President Trump Delivers on Promise to Increase Health Care Transparency

President Trump delivers promise health care transparencyCall it another promise kept by the Trump Administration. Under the direction of President Trump’s Executive Order on Improving Price and Quality Transparency in American Healthcare, the Centers for Medicare and Medicaid Services (CMS) is issuing two new rules to increase price transparency to empower patients and expand competition among all hospitals, group health plans and health insurance issuers in the individual and group markets.

The proposed Transparency in Coverage rule would require most employer-based group health plans and health insurance issuers offering group and individual coverage to disclose price and cost-sharing information to participants, beneficiaries, and enrollees up front. With this information, patients will have accurate estimates of any out-of-pocket costs they must pay to meet their plan’s deductible, co-pay, or co-insurance requirements. This will make previously unavaiable price information accessible to patients for easy comparisons.

The proposed rule also requires health care plans to give consumers real-time, personalized access to cost-sharing information, including an estimate of their cost-sharing liability for all covered healthcare items and services. This requirement would empower consumers to shop and compare costs between specific providers before receiving care. Health plans would also be obliged to disclose their negotiated rates for in-network providers and allowed amounts paid for out-of-network providers.

The Trump Administration is finalizing another rule that will require hospitals to provide patients with clear, accessible information about their “standard charges” for the items and services they provide, making it easier to shop and compare across hospitals. Hospitals will be required to make public payer-specific negotiated charges, the amount the hospital is willing to accept in cash from a patient for an item or service, and the minimum and maximum negotiated charges for 300 common shoppable services in a manner that is consumer-friendly and update the information at least annually.

“Under the status quo, healthcare prices are about as clear as mud to patients,” said CMS Administrator Seema Verma. “Thanks to President Trump’s vision and leadership, we are throwing open the shutters and bringing to light the price of care for American consumers. Kept secret, these prices are simply dollar amounts on a ledger; disclosed, they deliver fuel to the engines of competition among hospitals and insurers. This final rule and the proposed rule will bring forward the transparency we need to finally begin reducing the overall healthcare costs. Today’s rules usher in a new era that upends the status quo to empower patients and put them first.”

Andrew Mangione is Senior Vice President for AMAC’s advocacy affiliate, AMAC Action. He leads AMAC’s grassroots efforts, represents AMAC’s membership in Washington, D.C., and helps chart the association’s policy course. He also serves as a national spokesperson.

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Virginia Horn
2 years ago

I have been questioning these issues in health care for several years. We have a right to know what the real costs of our medical care are. I had one hospitalization that was “billed” at over $300,000. When all was said and done, the negotiated price was $29 000. So if they have a negotiated price with the insurance, why go through all this. Just bill it for $29000 and I will be proud of their financial expertise.

Kenneth Hamilton
2 years ago

This is just another snow job. Think about it. You can put every charge in some book but people dont/cant read the paperwork they get now. To think they should use any data to hospital shop is not a realistic plan. Just because one is cheaper doesnt mean that’s what you need. It sounds great but isnt going to happen. But, it looks great that Trump is doing something. The ACA is an extremely profitable plan for those that nuy their stock. If not mistaken there is many more Republicans in that group. This plan is like the wall. It will never happen. But, Trump doesnt care because the naive think he is really doing something great.

Mark for Trump 2020
3 years ago

There is a lot of push back on this issue. I watched on youtube The Candace Owens Show with her guest Katy Talento. It is a real eye opener on this topic and the fight our President is going through to get this to the legislators. Unfortunately, we have a “do nothing” , “hate Trump” far left House. On this show, the speaker has a site for us, the people, the constituents to voice to these representatives to accept what the Trump Administration is striving for.

3 years ago

Imagine how much more Trump could get done if he could get a little more cooperation from Washington! The fact that he has to resort to “executive order” to get anything done speaks volumes to me. Let’s keep America great! Trump 2020!

Dan W.
3 years ago

I can’t tell from reading this article:

Do these executive orders require hospitals to tell patients if any of their hospital-based providers for a given procedure are in or out of the patient’s provider network ?

(A balance bill from an out-of-network radiologist or anesthesiologist is one of the biggest surprises to a patient who had used an in-network hospital and and in-network surgeon.)

Ed J
3 years ago

Another promise kept! Let’s hope Trump continues to fulfill many more of his promises (which I expect him to diligently and relentlessly do). And as the initial list gets shorter, I’m sure there will be many more promises that will be added to the list as he goes about Draining the Swamp. Go TRUMP in 2020!

Virginia Horn
2 years ago
Reply to  Ed J

Yes, it’s been the first time in years, that our President has kept his campaign promises and not just kept his word on one or two of them. Good job,President Trump! We need you back in 2020.

gerald s
3 years ago

it’s about time

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