Trump Administration Announces Historic Price Transparency Requirements

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Attached are links to the CMS Press Release and the Trump Executive Order on Improving Price and Quality Transparency in American Healthcare to Put Patients First.

The Trump Executive Order was first issued on June 21, 2019.

The CMS Press Release indicates action on two rules.

First, the “proposed” transparency and coverage rule would require health plans to:

Give consumers real time, personalize access to cost-sharing information, including an estimate of their cost-sharing liability for all covered healthcare items and services.

Disclose on a public website their negotiated rates for in-network providers and allowed amounts paid for out-of-network providers.

CMS is finalizing a rule that requires hospital to provide patients with “clear, accessible information about their standard charges for the items and services they provide, including through the use of standardized data elements, making it easier to shop and compare across hospitals”.  This final rule would go into effect beginning January 1, 2021.

Finally, the Washington Post article link indicates the two biggest hospital trade groups, i.e. the American Hospital Association and the Federation of American Hospitals, plan a legal challenge.

DISCLAIMER: Because of the generality of this update, the information provided herein may not be applicable in all situations and should not be acted upon without specific legal advice based on particular situations.

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