Industry Report

Price Transparency Regulations

Healthcare price transparency is no longer optional; it’s a compliance priority. Beginning with the 2021 Hospital Price Transparency Rule and strengthened by ongoing CMS guidance and executive actions, enforcement is rising and penalties can reach up to $5,500 per day for noncompliance. Acting now not only mitigates risk; it also builds patient trust, reduces surprise billing, and sharpens your competitive edge in a cost-conscious market.

Table of Contents

Price Transparency Regulations

Vendor Support for Transparency Compliance

Meeting CMS price transparency requirements can be overwhelming, but the right vendor solutions make all the difference. Here are a few things to keep in mind when evaluating potential partners:

  1. Define Your Needs: Decide whether you require machine-readable files, good-faith estimates, cost calculators, or analytics tools.
  2. Prioritize Compliance: Ensure vendors stay current with CMS rules and regularly update pricing data.
  3. Focus on Usability: Look for tools that are intuitive for staff and easy for patients to understand.
  4. Check Data & Insights: The best solutions offer wide data coverage and benchmarking to help guide strategy.
  5. Seek Peer Input: Reviews and professional feedback can reveal how solutions perform in practice.

 

How We Can Help

Our team can simplify the process by assessing your organization’s needs, shortlisting qualified vendors, and guiding implementation, from integration to staff training. We also provide ongoing support to help you leverage transparent data for better decision-making.

Is Your Organization Ready?

Price transparency in healthcare is more than compliance; it’s an opportunity to strengthen trust with patients, improve competitiveness, and avoid costly penalties. This healthcare price transparency tool ensures your organization is up-to-date with CMS requirements and industry expectations:

Key Highlights

Understand the Rules and Risks – A clear overview of CMS’s Hospital Price Transparency Rule, recent updates, and why compliance matters for both penalties and patient trust.
Follow a Step-by-Step Audit Framework – A practical blueprint for audits, covering preparation, technical checks, shoppable services, accuracy, accessibility, and governance.
Maintain Continuous Compliance – Guidance on remediation timelines, KPIs, and tools to monitor compliance year-round with expert consulting support.

Partner with BHM Healthcare Solutions

With over 20 years in the industry, BHM Healthcare Solutions is committed to providing consulting and review services that help streamline clinical, financial, and operational processes to improve care delivery and organizational performance.

We bring the expertise, strategy, and capacity that healthcare organizations need to navigate today’s challenges – so they can focus on helping others.

Are you ready to make the shift to a more effective process?