16 – Navigating the Price Transparency Landscape: Pitfalls, Best Practices, and Planning for the Future

Dan Unger

Senior Vice President and General Manager, Financial Transformation Business, Health Catalyst

Sep 14, 2022

Pricing transparency regulations present a complicated—and potentially expensive—compliance problem for healthcare. Recent proposals would increase maximum penalties for violations of the Hospital Price Transparency rule up to $2M per hospital per year. Beginning in July 2022, CMS will also start enforcing the Payer Price Transparency rule that governs group health plans and health insurance issuers. This session will offer practical advice for navigating the price transparency landscape based on Health Catalyst’s experience working with 125+ clients at more than 300 hospitals.

Join this session to learn:

  • The pricing transparency violations most likely to trigger CMS enforcement.
  • Best practices for pricing transparency based on CMS feedback and client experiences.
  • How the industry can guide CMS toward regulations that are both useful to consumers and easier for compliance.
  • Long-term repercussions of pricing transparency at both the industry and the organization levels.

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