Half of U.S. Hospitals Still Not Compliant with CMS Price Transparency Rules
More than half of U.S. hospitals remain noncompliant with CMS price transparency requirements despite increased federal enforcement, according to a September 2026 report from PatientRightsAdvocate.org. The rules, which took effect in January 2021, require hospitals to publicly post standard charges for services. CMS has escalated enforcement through monetary penalties for noncompliant hospitals. For Medicaid managed care plans, ongoing hospital noncompliance complicates rate negotiations, network adequacy assessments, and member cost-sharing transparency — particularly for dually eligible beneficiaries and children with complex medical needs who rely on hospital-based care.
Hospital noncompliance with price transparency rules limits Medicaid managed care plans' ability to benchmark contract rates and complicates member cost-sharing disclosures under managed care transparency requirements.
Managed Care
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