With these new requirements, your health system must make accessible all standard charges, defined as gross charges and negotiated managed care rates, in a machine-readable format and for consumers as a list of 300 “shoppable” items—non-urgent, high-volume items and services—on your website or via an interactive tool. The intent is to provide an easy way for consumers to determine, in advance, the allowed payment for their prospective service based on their insurance or if with an interactive tool their patient pay obligation and for employers, vendors and payers to have access to the rates with hopes of driving down costs through transparency.
Meeting this requirement will require a significant effort for most health systems, which is why Panacea has developed software tools and consulting services to assist clients.
