AHIP Takes Issue With Price Transparency Asks in CMS Inpatient Payment Rule

In a July 10 letter, America’s Health Insurance Plans (AHIP) criticized a Trump administration proposal that would effectively require hospitals to reveal median rates they negotiate with Medicare Advantage insurers. In the letter, AHIP CEO Matthew Eyles said that the group supports price transparency in general, but the proposed rule would in fact impede that goal.

“We have several serious concerns with the proposal and believe it would fail to advance the Administration’s stated goals for increased consumer transparency and market-based FFS [fee for service] rates on multiple fronts,” Eyles wrote. “As a result, AHIP and its member plans cannot support CMS’ proposed data collection and publication of median payer-specific negotiated rates.”

0 Comments
© 2024 MMIT
Peter Johnson

Peter Johnson

Peter has worked as a journalist since 2011 and has covered health care since 2020. At AIS Health, Peter covers trends in finance, business and policy that affect the health insurance and pharma sectors. For Health Plan Weekly, he covers all aspects of the U.S. health insurance sector, including employer-sponsored insurance, Medicaid managed care, Medicare Advantage and the Affordable Care Act individual marketplaces. In Radar on Drug Benefits, Peter covers the operations of (and conflicts between) pharmacy benefit managers and pharmaceutical manufacturers, with a particular focus on pricing dynamics and market access. Before joining AIS Health, Peter covered transportation, public safety and local government for various outlets in Seattle, his hometown and current place of residence. He graduated with a B.A. from Colby College.

Related Posts

medicare-part-c
May 17

Medicare, Medicaid Segments May Be a ‘Mess,’ but Bounce-Back Expected

READ MORE
hospital-hallway
May 17

As Hospitals’ Commercial Prices Keep Rising, Experts Float Solutions

READ MORE
businessman-viewing-news-update-journalism-headline-on-a-laptop
May 17

News Briefs: CMS Extends Medicaid Redetermination Deadline

READ MORE

GAIN THERAPEUTIC AREA-SPECIFIC INTEL TO DRIVE ACCESS FOR YOUR BRAND

Sign up for publications to get unmatched business intelligence delivered to your inbox.

subscribe today