CMS Warns Over 500 Hospitals for Price Transparency Failures, Potential Penalties Loom
The Centers for Medicare and Medicaid Services (CMS) has issued warnings to over 500 hospitals across the United States for failing to meet federal price transparency requirements. These hospitals have received either a 90-day warning notice or a Corrective Action Plan (CAP) request, which requires them to address compliance deficiencies within 45 days. If hospitals fail to comply, they face civil monetary penalties that can reach up to $5,500 per day, potentially exceeding $2 million annually. The enforcement of these requirements began during the Trump administration and continued under President Biden, with ongoing interest from Republican lawmakers to address healthcare pricing frustrations. Despite the availability of pricing data, experts note that it has not been widely utilized at the patient level, though it has been beneficial for payers and providers during negotiations. 
