Skip to content


  • Add this article to your LinkedIn page
  • Add this article to your Twitter feed
  • Add this article to your Facebook page
  • Email this article
  • View or print a PDF of this page
  • Share further
  • Add this article to your Pinterest board
  • Add this article to your Google page
  • Share this article on Reddit
  • Share this article on StumbleUpon
  • Bookmark this page

Trump administration unveils new price transparency rules

John Nicolaou, healthcare expert at PA Consulting, discusses new price transparency requirements and the impact on healthcare payers and providers. 

Read the full Modern Healthcare article here

The article notes that Trump administration put forth two long-anticipated rules that increase price transparency for both hospitals and insurers.

The CMS' hospital price transparency requirements finalize changes that require health systems to make their standard fees available on-demand and online. The "transparency in coverage" proposed rule would require health plans, including employer-based plans and group and individual plans, to inform participants, beneficiaries and enrollees about price and cost-sharing information ahead of time.

The agency hopes increased price transparency will boost competition among hospitals and insurers to drive down healthcare spending.

The final rule on hospital pricing will go into effect Jan. 1, 2021, and CMS is accepting comments on the proposed rule for payers, which would go into effect one year after it's finalized.

Under the hospital price transparency rule, hospitals must publish their standard charges online in a machine-readable format. They will need to create at least 300 "shoppable" services, including 70 selected by the CMS. Under the rule, hospitals would have to disclose the rates they negotiate with third-party payers, which some experts say could be illegal.

John said: "This plan is a major disruptor for the way that the industry works today, but it is clearly driven and supported by public/consumer sentiment. This will inevitably place greater emphasis on reducing utilization of services through improved population health and care management techniques."

Want to find out more about the work of our healthcare practice?

Read more here

Contact the Americas healthcare team


By using this website, you accept the use of cookies. For more information on how to manage cookies, please read our privacy policy.