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Hospital
Price Transparency Requirements
CY 2020 Hospital Outpatient Prospective Payment System Policy Changes
On November 15, CMS finalized policies
that lay the foundation for a patient-driven health care system by making
prices for items and services provided by all hospitals in the United
States more transparent for patients so that they can be more informed about
what they might pay for hospital items and services.
The policies in the final rule will
further advance the agency’s commitment to increasing price transparency.
It includes requirements that would apply to each hospital operating in
the United States. In response to comments, CMS is extending the
effective date to January 1, 2021 to ensure hospital compliance with
these regulations.
The final rule includes:
- Definitions of “hospital,” “standard charges,”
and “items and services”
- Requirements for making public all standard
charges for all items and services in a machine-readable format
- Requirements for displaying shoppable services in
a consumer-friendly manner
- Monitoring and enforcement
For More Information:
- View the final rule (CMS-1717-F2):
This HHS‐approved document has been submitted to the
Office of the Federal Register (OFR) for publication and has not yet
been placed on public display or published in the Federal Register.
The document may vary slightly from the published document if minor
editorial changes have been made during the OFR review process. The
document published in the Federal Register is the official
HHS‐approved document.
- Press Release
- Registration opening soon for
December 3 Call
See the full text of this excerpted CMS Fact Sheet (Issued November 15).
The
Medicare Learning Network®, MLN Connects®, and MLN Matters® are registered
trademarks of the U.S. Department of Health and Human Services
(HHS).
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