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HEALTHCARE
NEWS
38
Hospitals in less competitive regions have higher
price transparency compliance, study finds
By Hayley DeSilva
H
ospitals in less competitive hospital referral regions and hos-
pital systems with greater market shares are more compliant
with CMS' price transparency rules, a study published June
24 in JAMA Health Forum found.
e study examined all 4,484 acute care hospitals in the U.S., repre-
senting 2,892 hospital systems in 306 referral regions and their level
of compliance with CMS' requirement for hospitals to "release the
prices they negotiate with insurance plans to make price compari-
son across hospitals easier for consumers." e study found a strong
relationship between level of compliance and the competitiveness of
a hospital's region.
According to the study, there was "a negative association between
compliance and market competitiveness; compliance was higher
in less competitive HRRs … and for hospital systems with greater
market shares." is relationship remained the same when control-
ling for the number of beds.
e study authors noted one limitation in their findings; by defining
compliance as "based on availability of payer-specific negotiated
prices," they "omitted other CMS requirements such as availability
of a shoppable service tool. A more stringent definition would likely
lead to lower measured compliance rates."
The Journal of General Internal Medicine published a prior study in
June 2021 that found similar results, which continued through the
end of 2021, despite a vast increase in compliance overall. n
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