Hospitals Hide Prices on Web, Undermining Disclosure Rule 2025

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The Hospital Price Transparency rule goes into effect on January 1, 2021.
Hospital and outpatient center prices are calculated by combining records for patients who got a particular treatment or service at that facility. The price includes fees paid to the facility, the doctor and any other health professionals.
In traditional cost accounting systems, the volume-based costing (VBC) is the most popular cost accounting method. In this method, the indirect costs are allocated to each cost object (services or units of a hospital) using a single indicator named a cost driver (e.g., Labor hours, revenues or the number of patients).
There are a number of ways that hospital costs are calculated in healthcare. The most common method is by using the cost-to-charge ratio (CCR). This ratio is used to calculate the cost of a hospital stay by dividing the total charges for a stay by the number of days spent in the hospital.
For Medicare patients, about 42 percent of the typical hospitals volume of patients, the U.S. Congress sets hospital payment rates. For Medicaid patients, about 16 percent of the typical hospitals volume of patients, state governments set hospital payment rates.
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For example, under the Hospital Price Transparency Final Rule, your hospital is obligated to make public the payer-specific negotiated charges as applicable for each item and service your hospital provides.
Patient Education and Engagement Educating patients about their bills and involving them in the billing process can enhance transparency and trust. Providing clear explanations of charges and assisting with insurance issues are important steps in this direction.

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