The Biden administration wants hospitals to do more to make their prices understandable, so that consumers know in advance what a health care service will cost them.
"It's a step down the path to making the data more accessible" to data analysis firms that create online price comparison tools, said Jeff Leibach, a partner at theMany hospitals, insurers, and third-party data firms have made such cost comparison tools available.Even the new requirements may not resolve the demand that is central to the dystopian ad's ice cream-seeking man: getting exact prices, in dollars and cents.
The proposed rule would, for one thing, further standardize the data required so that reporting is more comparable between facilities. It also mandates that hospitals make their data sets easier to find on their websites, which could help data aggregators and consumers alike, and puts administrators in the hot seat to attest that their hospitals have posted all the required information accurately.
In addition, the proposal adds a data category awkwardly called"consumer-friendly expected allowed charges," aimed at giving more information tied to the varied ways hospitals set prices. In plainer language, those allowed amounts are what hospitals expect to be reimbursed by insurance companies.For example, Dorstel said, currently a service might not be listed as a particular dollar amount, but the hospital will show the price is based on"70% of charges.
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