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Study Estimates That More Than Half of U.S. Hospitals Not in Compliance With New Pricing Disclosure Rules in First Five Months

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A study led by researchers at the Johns Hopkins Bloomberg School of Public Health that examined U.S. hospital compliance with new rules requiring hospitals to disclose prices found wide fluctuations across states, with some states achieving 75 percent or higher compliance and others coming in at 25 percent or lower. Taken together, more than half—55 percent—of U.S. hospitals were not compliant with the new federal rule that went into effect January 1 this year.

The study ranked publicly available hospital compliance information for all 50 states, the District of Columbia, and 305 geographic regions in the U.S. The researchers based their analysis on files from more than 3,500 U.S. hospitals in the first five months of 2021, January 1 through June 1.

At least 75 percent of hospitals were compliant in the District of Columbia, Hawaii, Rhode Island, Indiana, and Michigan. In contrast, at most, 25 percent of hospitals were compliant in Delaware, Maryland, Washington, and Louisiana. The researchers also found that a hospital’s compliance status was strongly associated with the average compliance level of peer hospitals in the same regional market. A hospital would be 42 percent more likely to be compliant if all other hospitals in the same geographic region were compliant as well.

The study was published online December 9 in the Journal of General Internal Medicine.

Read more:

  • Factors Associated with Compliance to the Hospital Price Transparency Final Rule: A National Landscape Study”  John Jiang, Daniel Polsky, Jeff Littlejohn, Yuchen Wang, Hossein Zare, and Ge Bai, Journal of General Internal Medicine.  Dec 9 2021.
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