cc_tabs ul.a-container { margin: 0; padding: 0; list-style: none; } .cc_tabs input[type=checkbox] { display: none; } /* style */ .cc_tabs .a-container { width: 100%; margin: 20px auto; } .cc_tabs .a-container label { display: block; position: relative; cursor: pointer; font-size: 18px; font-weight: bold; padding: 10px 20px; color: #63666a; background-color: #eee; border-bottom: 1px solid #ddd; -webkit-transition: all .2s ease; -moz-transition: all .2s ease; -ms-transition: all .2s ease; -o-transition: all .2s ease; transition: all .2s ease; margin-bottom:15px } .cc_tabs .a-container label:after { content: ""; width: 0; height: 0; border-top: 8px solid #aaa; border-right: 6px solid transparent; border-bottom: 8px solid transparent; border-left: 6px solid transparent; position: absolute; right: 10px; top: 16px; } .cc_tabs .a-container input:checked + label, .cc_tabs .a-container label:hover { background-color: #003087; 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border-top-right-radius: 15px; font-weight: 700; } @media (max-width:452px){ .cc_tabs .tab button{ padding: 10px 5px 10px 5px; width: calc(50% - 4px); font-size: 17px; margin: 0px 2px; } } /* Change background color of buttons on hover */ .cc_tabs .tab button:hover { background-color: #003087; color:#fff } /* Create an active/current "tab button" class */ .cc_tabs .tab button.active { background-color: #003087; color: #ffffff } /* Style the tab content */ .cc_tabs .tab .tabcontent { float: left; padding: 15px 12px; border: 1px solid #ccc; width: 100%; height: auto; } .cc_tabs .tablinks:after { content: '\2610'; color: #777; font-weight: bold; float: right; margin-left: 5px; } .cc_tabs .tablinks.active:after { content: "\2611"; } Get CertifiedRecertify </div> --><div class="tabcontent" id="General"><div class="raw-html-embed"> <div class="col-md-12 cc_tabs"> /* reset */ .cc_tabs ul.a-container { margin: 0; padding: 0; list-style: none; } .cc_tabs input[type=checkbox] { display: none; } /* style */ .cc_tabs .a-container { width: 100%; 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display: none; height:auto; max-height: 40vh; overflow: auto } .cc_tabs .a-container input:checked ~ .a-content { display: block; } /* Style the tab */ .cc_tabs .tab { background-color: #fff; width: auto; height: auto; overflow: auto; } /* Style the buttons inside the tab */ .cc_tabs .tab button { display: block; background-color: lightgry; color: #003087; padding: 10px 16px 10px 20px; width: calc(50% - 30px); border: solid 1px lightgray; outline: none; text-align: center; cursor: pointer; transition: 0.3s; font-size: 20px; float: left; overflow: auto; margin: 0px 15px; -webkit-border-top-left-radius: 15px; -webkit-border-top-right-radius: 15px; -moz-border-radius-topleft: 15px; -moz-border-radius-topright: 15px; border-top-left-radius: 15px; border-top-right-radius: 15px; font-weight: 700; } @media (max-width:452px){ .cc_tabs .tab button{ padding: 10px 5px 10px 5px; width: calc(50% - 4px); font-size: 17px; margin: 0px 2px; } } /* Change background color of buttons on hover */ .cc_tabs .tab button:hover { background-color: #003087; color:#fff } /* Create an active/current "tab button" class */ .cc_tabs .tab button.active { background-color: #003087; color: #ffffff } /* Style the tab content */ .cc_tabs .tab .tabcontent { float: left; padding: 15px 12px; border: 1px solid #ccc; width: 100%; height: auto; } .cc_tabs .tablinks:after { content: '\2610'; color: #777; font-weight: bold; float: right; margin-left: 5px; } .cc_tabs .tablinks.active:after { content: "\2611"; } Get CertifiedRecertify </div> --> <div class="tabcontent" id="General"> <a id="patienttools"> </a> <a id="patienttools"></a> <ul class="a-container"> <li class="a-items"> Rule Summary <div class="a-content"> <ul> <li> <a href="/special-bulletin/2021-11-03-cms-issues-hospital-outpatientasc-final-rule-including-modifications">Special Bulletin: CY 2022 Hospital OPPS/ASC Final Rule, Including Modifications to Price Transparency </a> </li> <li> <a href="/advisory/2021-07-30-cy-2022-hospital-oppsasc-proposed-rule-including-modifications-price">CY 2022 Hospital OPPS/ASC Proposed Rule, Including Modifications to Price Transparency</a> </li> <li> <a href="/2021-07-20-cms-issues-hospital-outpatientasc-proposed-rule-including-modifications-price">AHA Special Bulletin on Proposed Updates to Rule</a> </li> <li> <a href="/advisory/2019-12-04-regulatory-advisory-administration-finalizes-rule-requiring-disclosure-hospital">AHA Regulatory Advisory</a> </li> <li> <a href="/special-bulletin/2019-11-15-special-bulletin-administration-issues-two-rules-disclosure-hospital">AHA Special Bulletin</a> </li> </ul> </div> </li> <li class="a-items"> AHA Advocacy <div class="a-content"> <ul> <li> <a href="/lettercomment/2021-03-16-aha-comments-no-surprises-acts-price-transparency-provisions">AHA letter to CMS on Implementing the No Surprises Act’s Price Transparency Provisions </a> </li> <li> <a href="/lettercomment/2021-01-07-aha-urges-hhs-exercise-enforcement-discretion-respect-hospital-price">AHA Letter Urging Sec. Azar to Exercise Enforcement Discretion with Respect to the Hospital Price Transparency Rule</a> </li> <li> <a href="/special-bulletin/2020-12-21-aha-urges-court-delay-implementation-price-transparency-rule">AHA Special Bulletin: AHA Urges Court to Delay Implementation of Price Transparency Rule; Asks Biden Transition Team for Enforcement Discretion</a> </li> <li> <a href="/lettercomment/2020-12-21-aha-letter-biden-harris-transition-team-price-transparency-rule">AHA Letter to Biden-Harris Transition Team on Price Transparency Rule</a> </li> <li> <a href="/lettercomment/2020-12-11-aha-outlines-initial-policy-priorities-biden-administration">AHA Letter to President-elect Biden (includes request for delay in enforcement)</a> </li> <li> <a href="/lettercomment/2020-12-02-aha-hhs-re-additional-covid-19-flexibilities-providers">Letter to Sec. Azar re: Additional COVID-19 Flexibilities (includes request for delay in enforcement)</a> </li> <li> <a href="/system/files/media/file/2019/09/aha-comments-cms-outpatient-pps-asc-proposed-rule-cy-2020-9-27-19.pdf">AHA Comments on the Proposed Policy</a> </li> <li> <a href="/lettercomment/2020-07-06-aha-urges-hhs-delay-effective-date-hospital-price-transparency-rule">AHA Letter requesting a delay</a> </li> </ul> </div> </li> <li class="a-items"> AHA Lawsuit <div class="a-content"> <a> </a> <p class="MsoNormal"> <span></span> </p> <ul> <li> <a href="/system/files/media/file/2020/12/2020-12-23-Appellee-US-Opposition-to-Emergency-Motion-to-Stay.pdf">Appellee U.S. Opposition to Emergency Motion to Stay</a> (December 23, 2020) </li> <li> <a href="/legal-documents/2020-12-21-hospitals-emergency-motion-stay-re-disclosure-negotiated-rates">Hospitals’ Emergency Motion for Stay </a>(December 21, 2020) <ul> <li> <a href="/system/files/media/file/2020/12/hospitals-emergency-motion-for-stay-disclosure-of-negotiated-rates-12-21-2020-ex-1.pdf">Exhibit 1</a> </li> <li> <a href="/system/files/media/file/2020/12/hospitals-emergency-motion-for-stay-disclosure-of-negotiated-rates-12-21-2020-ex-2.pdf">Exhibit 2</a> </li> <li> <a href="/system/files/media/file/2020/12/hospitals-emergency-motion-for-stay-disclosure-of-negotiated-rates-12-21-2020-ex-3.pdf">Exhibit 3</a> </li> </ul> </li> </ul> <ul> <li> <a href="/legal-documents/2020-10-02-hospital-group-responds-governments-notice-about-recent-guidance-oct-2">Hospital Group Responds to Government’s Notice About Recent Guidance </a>(October 2, 2020) </li> <li> <a href="/legal-documents/2020-10-02-government-notifies-court-recently-released-guidance-negotiated-charges">Government Notifies Court of Recently Released Guidance on Negotiated Charges Rule Implementation </a>(October 1, 2020) </li> <li> <a href="/legal-documents/2020-10-02-government-responds-hospital-group-letter-executive-order-oct-1-2020">Government Responds to Hospital Group Letter on the Executive Order </a>(October 1, 2020) </li> <li> <a href="/legal-documents/2020-09-28-hospital-group-notifies-court-recent-price-transparency-executive-order">Hospital Group Notifies Court of Recent Price Transparency Executive Order </a>(September 25, 2020) </li> <li> <a href="/legal-documents/2020-09-28-govt-responds-hospital-groups-previous-notice-court-re-additional">Govt. Responds to Hospital Groups’ Previous Notice to the Court about Additional Disclosure Required In 2021 IPPS Final Rule </a>(September 25, 2020) </li> <li> <a href="/legal-documents/2020-09-21-hospital-group-notifies-court-relevant-supplemental-authority-re">Hospital Group Notifies Court of Relevant Supplemental Authority </a>(September 21, 2020) </li> <li> <a href="/legal-documents/2020-08-28-hospital-groups-reply-government-re-disclosure-negotiated-charges-august">Hospital Groups Reply to Government </a>(August 28 2020) </li> <li> <a href="/legal-documents/2020-08-14-governments-reply-brief-negotiated-charges-appeal-august-14-2020">Government’s Reply Brief In Negotiated Charges Appeal</a> (August 14, 2020) </li> <li> <a href="/amicus-brief/2020-07-24-hospital-associations-amicus-brief-negotiated-charges-appeal-july-24-2020">Hospital Associations Amicus Brief in Negotiated Charges Appeal</a> (July 24, 2020) </li> <li> <a href="/amicus-brief/2020-07-24-us-chamber-amicus-brief-negotiated-charges-appeal-july-24-2020">US Chamber Amicus Brief in Negotiated Charges Appeal</a> (July 24, 2020) </li> <li> <a href="/amicus-brief/2020-07-24-hfma-amicus-brief-negotiated-charges-appeal-july-24-2020">HFMA Amicus Brief in Negotiated Charges Appeal</a> (July 24, 2020) </li> <li> <a href="/legal-documents/2020-07-17-opening-appeals-brief-re-disclosure-negotiated-charges-july-17-2020">Opening Appeals Brief</a> (July 17, 2020) </li> <li> <a href="/legal-documents/2020-07-06-dc-circuits-order-adopting-aha-recommended-expedited-briefing-schedule">D.C. Circuit’s Order Adopting AHA Recommended Expedited Briefing Schedule for Appeal</a> (July 7, 2020) </li> <li> <a href="/legal-documents/2020-07-06-motion-expedite-appeal-july-3-2020">Motion to Expedite Appeal</a> (July 3, 2020) </li> <li> <a href="/legal-documents/2020-06-24-notice-appeal-court-decision-public-disclosure-negotiated-rates-june-23">Notice of Appeal</a> (June 23, 2020) </li> <li> <a href="/legal-documents/2020-06-23-court-decision-disclosure-negotiated-charges-lawsuit-june-23-2020">Court Decision in Disclosure of Negotiated Charges Lawsuit</a> (June 23, 2020) </li> <li> <a href="/legal-documents/2020-04-28-governments-reply-brief-disclosure-negotiated-charges-lawsuit-march-24">Government’s Reply Brief in Disclosure of Negotiated Charges Lawsuit</a> (March 24, 2020) </li> <li> <a href="/system/files/media/file/2020/03/court-sets-april-22-hearing-date-aha-challenge-to-rule-requiring-hospitals-disclose-negotiated-charges-3-5-2020.pdf">Court Sets April 22 Hearing Date in AHA’s Challenge to the Rule Requiring Hospitals to Disclose Negotiated Charges</a> (March 5., 2020) </li> <li> <a href="/system/files/media/file/2020/03/us-chamber-commerce-files-amicus-brief-supporting-legal-challenge-rule-requiring-disclosure-of-negotiated-charges-2-28-2020.pdf">US Chamber of Commerce Files Amicus Brief Supporting Legal Challenge to Rule Requiring Disclosure of Negotiated Charges</a> (Feb. 28. 2020) </li> <li> <a href="/system/files/media/file/2020/03/aha-reply-brief-case-to-prevent-disclosure-negotiated-contracts-2-28-2020.pdf">AHA Reply Brief in Case to Prevent Disclosure of Negotiated Contracts</a> (Feb. 28, 2020) </li> <li> <a href="/legal-documents/2020-02-28-amicus-brief-37-state-hospital-associations-support-plaintiffs-motion">Amicus Brief of the State Hospital Associations in Support of AHA Lawsuit Challenging Disclosure of Negotiated Charges Rule</a> (Feb. 28, 2020) </li> <li> <a href="/system/files/media/file/2020/02/government-moves-for-summary-judgement-in-disclosure-of-negotiated-charges-lawsuit-2-4-2020.pdf">Government Moves for Summary Judgement in Disclosure of Negotiated Charges Lawsuit</a> (Feb. 4, 2020) </li> <li> <a href="/system/files/media/file/2019/12/scheduling-order-signed-by-judge-nichols-12-18-19.pdf">Scheduling Order Signed by Judge Nichols</a> (Dec. 18, 2019) </li> <li> <a href="/system/files/media/file/2019/12/joint-motion-for-scheduling-order-disclosure-of-negotiated-charges-12-13-19-.pdf">Joint Motion for Scheduling Order</a> (December 13, 2019) </li> <li> <a href="/system/files/media/file/2019/12/aha-hospital-group-brief-in-support-of-their-motion-for-summary-judgment-disclosure-of-negotiated-charges-12-9-19.pdf">AHA, Hospital Group Brief in Support of Their Motion for Summary Judgment</a> (Dec. 9, 2019) </li> <li> <a href="/system/files/media/file/2019/12/hospital-groups-lawsuit-over-illegal-rule-mandating-public-disclosure-individually-negotiated-rates-12-4-19.pdf%20.pdf">Hospital Groups File Lawsuit Over Illegal Rule Mandating Public Disclosure of Individually Negotiated Rates</a>, (December 4, 2019) </li> </ul> </div> </li> <li class="a-items"> AHA Member Resources for Implementation <div class="a-content"> <h4> Internal Communications Tools for Hospitals </h4> <ul> <li> <a href="/2024-04-18-webinar-recording-navigating-implementation-hospital-price-transparency-machine-readable-file-changes-cms">Webinar Recording: Navigating Implementation of the Hospital Price Transparency Machine-readable File Changes with CMS</a> </li> <li> <a href="/other-resources/2020-12-17-price-transparency-action-items">Price Transparency Action Items</a> </li> <li> <a href="/infographics/2020-12-17-communicating-about-price-transparency">Communicating About Price Transparency</a> </li> <li> <a href="/infographics/2020-12-22-hospital-price-transparency-infographic">Price Transparency Infographic</a> </li> <li> <a href="/2020-12-18-price-transparency-sample-patient-and-media-messages">Price Transparency Sample Patient and Media Messages</a> </li> <li> <a href="/other-resources/2020-12-17-price-transparency-secret-shopper-exercise">Price Transparency Secret Shopper Exercise</a> </li> <li> <a href="/assessment/2020-12-17-price-transparency-self-assessment">Price Transparency Self-assessment</a> </li> <li> <a href="/2020-12-18-price-transparency-tough-questions-answers">Price Transparency Tough Questions and Answers</a> </li> </ul> <h4> Other Resources </h4> <ul> <li> <a href="/special-bulletin/2021-08-23-departments-hhs-labor-and-treasury-release-faqs-transparency-no">AHA Special Bulletin: Departments of HHS, Labor, and Treasury Release FAQs on Transparency, No Surprises Act Regulations</a> </li> <li> <a href="/special-bulletin/2021-08-11-updated-aha-guidance-hospital-price-transparency-rule-took-effect-jan-1">AHA Special Bulletin: Updated AHA Guidance on Hospital Price Transparency Rule That Took Effect Jan. 1 </a> </li> <li> <a href="/advisory/2021-05-03-cms-begins-issuing-warning-notices-hospitals-noncompliance-hospital-price">AHA Member Advisory: CMS Begins Issuing Warning Notices to Hospitals for Noncompliance with Hospital Price Transparency Rule</a> </li> <li> <a href="/advisory/2020-12-22-media-guidance-and-other-new-resources-available-prepare-hospital-price">AHA Member Advisory: Media Guidance and Other New Resources Available to Prepare for Hospital Price Transparency Rule That Takes Effect Jan. 1, Dec. 22, 2020 </a> </li> <li> <a href="/podcasts/2020-12-03-podcast-price-transparency-and-out-pocket-calculators">Podcast: Price Transparency and Out-of-pocket Calculators</a> </li> <li> <a href="/webinars/2020-11-05-webinar-strategies-and-solutions-cleverley-associates-prepare-cmss-hospital">Cleverley + Associates Webinar on Strategies and Solutions</a> </li> <li> <a href="/webinars/2020-11-05-webinar-strategies-and-solutions-para-healthcare-analytics-prepare-cmss">PARA Healthcare Analytics Webinar on Strategies and Solutions</a> </li> <li> <a href="/2020-10-30-hospital-price-transparency-rule-goes-effect-jan-1-aha-resources-help-members-prepare">AHA Member Advisory</a> </li> <li> <a href="/2020-10-27-patient-cost-estimator-toolkit">Patient Out-of-pocket Cost Estimator Toolkit </a>(includes Members in Action case studies) </li> <li> <a href="https://connect.aviahealthinnovation.com/intelligence/km/graph?id=2226&activeTab=Feed">AVIA Connect Virtual Panel on Implementation</a> (access granted with AHA.org log-in information) </li> <li> <a href="https://aviahealthinnovation.zoom.us/rec/play/X1jytuRlrriT9np6MLgNeyKsOT7PuPsHZN6N0vqZ6qVielWRFjTsTRfTqh8WUSzb3NCuD_zWdkpRPnGH.pluDldINDeHoG2o3?startTime=1600887611000">AVIA-Deloitte Webinar on Strategic Considerations for Implementation</a> (access granted with AHA.org log-in information) </li> <li> <a href="/advocacy-webinar-recording/2021-08-30-webinar-price-transparency-policy-updates">Webinar: Price Transparency Updates on August 25, 2021</a> </li> </ul> </div> </li> <li class="a-items"> CMS Resources <div class="a-content"> <ul> <li> <a href="https://www.cms.gov/hospital-price-transparency/hospitals">CMS Hospital Transparency Website</a> </li> <li> <a href="https://www.govinfo.gov/content/pkg/FR-2019-11-27/pdf/2019-24931.pdf">FY 2020 Price Transparency Requirements for Hospitals To Make Standard Charges Public</a> </li> <li> <a href="https://www.cms.gov/files/document/hospital-price-transparency-frequently-asked-questions.pdf">Frequently Asked Questions</a> </li> <li> <a href="https://www.cms.gov/files/document/steps-machine-readable-file.pdf">8 Steps to a Machine-readable File</a> </li> <li> <a href="https://www.cms.gov/files/document/steps-making-public-standard-charges-shoppable-services.pdf">10 Steps to a Consumer-Friendly Display</a> </li> <li> <a href="https://www.cms.gov/files/document/hospital-price-transparency-final-rule-quick-reference-checklists.pdf">Quick Reference Checklist</a> </li> </ul> </div> </li> <li class="a-items"> AHA Resources on Related Policies <div class="a-content"> <ul> <li> <a href="/advisory/2021-10-26-member-advisory-update-federal-price-transparency-policies">Member Advisory: Update on Federal Price Transparency Policies </a> </li> <li> <a href="/surprise-billing">AHA’s Surprise Billing Webpage </a> </li> <li> <a href="/special-bulletin/2020-10-29-administration-finalizes-rule-requiring-health-plans-disclose">Special Bulletin: Administration Finalizes Rule Requiring Health Plans to Disclose Negotiated Rates</a> </li> <li> <a href="/special-bulletin/2019-11-15-special-bulletin-administration-issues-two-rules-disclosure-hospital">Special Bulletin: Proposed Insurer Price Transparency Policy</a> </li> <li> <a href="/lettercomment/2020-01-29-aha-comments-cms-transparency-coverage-proposed-rule">AHA comments on Proposed Insurer Price Transparency Policy</a> </li> <li> <a href="/system/files/2018-12/181211-advisory-transparency.pdf">AHA Advisory – 2019 Update to Disclosure of Standard Charge Policy</a> </li> </ul> </div> </li> </ul> </div> <ul class="a-container"> item 1 <div class="a-content"> <p> ==== </p> </div> </li> </ul> <div> --> function openCity(evt, cityName) { var i, tabcontent, tablinks; tabcontent = document.getElementsByClassName("tabcontent"); for (i = 0; i < tabcontent.length; i++) { tabcontent[i].style.display = "none"; } tablinks = document.getElementsByClassName("tablinks"); for (i = 0; i < tablinks.length; i++) { tablinks[i].className = tablinks[i].className.replace(" active", ""); } document.getElementById(cityName).style.display = "block"; evt.currentTarget.className += " active"; } // Get the element with id="defaultOpen" and click on it document.getElementById("defaultOpen").click(); </div> </div><p> </p></div> <ul class="a-container"> item 1 <div class="a-content"> <p> ==== </p> </div> </li> </ul> <div> --> function openCity(evt, cityName) { var i, tabcontent, tablinks; tabcontent = document.getElementsByClassName("tabcontent"); for (i = 0; i < tabcontent.length; i++) { tabcontent[i].style.display = "none"; } tablinks = document.getElementsByClassName("tablinks"); for (i = 0; i < tablinks.length; i++) { tablinks[i].className = tablinks[i].className.replace(" active", ""); } document.getElementById(cityName).style.display = "block"; evt.currentTarget.className += " active"; } // Get the element with id="defaultOpen" and click on it document.getElementById("defaultOpen").click(); </div></div><div class="col-md-4"><p class="text-align-center"> </p><p class="text-align-center"> </p><p class="text-align-center"><a class="btn btn-primary btn-wide" href="/advisory/2020-12-22-media-guidance-and-other-new-resources-available-prepare-hospital-price"><strong>December 22 AHA Advisory with New Resources to Prepare for Hospital Price Transparency Rule That Takes Effect Jan. 1</strong></a></p><p> </p><div class="panel module-typeC"><div class="panel-heading"><h3 class="panel-title">Key Takeaways</h3></div><div class="panel-body"><p>As of Jan. 1, 2021, hospitals are required to:</p><ul><li>Post a list of five types of standard charges – now defined as gross charges, payer-specific negotiated rates, de-identified minimum and maximum negotiated rates, and discounted cash price – for all items and services in a machine-readable format on their websites.</li><li>Provide payer-specific rates for at least 300 “shoppable” bundles of services in a consumer-friendly format. Hospitals with a qualified price estimator tool meet this requirement.</li></ul><p>Noncompliance is subject to civil monetary penalties.</p><p>The AHA and three other national organizations sued the federal government challenging the final rule; the case is pending an appeal.</p></div></div></div></div></div> Mon, 12 Apr 2021 16:34:23 -0500 Price Transparency AHA responds to CMS request for information on hospital price transparency accuracy, completeness /news/headline/2025-07-22-aha-responds-cms-request-information-hospital-price-transparency-accuracy-completeness <p>The AHA yesterday <a href="/lettercomment/2025-07-22-aha-comments-cms-rfi-hospital-price-transparency-accuracy-and-completeness" target="_blank">responded</a> to a request for information from the Centers for Medicare & Medicaid Services on price transparency policy, specifically the accuracy and completeness of hospitals’ machine-readable files. The AHA said that determining the accuracy and completeness of machine-readable file data is challenging given that exact rates do not exist in the way they were envisioned by the policy. In addition, the AHA said that additional enforcement of hospital price transparency requirements is not necessary due to CMS' improved enforcement efforts.  </p><p>The AHA encouraged CMS to instead focus its efforts on the information that will best help patients understand and compare their expected costs prior to care and on streamlining price transparency policies to remove complexity and administrative burden.</p> Tue, 22 Jul 2025 14:36:15 -0500 Price Transparency AHA Comments on CMS RFI on Hospital Price Transparency Accuracy and Completeness /lettercomment/2025-07-22-aha-comments-cms-rfi-hospital-price-transparency-accuracy-and-completeness <div class="container"><div class="row"><div class="col-md-8"><p>July 21, 2025</p><p>The Honorable Mehmet Oz, M.D.<br>Administrator<br>Centers for Medicare & Medicaid Services<br>7500 Security Boulevard<br>Baltimore, MD 21244-1850</p><p><em>Submitted Electronically</em></p><p><em><strong>RE: CMS Hospital Price Transparency Accuracy and Completeness Request for Information</strong></em></p><p>Dear Administrator Oz:</p><p>On behalf of the Association’s (AHA’s) nearly 5,000 member hospitals, health systems and other health care organizations, including approximately 90 that offer health plans; our clinician partners — including more than 270,000 affiliated physicians, 2 million nurses and other caregivers — and the 43,000 health care leaders who belong to our professional membership groups, we thank you for the opportunity to respond to the Centers for Medicare & Medicaid Services’ (CMS’) request for information (RFI) on the accuracy and completeness of hospitals’ machine-readable files.</p><p>The AHA appreciates the agency’s focus on improving price transparency. In addition to our online question submissions, we would like to share additional context and ideas on this topic. <strong>Hospitals and health systems are dedicated to improving price transparency and look forward to working together with the Administration on this important goal.</strong> The guiding principle of price transparency policies should be providing patients with clear and accurate information to help them prepare for care. An important secondary goal should be ensuring employers have the information they need as the primary purchasers of health care through employer-sponsored insurance.</p><p>We are concerned that the ongoing focus on the machine-readable files, rather than the consumer-friendly shoppable service information, diverts attention away from the price transparency efforts that are most meaningful to patients. <strong>We encourage CMS to focus future efforts on the information that will best help patients understand and compare their expected costs prior to care.</strong> The outsized focus on machine-readable file data can distract patients from the more intuitive tools that provide individualized, and therefore most accurate, estimates based on their cost-sharing amounts, their progress toward meeting their deductible and other pertinent information such as patient demographics.</p><p>Moreover, individual policy improvements rather than a comprehensive review of the numerous and sometimes conflicting price transparency requirements at both the state and federal levels are not in the best interest of patients or employers. <strong>We urge CMS to focus future efforts to reform price transparency on streamlining policies to remove complexity and administrative burden.</strong> The current landscape of pricing information is challenging for patients and employers to navigate and use effectively, and it adds excessive costs, confusion and workforce burden to the health care system.<a href="#fn1"><sup>1</sup></a><sup>,</sup><a href="#fn2"><sup>2</sup></a><sup>,</sup><a href="#fn3"><sup>3</sup></a> Addressing the hospital machine-readable files in isolation is misguided; CMS should coordinate and streamline any future changes across all hospital and insurer requirements to create a price transparency environment that is both usable and meaningful to patients and employers.</p><p>Please see below our specific comments and recommendations on the issues identified in the RFI.</p><h2>Accuracy and Completeness of the Machine-Readable File Data</h2><p><strong>Determining the accuracy and completeness of machine-readable file data is inherently challenging given that exact rates do not exist in the way envisioned by this policy.</strong> This is because the data required in the machine-readable files, specifically the estimated allowed amount data, does not exist outside of what hospitals and insurers create to input into the files. In other words, because the files require hospitals to break down services in a manner that is not common for how rates are negotiated or stored in hospital or insurer internal systems, hospitals effectively must create new rates specific for this purpose. While they do their best to create negotiated rates that are as close as possible to how the final services may ultimately be paid, hospitals must make detailed assumptions about how to apply complex contracting terms and assess historic data to create a reasonable value for an expected allowed amount.</p><p>For example, to develop the negotiated rate for a colonoscopy, hospitals can use historic claims data to calculate the average price the insurer paid for the service previously, recognizing that variation exists due to differences in patient acuity and the care process (e.g., the amount of anesthesia required), as well as the potential for additional procedures that may be performed during the screening. These may include diagnostic interventions such as biopsies, polyp removal or lesion cauterization, each of which introduces additional clinical complexity, supply use, staff time and billing variation that can significantly affect the total allowed amount for the encounter. Hospitals may also apply additional expected contracting terms to that estimate (e.g., how modifiers or stop-loss provisions may impact the final payment amount) that introduce additional complexity to the calculation. This is even more complicated in instances where there is not sufficient, or any, historic data available on which to reasonably base the calculations. Ultimately, there is no tool or dataset that CMS could use to assess or verify these calculations, and <strong>we continue to strongly support attestations of accuracy for purposes of CMS assessments.</strong></p><p>In addition, the machine-readable data is, at best, a historic representation of the likely payment amount for an item or service. It cannot be carried over to individual cases as the price for a specific patient’s service will always require consideration of the unique factors of that case. For example, the negotiated rate for the colonoscopy discussed above likely would be lower than expected for a high acuity patient and higher than expected for a low acuity patient. Moreover, that amount does not reflect the patients’ cost-sharing amount, but rather the total amount inclusive of both the insurer and patient responsibilities. Finally, even if the information was relevant to the patient, the machine-readable files are hard to navigate. For example, there likely would be multiple colonoscopy lines reflecting different types of procedures (e.g., preventive versus diagnostic) and patients would need to have high health care literacy to determine the correct line item. Moreover, none of this information accounts for how the cost for the patient would change if a preventive colonoscopy became a diagnostic colonoscopy mid-service, given how health insurance treats these instances differently.</p><p><strong>Fortunately, there are tools that already exist to provide individualized estimates to patients as part of both the hospital and insurer shoppable service requirements.</strong> In addition, once the No Surprises Act is fully in effect, all patients will receive good faith estimates or advanced explanations of benefits prior to scheduled care, as the act requires. While these are by definition “estimates,” they are much more likely to produce usable and reliable cost expectations than the machine-readable files because they are based on an individual’s specific situation.</p><p>As an alternative, CMS could focus its efforts on ensuring that pre-service estimates are as accurate as possible. One way to do this would be to change benefit design requirements to reduce or eliminate cost-sharing that is calculated after the course of care is complete and instead rely solely on flat co-payments. That way, even if the total price varies as discussed above, the patient portion remains the same. Another alternative could be to remove providers from the cost-sharing collection process altogether and instead require insurers to be responsible for cost-sharing estimates and collections. This would incentivize more predictable and transparent benefit design as insurers would likely create more rational benefit packages if they were at risk for patient non-payment as providers are today.</p><h2>Enforcement</h2><p>Since the hospital price transparency requirements took effect in 2021, CMS has changed the requirements and guidance several times. While many of these changes have made expectations clearer and easier to comply with, their repeated implementation requires significant time and resources. Also, since 2021, CMS has steadily increased its enforcement efforts.<a href="#fn4"><sup>4</sup></a> Between Jan. 7, 2021, and March 31, 2025, CMS engaged in over 6,000 audits and enforcement actions related to hospital price transparency compliance as part of over 3,000 unique cases. Of these more than 3,000 cases, almost 1,000 were found to comply at the time of the audit and another nearly 2,000 came into compliance following CMS action. Most of the roughly 300 remaining cases were opened in 2025 and the hospitals in question are now actively working to come into compliance. It is because of hospitals’ efforts that CMS has only issued 27 civil monetary penalties, rather than a lack of CMS’ active auditing or enforcement.</p><p>As a result of a steep learning curve, many of the initial issues CMS identified required weeks, or sometimes months, for hospitals to resolve. The issues identified now are typically minor, and AHA has heard from hospitals that cases are often opened and closed within hours. We understand that the relationship between CMS and hospitals throughout this process has been positive and collaborative and we appreciate CMS’ willingness to work with hospitals to achieve compliance.</p><p><strong>Given the prolific auditing and enforcement already occurring, additional enforcement of the hospital price transparency requirements is not necessary.</strong> However, there are steps that CMS could take that would help streamline the auditing and compliance process. To begin, we recommend that CMS notify hospitals following a positive audit to let them know that they have been found to be in compliance with the requirements. It appears that CMS tracks this based on the publicly available enforcement data, but hospitals are not currently receiving this information directly from CMS. In addition, we have heard from many hospitals that more clarity in CMS’ initial warning notices would be helpful. In many instances, delays in responding to compliance concerns are due to confusion around what issue CMS is identifying. If CMS could provide more detail about what specific issues they found during their audits, hospitals would be able to more promptly address them.</p><p>Finally, we encourage CMS to direct additional auditing and enforcement resources to the Transparency in Coverage requirements. As discussed previously, the insurer data holds great potential to advance CMS’ price transparency objectives and allow for better streamlining but these benefits will not be realized until the data is more usable and reliable.</p><p>Thank you for your consideration, and we look forward to working with the Administration to improve price transparency for patients. Please contact me if you have questions or feel free to have a member of your team contact Ariel Levin, AHA’s director of coverage policy, at <a href="tel:1-202-626-2335">202-626-2335</a> or <a href="mailto:mailto:alevin@aha.org?subject=RE: AHA Comments on CMS RFI on Hospital Price Transparency Accuracy and Completeness">alevin@aha.org</a>.</p><p>Sincerely,</p><p>/s/</p><p>Ashley Thompson<br>Senior Vice President, Public Policy Analysis and Development</p><hr><ol><li id="fn1"><a href="/fact-sheets/2023-02-24-fact-sheet-hospital-price-transparency" target="_blank">/fact-sheets/2023-02-24-fact-sheet-hospital-price-transparency</a></li><li id="fn2"><a href="/system/files/media/file/2023/09/aha-comments-on-cms-outpatient-and-ambulatory-surgery-prospective-payment-system-proposed-rule-for-cy-2024-letter-9-8-23.pdf" target="_blank">/system/files/media/file/2023/09/aha-comments-on-cms-outpatient-and-ambulatory-surgery-prospective-payment-system-proposed-rule-for-cy-2024-letter-9-8-23.pdf</a></li><li id="fn3"><a href="/system/files/media/file/2021/03/aha-comments-on-no-surprises-act-price-transparency-provisions-letter-3-16-21.pdf" target="_blank">/system/files/media/file/2021/03/aha-comments-on-no-surprises-act-price-transparency-provisions-letter-3-16-21.pdf</a></li><li id="fn4"><a href="https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-price-transparency-enforcement-activities-and-outcomes" target="_blank">https://data.cms.gov/provider-characteristics/hospitals-and-other-facilities/hospital-price-transparency-enforcement-activities-and-outcomes</a></li></ol></div><div class="col-md-4"><div class="external-link spacer"><a class="btn btn-wide btn-primary" href="/system/files/media/file/2025/07/AHA-Comments-on-CMS-RFI-on-Hospital-Price-Transparency-Accuracy-and-Completeness.pdf" target="_blank">Download the Letter PDF</a></div><a href="/system/files/media/file/2025/07/AHA-Comments-on-CMS-RFI-on-Hospital-Price-Transparency-Accuracy-and-Completeness.pdf" target="_blank"><img src="/sites/default/files/inline-images/Page-1-AHA-Comments-on-CMS-RFI-on-Hospital-Price-Transparency-Accuracy-and-Completeness.png" data-entity-uuid="c9143e7c-0d65-4942-a67e-aac5c82b19e5" data-entity-type="file" alt="AHA Comments on CMS RFI on Hospital Price Transparency Accuracy and Completeness page 1." width="695" height="900"></a></div></div></div> Tue, 22 Jul 2025 06:00:00 -0500 Price Transparency Departments Release New Guidance, RFIs on Hospital and Insurer Price Transparency /advisory/2025-05-27-departments-release-new-guidance-rfis-hospital-and-insurer-price-transparency <div class="container"><div class="row"><div class="col-md-8"><p>The Departments of Labor, Health and Human Services, and the Treasury last week <a href="https://www.cms.gov/newsroom/press-releases/departments-labor-health-and-human-services-treasury-announce-move-strengthen-healthcare-price" title="Original URL: https://email.advocacy.aha.org/NzEwLVpMTC02NTEAAAGamPoobTykTl-7UWk9Aq_FCPDmvKVQm1NiC4yrfUT5irYfuTpqwsGoI9H2Ke-FprifWnEbC-w=. Click or tap if you trust this link.">released</a> several new guidance documents and requests for information (RFIs) on price transparency, following the February <a href="/news/headline/2025-02-26-administration-issues-executive-order-hospital-price-transparency" title="Original URL: https://email.advocacy.aha.org/NzEwLVpMTC02NTEAAAGamPoobZhvM6A6LPvxeyjTzOnFzUO3Do1TH7HM58st2c2MCd9eQbpWlVPj182ndkyQ6gAJj9M=. Click or tap if you trust this link.">executive order</a> on the same subject.</p><p>As part of this package, the Centers for Medicare & Medicaid Services (CMS) released <a href="https://www.cms.gov/files/document/updated-hpt-guidance-encoding-allowed-amounts.pdf">new guidance</a> on calculating the estimated allowed amount values in the hospital machine-readable files. Whenever possible, hospitals should continue to use the average dollar amount received over the last 12-month period (or less, if the payment methodology was only used for part of the year), which should be derived from the electronic remittance data. However, going forward, if there is not enough historic data to calculate an average, hospitals should use an expected payment amount, encoded as a dollar figure. This replaces previous guidance that allowed hospitals to use a code of nine 9s to signify that there was not sufficient historic data for that item or service over the last year. In the guidance, CMS expressed its concern that the machine-readable files featured nine 9s more frequently than expected.</p><p>At the same time, CMS released an <a href="https://www.cms.gov/priorities/key-initiatives/hospital-price-transparency/accuracy-and-completeness-rfi">RFI</a> on hospital price transparency that seeks stakeholder input on assessing the accuracy and completeness of the machine-readable files. The RFI includes the following questions:</p><ol><li>Should CMS specifically define the terms “accuracy of data” and “completeness of data” in the context of these requirements, and if yes, then how?</li><li>What are your concerns about the accuracy and completeness of the hospital price transparency machine-readable file data? Please be as specific as possible.</li><li>Do concerns about accuracy and completeness of the machine-readable file data affect your ability to use hospital pricing information effectively? For example, are there additional data elements that could be added, or others modified, to improve your ability to use the data? Please provide examples.</li><li>Are there external sources of information that may be leveraged to evaluate the accuracy and completeness of the data in the machine-readable files? If so, please identify those sources and how they can be used.</li><li>What specific suggestions do you have for improving the hospital price transparency compliance and enforcement processes to ensure that the hospital pricing data is accurate, complete and meaningful? For example, are there any changes that CMS should consider making to the CMS validator tool, which is available to hospitals to help ensure they are complying with hospital price transparency requirements, so as to improve accuracy and completeness?</li><li>Do you have any other suggestions for CMS to help improve the overall quality of the hospital price transparency machine-readable file data?</li></ol><p>The Departments of Labor, Health and Human Services, and the Treasury also released additional guidance for insurers, including <a href="https://www.cms.gov/files/document/aca-faqs-part-70.pdf">announcing</a> that there would be a new schema for the insurer machine-readable file that would reduce the file size by decreasing duplicative data, resulting in more useable files, and an <a href="https://www.dol.gov/sites/dolgov/files/ebsa/laws-and-regulations/laws/affordable-care-act/for-employers-and-advisers/rfi-regarding-prescription-drug-machine-readable-file-requirement-in-the-transparency-in-coverage-final-rule.pdf">RFI</a> on improving prescription drug price transparency.</p><h2>NEXT STEPS</h2><p>Responses to the Transparency in Coverage Prescription Drug Price Transparency RFI are due 30 days following publication in the Federal Register. Responses to the Hospital Price Transparency RFI are due July 21, 2025.</p><h2>FURTHER QUESTIONS</h2><p>If you have further questions, please contact the AHA at 800-424-4301.</p><p> </p></div><div class="col-md-4"><a href="/system/files/media/file/2025/05/departments-release-new-guidance-rfis-on-hospital-and-insurer-price-transparency-advisory-5-27-2025.pdf"><img src="/sites/default/files/inline-images/cover-departments-release-new-guidance-rfis-on-hospital-and-insurer-price-transparency-advisory-5-27-2025.png" data-entity-uuid="931300c2-58d4-4568-be2d-fc526efb5a11" data-entity-type="file" width="640" height="828" alt="Cover Image of Departments Release New Guidance, RFIs on Hospital and Insurer Price Transparency Advisory"></a></div></div></div> Tue, 27 May 2025 16:06:40 -0500 Price Transparency CMS releases new guidance, RFIs on hospital and insurer price transparency /news/headline/2025-05-22-cms-releases-new-guidance-rfis-hospital-and-insurer-price-transparency <p>The Departments of Labor, Health and Human Services, and the Treasury May 22 <a href="https://www.cms.gov/newsroom/press-releases/departments-labor-health-and-human-services-treasury-announce-move-strengthen-healthcare-price" target="_blank">released</a> several new guidance documents and requests for information on price transparency, following the February <a href=/news/headline/2025-02-26-administration-issues-executive-order-hospital-price-transparency" target="_blank">executive order</a> on the same subject. As part of this package, CMS released new <a href="https://www.cms.gov/files/document/updated-hpt-guidance-encoding-allowed-amounts.pdf" target="_blank">guidance</a> on calculating the estimated allowed amount values in the hospital machine-readable files. Whenever possible, hospitals should use the average dollar amount received over the last 12-month period (or less, if the payment methodology was only used for part of the year), which should be derived from the electronic remittance data. If there is no historic data, hospitals should use the expected payment amount, encoded as a dollar figure. This replaces previous guidance which allowed hospitals to use a code of nine number nines to signify that there was not sufficient historic data for that item or service over the last year. CMS also released an <a href="https://www.cms.gov/priorities/key-initiatives/hospital-price-transparency/accuracy-and-completeness-rfi" target="_blank">RFI</a> on hospital price transparency accuracy and completeness. Comments are due July 21. The AHA plans to submit comments.  </p><p>The departments also released a <a href="https://www.cms.gov/files/document/aca-faqs-part-70.pdf" target="_blank">FAQ document</a>, announcing that a new standard format for the insurer machine-readable files will be released Oct. 1, 2025. The new format aims to reduce the file size of the insurer files by decreasing duplicative data. In addition, the departments issued an <a href="https://www.dol.gov/sites/dolgov/files/ebsa/laws-and-regulations/laws/affordable-care-act/for-employers-and-advisers/rfi-regarding-prescription-drug-machine-readable-file-requirement-in-the-transparency-in-coverage-final-rule.pdf" target="_blank">RFI</a> on improving prescription drug price transparency as part of the Transparency in Coverage, or insurer transparency rule.<br><br><br> </p> Thu, 22 May 2025 15:58:06 -0500 Price Transparency CMS releases agenda for new administrator Mehmet Oz  /news/headline/2025-04-11-cms-releases-agenda-new-administrator-mehmet-oz <p>The Centers for Medicare & Medicaid Services April 10 released key <a href="https://www.cms.gov/newsroom/press-releases/dr-mehmet-oz-shares-vision-cms">priorities</a> for new CMS Administrator Mehmet Oz, who was confirmed to the position April 3. They include implementing the Trump administration’s Feb. 25 <a href="https://www.whitehouse.gov/presidential-actions/2025/02/making-america-healthy-again-by-empowering-patients-with-clear-accurate-and-actionable-healthcare-pricing-information/">executive order</a> on improving and increasing enforcement of existing hospital and insurer price transparency requirements. Other priorities include holding providers accountable for health outcomes, streamlining access to life-saving treatments, fostering prevention and chronic disease treatment and stopping wasteful spending, fraud and abuse. </p> Fri, 11 Apr 2025 14:46:53 -0500 Price Transparency Administration issues executive order on hospital price transparency /news/headline/2025-02-26-administration-issues-executive-order-hospital-price-transparency <p>The White House yesterday issued an <a href="https://www.whitehouse.gov/presidential-actions/2025/02/making-america-healthy-again-by-empowering-patients-with-clear-accurate-and-actionable-healthcare-pricing-information/" title="exec order">executive order</a> that directs the Departments of Health and Human Services, Labor, and Treasury to improve upon and increase enforcement of the hospital and insurer price transparency requirements in the Hospital Price Transparency and Transparency in Coverage regulations. Specifically, the White House instructs the departments to “rapidly implement and enforce” the regulations, including by taking actions in the next 90 days to increase enforcement and standardization and ensure that “actual prices,” rather than estimates are disclosed.</p> Wed, 26 Feb 2025 15:02:56 -0600 Price Transparency Administration Releases Executive Order on Health Care Price Transparency /advisory/2025-02-26-administration-releases-executive-order-health-care-price-transparency <div class="container"><div class="row"><div class="col-md-8"><p>The White House Feb. 25 issued an <a href="https://www.whitehouse.gov/presidential-actions/2025/02/making-america-healthy-again-by-empowering-patients-with-clear-accurate-and-actionable-healthcare-pricing-information/">executive order</a> that directs the Departments of Health and Human Services, Labor, and Treasury to improve upon and increase enforcement of the hospital and insurer price transparency requirements in the Hospital Price Transparency and Transparency in Coverage regulations. The Administration directs the departments to "identify opportunities to further empower patients with meaningful price information, potentially including through the expansion of existing price transparency requirements" and notes that such efforts also could reduce employers’ health care costs. Additional information can be found in the White House <a href="https://www.whitehouse.gov/fact-sheets/2025/02/fact-sheet-president-donald-j-trump-announces-actions-to-make-healthcare-prices-transparent/">fact sheet</a>.</p><p>Specifically, the White House instructs the departments to “rapidly implement and enforce” the regulations, including by taking actions in the next 90 days to:</p><ul><li>Ensure that “actual prices” are being disclosed, rather than estimates.</li><li>Issue additional guidance on standardization of pricing information, with a focus on easy comparability between hospital and insurer data.</li><li>Increase enforcement.</li></ul><p>The executive order, however, did not provide specifics on what those actions may be. The AHA will continue to monitor this issue and provide additional updates as needed.</p><h2>ADDITIONAL INFORMATION ON EXECUTIVE ACTIONS</h2><p>The Trump administration has issued a series of executive orders and administrative actions that reinforce the administration’s priorities. The AHA has compiled a <a href="/system/files/media/file/2025/01/2025-New-Executive-Orders-20250127.pdf">tracker</a> of the actions the administration has taken that may be of interest to hospitals and health systems. The tracker will be updated regularly as new actions are released.</p><h2>FURTHER QUESTIONS</h2><p>If you have further questions, please contact the AHA at 800-424-4301.</p></div><div class="col-md-4"><a href="/system/files/media/file/2025/02/administration-releases-executive-order-on-health-care-price-transparency-advisory-2-26-2025.pdf"><img data-entity-uuid="30c40424-d881-40b8-b7fa-92943970205a" data-entity-type="file" src="/sites/default/files/inline-images/cover-administration-releases-executive-order-on-health-care-price-transparency-advisory-2-26-2025.png" width="640" height="834"></a></div></div></div> Wed, 26 Feb 2025 14:43:04 -0600 Price Transparency Webinar recording available on 2025 hospital price transparency requirements  /news/headline/2024-10-29-webinar-recording-available-2025-hospital-price-transparency-requirements <p>A recording and other materials are available following last week's Centers for Medicare & Medicaid Services' <a href="https://www.cms.gov/priorities/key-initiatives/hospital-price-transparency/resources">webinar</a> on meeting new hospital price transparency requirements that become effective Jan. 1. The <a href="/news/headline/2024-07-01-new-hospital-price-transparency-requirements-take-effect">requirements</a> incorporate additional elements into the standard machine-readable format, including an estimated allowed amount and information on modifiers and prescription drugs.</p> Tue, 29 Oct 2024 16:20:30 -0500 Price Transparency CMS hosting webinar next week on price transparency machine-readable file 2025 requirements  /news/headline/2024-10-16-cms-hosting-webinar-next-week-price-transparency-machine-readable-file-2025-requirements <p>The Centers for Medicare & Medicaid Services Oct. 21 is hosting a <a href="https://cms.zoomgov.com/webinar/register/WN_LqZfybX7RAePe8DAPEyx3w#/registration">webinar</a> on meeting its new hospital price transparency requirements becoming effective Jan. 1. The <a href="/news/headline/2024-07-01-new-hospital-price-transparency-requirements-take-effect">requirements</a> include incorporating additional elements into the standard machine-readable format, including an estimated allowed amount and information on modifiers and prescription drugs.</p> Wed, 16 Oct 2024 14:37:26 -0500 Price Transparency