Compliance with Price Transparency Mandates

February 14, 2022

A recent survey of 1,000 hospitals indicated widespread non-compliance with price transparency requirements. Only 14% of hospitals surveyed were fully compliant. Failure to be in full compliance can subject a facility to sanctions. See a summary of findings here:

https://www.advisory.com/daily-briefing/2022/02/14/price-transparency?utm_source=public_db&utm_medium=email&utm_campaign=2022feb14&utm_content=public_headline_public_x_x_x_x&elq_cid=2420581&x_id=

Many of the non-compliant hospitals partially met requirements, but a majority of the facilities failed to meet key components, including posting of prices negotiated with different insurers. A complete report on the survey can be found here:

https://www.patientrightsadvocate.org/semi-annual-compliance-report-2022

The survey does not separate results for rural and urban hospitals, but does provide a listing of 147 compliant hospitals – some of which are rural.

CMS recently issued a checklist for hospitals on price transparency:

https://www.cms.gov/files/document/hospital-price-transparency-final-rule-quick-reference-checklists.pdf

January 1, 2021 was the deadline for hospitals to achieve full compliance. There have been few reports of CMS monitoring and enforcement actions. It is uncertain whether there will be enhanced enforcement in the near future. The widespread failure in meeting the requirements could create significant problems for hospitals at any time.

 

Date: February 14, 2022

Tags: Hospital, Price Transparency, Mandates