Topic
Price Transparency
79 published works
Consumer Finance Monitor
Biden Administration continues efforts to crackdown on “junk fees”
By Kristen E. Larson, Ballard CFS Group
During his remarks in a meeting with private sector companies on June 15, 2023, President Biden described junk fees as “these hidden charges that companies sneak into your bill to…
Triage Health Law
CMS Plans to Implement Stricter Enforcement Efforts to Boost Hospital Price Transparency Compliance
By Max Czernin, Stephanie Darville
In January 2021, the Centers of Medicare and Medicaid Services (“CMS”) implemented the Price Transparency Regulations (“PTR”) which required hospitals to publish prices for all their services on their websites…
Healthcare Perspectives
House Committee Urges Increased Oversight as Many Hospitals Remain Non-Compliant with Price Transparency Rule
Although the Hospital Price Transparency Rule – which requires hospitals to make public a comprehensive list of charges for items and services – has been in effect for almost two…
Healthcare Law Blog
CMS’s Contract Year 2023 Policy and Technical Changes to the Medicare Advantage and Medicare Prescription Drug Benefit Programs
By Xavier Baker, Christine Clements, Theresa Thompson
On January 6, 2022, the Centers for Medicare and Medicaid Services (“CMS”) issued the proposed rule on Contract Year 2023 Policy and Technical Changes to the Medicare Advantage and Medicare…
Health Care and Life Sciences
The Surprises Continue: The Biden Administration Delays Implementation of Certain Provisions of the No Surprises Act and Transparency in Coverage Final Rules Applicable to Providers and Insurers
By Elizabeth (Betsy) Rosen Siegel, Edward S. Kornreich
In a FAQ published on August 20, 2021, the Departments of Labor, Health and Human Services, and the Treasury (collectively, the “Departments”) significantly delayed implementation of statutory requirements on surprise…
Healthcare Law Blog
CMS Backs Off Price Transparency for Providers and Plans
On August 2, 2021, the Centers for Medicare and Medicaid Services (“CMS”) issued its hospital inpatient prospective payment system (“IPPS”) final rule (“Final Rule”) for fiscal year 2022. In addition…
Rivkin Rounds
Federal Government Delays Enforcement of Price Transparency Rule
By Eric Fader
The federal government will delay for six months its enforcement of key portions of the Transparency in Coverage (TiC) final rule that goes into effect on January 1, 2022. The…
Healthcare Law Blog
Federal Government Announces Enforcement Discretion, Deferral For Certain Price Disclosures And Future Rulemakings
By Xavier Baker
Health plans and issuers racing to implement overlapping price transparency and disclosure requirements in response to the Transparency in Coverage final rule (TiC Final Rule) and the Consolidated Appropriations Act,…
Health Care and Life Sciences
Proposal to Increase Penalties for a Hospital’s Failure to Comply with Price Transparency Rule
By Edward S. Kornreich, Elizabeth (Betsy) Rosen Siegel
As discussed in a prior post, the Hospital Price Transparency Rule at 45 C.F.R. § 180.10 et. seq. (the “Rule”), requires all hospitals to provide clear, accessible pricing information about the items…
Hall Benefits Law Blog
Greater Price Transparency/Advanced Explanation of Benefits Requirements Coming Soon!
By Anne Hall
Passed in December 2020, the Consolidated Appropriations Act, 2021, (CAA) included provisions that address group health plan price transparency provisions, reporting, disclosure, and other patient protections. The price transparency rules are…