Affiliation:
1. Department of Urology, New York‐Presbyterian Hospital Weill Cornell Medical College New York New York USA
2. Department of Urology University Hospitals Cleveland Medical Center, Case Western Reserve University School of Medicine Cleveland Ohio USA
Abstract
AbstractObjectiveTo assess trends in hospital price disclosures after the Centers for Medicare & Medicaid Services (CMS) Final Rule went into effect.Data Sources and Study SettingThe Turquoise Health Price Transparency Dataset was used to identify all US hospitals that publicly displayed pricing from 2021 to 2023.Study DesignPrice‐disclosing versus nondisclosing hospitals were compared using Pearson's Chi‐squared and Wilcoxon rank sum tests. Bayesian structural time‐series modeling was used to determine if enforcement of increased penalties for nondisclosure was associated with a change in the trend of hospital disclosures.Data Collection/Extraction MethodsNot applicable.Principal FindingsAs of January 2023, 5162 of 6692 (77.1%) US hospitals disclosed pricing of their services, with the majority (2794 of 5162 [54.1%]) reporting their pricing within the first 6 months of the final rule going into effect in January 2021. An increase in hospital disclosures was observed after penalties for nondisclosure were enforced in January 2022 (relative effect size 20%, p = 0.002). Compared with nondisclosing hospitals, disclosing hospitals had higher annual revenue, bed number, and were more likely to be have nonprofit ownership, academic affiliation, provide emergency services, and be in highly concentrated markets (p < 0.001).ConclusionsHospital pricing disclosures are continuously in flux and influenced by regulatory and market factors.
Reference9 articles.
1. Health and Human Services Department.Medicare and Medicaid Programs: CY 2020 hospital outpatient PPS policy changes and payment rates and ambulatory surgical center payment system policy changes and payment rates. Price transparency requirements for hospitals to make standard charges public. 84 Fed. Reg. 65524–65606 (November 27 2019).
2. Transparency, Accessibility, and Variability of US Hospital Price Data
3. Early Hospital Compliance With Federal Requirements for Price Transparency
4. HutN.CMS finalizes changes to the price transparency penalty inpatient‐only list and more for 2022. Healthcare Financial Management Association.https://www.hfma.org/topics/news/2021/11/cms-finalizes-changes-to-the-price-transparency-penalty--ipo-lis.html
5. Inferring causal impact using Bayesian structural time-series models