CMS
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Modern Healthcare: Hospitals Slow to Disclose Their Payer-Negotiated Rates
Read more: Modern Healthcare: Hospitals Slow to Disclose Their Payer-Negotiated RatesHCCI’s President and CEO Niall Brennan was featured in a Modern Healthcare article on hospital compliance with CMS’s price transparency rule. From the article: ” ‘Hospitals have opposed this from the get-go. I don’t think they should be facing implementation challenges,’ Health Care Cost Institute CEO Niall Brennan said. ‘These are large, multimillion, and, in…
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Healthcare Dive: CMS Audits Small Slice of Hospitals for Price Transparency, Probes Complaints
Read more: Healthcare Dive: CMS Audits Small Slice of Hospitals for Price Transparency, Probes ComplaintsHCCI’s President and CEO Niall Brennan was featured in a an article on CMS’s price transparency rule. From the article: “It’s ‘frustratingly incomplete,’ said Niall Brennan, president and CEO of the Health Care Cost Institute, which compiles claims data from big payers including Aetna and Kaiser Permanente. ‘There is no real mechanism to figure out how…
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Kaiser Health News: Surprise Federal Drug Rule Directs Insurers to Reveal What They Pay for Prescription Drugs
Read more: Kaiser Health News: Surprise Federal Drug Rule Directs Insurers to Reveal What They Pay for Prescription DrugsHCCI’s President and CEO Niall Brennan was quoted in a Kaiser Health News article on the CMS Transparency in Coverage Final Rule. From the article: ” ‘If the information is presented to consumers so they realize they are paying a higher price without the benefit of the rebates, you’ll get a lot of angry consumers,’ said Niall Brennan, CEO…
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HCCI Provides Comments for CMS’s Proposed Transparency in Coverage Rule
Read more: HCCI Provides Comments for CMS’s Proposed Transparency in Coverage RuleOn November 27, 2019 CMS proposed a rule (CMS-9915-P) requiring group health plans and health insurance issuers in the individual and group markets to disclose cost-sharing information to enrollees, including an estimates of an enrollee’s cost-sharing liability for covered items or services furnished by a particular provider. As also noted in our comments on rule CMS-1717-P, HCCI recommends that…
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HCCI Provides Comments for CMS’s Proposed Outpatient Prospective Payment System Rule
Read more: HCCI Provides Comments for CMS’s Proposed Outpatient Prospective Payment System RuleOn August 9, 2019, CMS released a rule for calendar year 2020 revisions to the Medicare hospital outpatient prospective payment system (CMS-1717-P).Our comments specifically refer to Title 45 of the Code of Federal Regulations (CFR) Part 180 on Price Transparency of Hospital Standard Charges. Feedback will be used to guide discussions on improving price transparency in…
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POLITICO Pulse: Spending growth outpaces need for care
Read more: POLITICO Pulse: Spending growth outpaces need for careBy: Dan Diamond Indiana is abuzz with news that the Trump administration this week will approve the state’s pending Medicaid waiver, which would add a work requirement for able-bodied adults, multiple sources tell POLITICO’s Rachana Pradhan. Indiana’s pioneering conservative Medicaid model — which CMS Administrator Seema Verma helped develop as a consultant and then-Gov. Mike…