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This "data dump" is step 2 of 4 to deliver "on President Trump’s executive order on Improving Price and Quality Transparency in American Healthcare to Put Patie
by ecommerceguy 4y ago
This "data dump" is step 2 of 4 to deliver "on President Trump’s executive order on Improving Price and Quality Transparency in American Healthcare to Put Patients First."(1)
By January 1, 2023, plans and issuers must make price comparison information available with respect to an initial list of 500 identified items and services. By January 1, 2024, plans and issuers must make price comparison information available with respect to all covered items and services. This information must be made available through an internet-based self-service tool and in paper form, upon request. Typically, consumers receive an Explanation of Benefits after receiving care, which details the prices charged by the provider, the plan’s contracted or negotiated rates, consumer cost-sharing obligations, and other information. Consumers will have access to this type of information before receiving care and can use it to compare prices and better estimate potential out-of-pocket costs.(2)
(1)https://www.cms.gov/newsroom/fact-sheets/transparency-coverage-final-rule-fact-sheet-cms-9915-f https://www.cms.gov/newsroom/fact-sheets/transparency-covera...
(2)https://www.cms.gov/healthplan-price-transparency/consumers https://www.cms.gov/healthplan-price-transparency/consumers
- sbf501 4y agoI don't understand why this took so long when it was part of the ACA in 2014 [1]. How did it take another administration, an executive order, and 8 more years?! Hell, even the Clinton plan was calling for it in 1993 [2] but that never went anywhere. [1] https://www.healthleadersmedia.com/finance/new-price-transparency-rules-hospitals-under-obamacare https://www.healthleadersmedia.com/finance/new-price-transpa... [2] https://www.heritage.org/health-care-reform/report/guide-the-clinton-health-plan https://www.heritage.org/health-care-reform/report/guide-the...
- ThaDood 4y agoI think the reasons are just that: an administration change, fumbling about, lawsuits (if any) among other things. One specific reason appears to be that some hospitals were able to file waivers apply for exceptions. [1]. Not that I agree with any of these reason. [1]https://www.cms.gov/files/document/hospital-price-transparency-frequently-asked-questions.pdf https://www.cms.gov/files/document/hospital-price-transparen...