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Addressing Concern About Price Transparency Rule

Tuesday, March 19, 2019

On Jan. 1, CMS’ final rule on health care price transparency goes into effect, requiring hospitals to post standard charges for any given service online and in a machine-readable format. Despite this being something the public has been asking for, there is concern among the industry. In fact, according to a recent survey of 150 health care providers, 92 percent revealed that they’re worried about how the public will perceive their charges. 


Uncertainty about public perception is just part of the concern around the final rule, as 43 percent of health care providers admitted not yet knowing how they’ll address its requirements when they were asked in November. Despite concerns, price transparency is likely here to stay, and can actually work to your advantage as a health care provider. In order to make it work for you, experts recommend:

  • Using a patient-friendly estimator tool instead of a chargemaster, which is more difficult to understand, doesn’t mention the potential for extra charges and is not always up to date 
  • Posting a disclaimer with standard charges to make patients aware that they’re viewing a list price that might not reflect their out-of-pocket costs

Being transparent about pricing upfront allows providers to control their public image. Even if the price is high, making costs easier to understand could prevent patients from switching to a different provider who may be more forthcoming with their pricing. 

© 2018 Zywave, Inc. All rights reserved.


Material posted on this website is for informational purposes only and does not constitute a legal opinion or medical advice. Contact your legal representative or medical professional for information specific to your legal or medical needs.

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