price transparency

In 2019, hospitals are required to comply with two new laws/rules related to price transparency. ASHNHA has developed a toolkit for members to provide hospitals and their physician practices with information on the new requirements, recommendations for compliance, and resources to support price transparency. These requirements do not apply to skilled nursing facilities. The toolkit and resources will be updated as new information becomes available.

ASHNHA Price Transparency Toolkit

ASHNHA Price transparency principles & checklist

CMS Price Transparency Requirement

On Jan. 1, 2019 a new federal rule goes into effect that requires hospitals to post their “standard charges” on the hospital’s website in a “machine readable” format. All hospitals operating within the United States are required to establish (and update) and make public a list of their standard charges for all items and services provided by the hospital. The information states ALL hospitals and specifically mentions this includes critical access hospitals and psychiatric hospitals.

FAQs: Federal price transparency requirements

Update CMS FAQs 12-6-18 – Requirements for Hospitals to Make Public a List of their Standard Charges via the Internet

Requirements for hospitals to make public a list of their standard charges via the internet

Alaska Price Transparency Requirements  – SB 105 Disclosure of Health Care Costs – Effective January 1, 2019

At the end of 2018 legislative session, the provisions from HB 123: Disclosure of Health Care Costs were rolled into SB105. ASHNHA worked extensively with the sponsor on the price transparency provisions to ensure it would be workable for hospitals. Facilities operated by Alaska tribal organizations are exempt.

The legislation includes requirements for health care facilities and providers to annually compile a list of the 10 health care services most commonly performed from each of the six sections of CPT codes including undiscounted price. This information needs to be posted in the facility, posted on a website and submitted to DHSS. Bill also includes requirements for providing good faith estimates upon request and prohibits municipalities from enacting separate price transparency ordinances.

DHSS Health Care Cost Transparency Workgroup Meeting Documents

Presentation SB105 – 11-20-18 Workgroup

Transcript – 11-20-18 Workgroup

Summary of issues – 11-20-18 Workgroup

Resources for consumers on Price Transparency

Avoiding surprises in your medical bills: a guide for consumers

HFMA – Understanding healthcare prices: a consumer guide

Chargemaster –Frequently asked questions

Cost of Health Care – Factors impacting the cost of care in Alaska