Patients need relevant and meaningful information to understand the cost of care and their financial responsibilities. Hospitals across Illinois have committed to IHA’s price transparency principles.
IHA developed these principles with input from our CFO Forum to help focus and shape discussion as the healthcare industry moves toward greater transparency. 191 IHA member hospitals, or 92 percent, have pledged to adopt these principles.
IHA again urges deferred enforcement of surprise billing regulations, as well as increased transparency on how payers calculate qualifying payment amounts.
IHA urges delayed enforcement of surprise billing regulations, citing the need for additional guidance, clarification, and resources to realize the goals of the No Surprises Act.
IHA urges HHS to use consistent language throughout these documents and to ensure these documents mirror the required content and guidelines described in the final rule.
IHA summarizes the first of several regulations implementing the No Surprises Act, including how this law interacts with the State’s surprise billing law.
CMS is auditing acute care hospitals for compliance with the hospital price transparency rule, which took effect January 1, 2021.
The No Surprises Act, found on page 1629, outlines new patient protections from surprise medical bills and new requirements for healthcare providers and plans. See IHA's summary.
CMS issued final price transparency requirements for hospitals, requiring all hospitals to make public their negotiated rates in specific file formats on their websites
On Oct. 29, the U.S. Department of Health and Human Services, the U.S. Department of Labor and the U.S. Department of the Treasury released the Transparency in Coverage final rule.
IHA strongly supports providing patients with meaningful health coverage information, but has significant concerns with the proposed requirement for issuers to publicly disclosed negotiated rates.
On Nov. 15, the Centers for Medicare & Medicaid Services issued final price transparency requirements for hospitals, including making public their negotiated rates.
IHA appreciates the opportunity to comment on the proposed rule that would establish new price transparency requirements.
IHA's member memo summarizes the proposed price transparency requirements contained in the Medicare outpatient proposed rule.
The 21st Century Cures Act raises questions about price transparency. IHA comments on the proposed rule and describes the price transparency principles that Illinois hospitals have already adopted.
The Hospital Uninsured Patient Discount Act requires hospitals to provide free and discounted care to eligible uninsured patients.
Per The Fair Patient Billing Act, hospitals must notify patients about the availability of financial assistance and comply with specific requirements regarding billing and collections.
Nonprofit hospitals cannot charge patients eligible for financial assistance more than the amounts generally billed to patients with health insurance. Learn about the specific requirements.
IHA Price Transparency Webinar (9/15/20)
IHA Price Transparency Webinar (11/4/20)
Talking Points on Final Price Transparency Rule – January 1, 2021
IHA Infographic (12/22/20)
Insurance Plan Estimators
Average Charges for Illinois Hospitals
Checklist for Price Inquiries
Healthcare Financial Management Association Resources
Hospital Handout: Patient FAQs
Hospital Handout: Patient Request to View Standard Charges
American Hospital Association Resources