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Employers Under Pressure to Make Sure Hospitals Disclose Rates

April 8, 2021, 9:35 AM

Companies that cover their employees’ health care face greater responsibility for monitoring pricing now that hospitals in their networks must comply with a new rule requiring that negotiated rates be disclosed.

The rule (RIN 0938-AU22), which took effect Jan. 1, requires hospitals to post the rates they have negotiated with insurers on their websites. The rule could thus enable employers to get payment information that they could use to push their insurers to negotiate better rates with hospitals, helping to ensure that employers are paying hospitals the best rates.

Employers so far haven’t focused on exploring the negotiated rates, but...

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