BC Advantage - 2023 Issue 1

Investigation of Hospitals Hiding Prices from Patients

The Federal Hospital Price Transparency Rule helps Americans know the cost of a hospital item or service before receiving it.  Compliance is mandatory.  The regulation aims to improve the affordability of hospital care by promoting price competition. However, a low compliance level among hospitals would compromise the operational effectiveness of this regulation. Understanding hospitals' compliance status to the regulation has important implications for its enforcement effort and effectiveness assessment.Noncompliance with the Hospital Price Transparency RuleThe Hospital Price Transparency Final Rule ("the final rule") was published in November 2019 and went into effect in January 2021. ...

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