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No Pricing Transparency: What to make Illegal
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===Key Provisions:=== #Mandatory Price Disclosure: ##All healthcare providers (hospitals, clinics, etc.) must publicly and clearly disclose the full costs of all services, treatments, and procedures on their websites. ##Prices should be presented in a standardized, consumer-friendly format. ##Prices should reflect out-of-pocket costs for uninsured patients and estimate costs for insured patients based on common insurance plans. ##Providers must update their pricing data quarterly to reflect current charges. #Standardized Billing Practices: ##Implement standardized billing codes and descriptions across providers to ensure uniformity and comparability of services. ##All bills must clearly outline individual service costs and bundled charges. #Anti-Bundling Protections: ##It will be illegal for healthcare providers to bundle unnecessary services with required ones. ##Patients must be given the option to decline any non-essential services. #Enforcement Mechanism: ##Establish a federal body responsible for monitoring compliance with this law, empowered to inspect, investigate, and impose fines. ##Healthcare providers found violating the transparency rules will face fines of up to $100,000 per instance. Repeat offenders may face higher fines or criminal prosecution. #Increased Antitrust Enforcement: ##Direct federal agencies to scrutinize mergers and acquisitions in the healthcare sector more rigorously. ##Ensure that no healthcare provider engages in anti-competitive behavior like exclusive contracts with insurers. #Insurance Company Accountability: ##Insurance companies must also provide clear information on costs and coverage to prevent hidden or unexpected charges. ##Penalties for insurers found deliberately obscuring cost data or misrepresenting coverage.
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