Susan Morse
While hospitals must still disclose their negotiated rates with payers, they no longer have to submit cost reports to CMS based on those rates.
The American Hospital Association and American Medical Association are among the 11 organizations signing the letter.
This is to cover administration fees for the gap in costs not paid by insurers.
An additional 466 million additional vaccine doses are to be delivered in 2022 at the lowest-tiered price.
The rule finalizes a maximum annual limitation on cost-sharing that is $400 below what CMS proposed in November 2020.
The settlement resolves claims that the insurers violated antitrust laws by entering into an agreement not to compete with each other.
Biden wants to keep the lower ACA premiums available under the American Rescue Plan.
Revised methodology for the rating system was finalized in the 2021 outpatient prospective payment system final rule.
One of the biggest proposals is the repeal of the mandate that hospitals disclose their privately negotiated rates with payers.
A partnership of shared goals and vision is needed between physicians and hospital administration, says Dr. Jimmy Chung of Providence.