The Trump administration unveiled a new proposal Monday, in which privately negotiated prices between hospitals and private health insurers would inform how Medicare pays for future health care services.
Yes, but: Hospitals are suing over the original price transparency regulation, so this proposal would get thrown in the trash if hospitals win in court.
Details: Last year, Medicare finalized a rule that required all hospitals to publicize the prices they negotiated with insurance companies by 2021.
- Hospitals immediately sued, saying the rule was unconstitutional and federal overreach. They just asked a federal judge to throw out the rule.
- However, Medicare is still moving forward with this new proposal, which builds on last year's rule and would require hospitals to list the median commercial prices on federal reports.
- By 2024, Medicare would then use those prices to "develop market-based" payments.
The bottom line: This entire proposal is a long way from happening, and more importantly hinges on whether the courts believe the federal government has the authority to require hospitals to publish all of their prices.
