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CY 2020 Hospital Outpatient Prospective Payment System (OPPS) Policy Changes: Hospital Price Transparency Requirements (CMS-1717-F2)

On November 15, 2019, the Centers for Medicare & Medicaid Services (CMS) finalized policies that follow directives in President Trump’s Executive Order, entitled “Improving Price and Quality Transparency in American Healthcare to Put Patients First,” that lay the foundation for a patient-driven healthcare system by making prices for items and services provided by all hospitals in the United States more transparent for patients so that they can be more informed about what they might pay for hospital items and services.
Fact Sheet

Trump Administration Announces Historic Price Transparency Requirements to Increase Competition and Lower Healthcare Costs for All Americans

As directed by President Trump’s Executive Order on Improving Price and Quality Transparency in American Healthcare, today the Department of Health and Human Services is announcing that the Centers for Medicare & Medicaid Services (CMS) is issuing two rules that take historic steps to increase price transparency to empower patients and increase competition among all hospitals, group health plans and health insurance issuers in the individual and group markets.
Press Release

Trump Administration takes Steps to Expand Access to Treatment for Opioid Use Disorder

The CY 2020 Physician Fee Schedule Final Rule (CMS-1715-F) establishes Medicare Coverage for Opioid Use Disorder Treatment Services Furnished by Opioid Treatment Programs.
Press Release

CMS Administrator Verma’s Statement on the Trump Administration’s Action to Expand Access to Quality, Affordable Health Coverage Through Health Reimbursement Arrangements

CMS Administrator Verma’s Statement on the Trump Administration’s Action to Expand Access to Quality, Affordable Health Coverage Through Health Reimbursement Arrangements
Press Release

CMS seeks recommendations that allow Americans to purchase health insurance across state lines

The Centers for Medicare & Medicaid Services (CMS) issued a request for information (RFI) today that solicits recommendations on how to eliminate regulatory, operational and financial barriers to enhance issuers’ ability to sell health insurance coverage across state lines.
Press Release

CMS issues proposed additional rule to address risk adjustment program for the 2018 benefit year

Today’s notice of proposed rulemaking, “Patient Protection and Affordable Care Act; Methodology for the HHS-operated Permanent Risk Adjustment Program for 2018 Proposed Rule,” proposes to adopt the risk adjustment methodology that HHS previously established for the 2018 benefit year which uses the statewide average premium in the payment transfer formula.
Press Release

Short-Term, Limited-Duration Insurance Final Rule

The Secretaries of the Treasury, Labor, and Health and Human Services published a proposed rule to consider allowing short-term, limited-duration insurance to cover longer periods.
Fact Sheet