Price transparency in healthcare: Progress, barriers and next steps
Healthcare price transparency — the ability for consumers to understand how much their care will cost and how much they can expect to pay after insurance has paid its portion — is a top-of-mind concern for consumers. It’s also an area of increased focus for legislators and healthcare organizations. Yet despite industry acknowledgement that consumers…
HFMA Comments on CMS Hospital Price Transparency Accuracy and Completeness RFI
HFMA submits recommendations pertaining to CMS Hospital Price Transparency Accuracy and Completeness Request for Information.
In Medicare’s latest hospital-focused rule, CMS pushes new proposals for price and quality transparency
Medicare’s 2026 proposed rule for hospital outpatient care includes the Trump administration’s latest effort to augment price transparency requirements. Two months after updated guidance featured a mandate to immediately start posting actual prices rather than estimates in machine-readable files (MRFs), among other directives, the proposed rule contains further steps in the name of specificity. The…
New guidance makes hospital price transparency obligations more exacting
Hospitals will have to be more specific in the pricing information they provide under CMS’s updated price transparency instructions. As part of a wide-ranging response to President Donald Trump’s February 2025 executive order on healthcare price transparency, CMS issued new guidance to hospitals and other industry stakeholders within the required 90-day window. Changes to machine-readable…
Price Transparency Checklist
Download this white paper that uses an internal assessment so you can determine where your organization is on the spectrum of using price transparency.
2025 healthcare policies timeline
The Trump administration and the Republican-led Congress have launched a flurry of healthcare initiatives and proposals since their first days. To help readers keep track of the wave of initiatives, below is a timeline of federal actions and our related coverage. Executive Actions Aug. 25: Healthcare fraud enforcement ramps up in the Trump administration, with…
The art of digital delegation
Nick Hut and Shawn Stack discuss price transparency regulations, and Erika Grotto talks with Stuart Newsome from Infinx about AI in revenue cycle.
Price transparency enforcement gets a boost as Trump signs executive order
Hospitals can expect stepped-up enforcement of price transparency rules now that President Donald Trump has signed an executive order (EO) on the topic. In his Feb. 25 order, Trump noted that his first administration drafted the two sets of regulations requiring providers and insurers to make prices available to healthcare purchasers. He thinks the Biden…
As transparency rules enter their fifth year, advanced uses gain traction
With price transparency rules becoming more entrenched in the healthcare system, applications are growing more sophisticated. “There’s this treasure trove of data out there, and a lot of interest in how it can best be leveraged to support not just consumers but also broader policy goals to improve healthcare affordability,” Sabrina Corlette, JD, co-director of…
Hospital price transparency enforcement should look at pricing data quality, GAO says
In a report on federal oversight of hospital price transparency regulations, the Government Accountability Office (GAO) says CMS should expand its enforcement purview. The report rehashes many of the technical and formatting issues that stakeholders have discussed since the regulations took effect in 2021. But it goes a step further by questioning whether guardrails are…