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The Biden administration is doubling down on a Trump-era rule that requires hospitals to disclose the rates they privately negotiate with insurers.
A large number of hospitals have yet to comply with that historic rule, which went into effect January 1 and also requires them to provide in an online, searchable way the rates for 300 common services, such as X-rays, outpatient visits, Cesarean deliveries and lab tests. In addition, hospitals must disclose the amount they are willing to accept in cash.
The Centers for Medicare and Medicaid Services is proposing increasing the penalty for not complying with the rule, which is currently up to $300 a day. The move follows an executive order issued by President Joe Biden earlier this month that directed the Department of Health and Human Services to support existing hospital price transparency rules.
CMS wants to hike the fine to as much as $5,500 for hospitals with more than 30 beds, according to the proposed rule, released Monday. Smaller hospitals would still face a penalty of $300 a day.
