On Friday, August 21, 2020, a webinar co-hosted by PYA prepared hospitals for a new rule taking effect on January 1, 2021, to address price transparency in healthcare. The Centers for Medicare & Medicaid Services published a rule in November 2019 requiring hospitals to establish, update, and make public a list of their standard charges for items and services they provide. In addition to the current requirement to post standard charges on their websites, the Final Rule requires hospitals to publish online, in a machine-readable format, their payer-specific negotiated rates for 300 “shoppable” services and their standard charges for all items and services provided, defined as the gross charge, payer-specific negotiated charges, discounted cash price, and the de-identified minimum and maximum charges.

As we approach January 2021, it is vital that hospitals understand the requirements of the pricing transparency rule and options for compliance. It is unlikely that this rule will “go away”–court decisions are always subject to appeal, and there is even concern that Congress is considering action that would transform these requirements from regulation to legislation.

During the complimentary webinar, PYA Senior Manager Kathy Reep discussed hospital requirements related to pricing transparency, and Chris Kenny, Partner in the Washington, D.C., office of King & Spalding, addressed concerns related to compliance and the legal challenges associated with the final transparency rule.

This webinar was presented in conjunction with:

  • Dallas-Fort Worth Hospital Council
  • Florida Hospital Association
  • Georgia Hospital Association
  • Kansas Hospital Association
  • Louisiana Hospital Association
  • Montana Hospital Association

Resources:  Slides  |  Polling Results

1 CPE credit in Specialized Knowledge was offered to participants. Note: CPE credit can only be obtained by attending the live webinar.

If you would like more information about federal regulations affecting hospitals, or for assistance with any matter involving compliance, strategy and integration, or valuation, contact a PYA executive below at (800) 270-9629.

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