On Jun 23, the Federal court verdict upheld The U.S. Department of Health and Human Services (HHS) plan on Improving Price and Quality Transparency in American Healthcare, which went against the American Hospital Association (AHA).
The essence of the ruling is to disclose publicly the prices negotiated between hospitals and insurers in order to promote competition and reduce costs.
The Rules at a Glance
The set of rules requires hospitals to make the negotiated rates they charge insurers for medical services and prescription drugs available in the public domain. It also directs hospitals to make prices for healthcare services, such as common tests and procedures, available online beginning 2021. Hospitals will display the price band of shoppable services as a total package in an easy-to-read, consumer-friendly format.
The proposal also requires insurance companies offering group and individual coverage to provide cost estimates for enrollees up front so that patients are