CFOs will need to ensure their organization can easily comply with the updated regulations.
The Trump administration is taking new steps to enforce its price transparency requirements, with updated guidance for providers and payers, and a request for public input on how to boost compliance with existing transparency rules.
Some of the key developments in the update:
-The Centers for Medicare & Medicaid Services (CMS) has issued new guidance requiring hospitals to disclose actual prices for services, including cash prices, gross charges, payer-specific negotiated rates, and any minimum negotiated charges.
-Payers are now required to update their price reporting formats to include rates for covered items and services, out-of-network allowed amounts, and negotiated rates for covered prescription drugs. Enforcement of these requirements will begin in February 2026, with potential audits, warnings, corrective plans, or financial penalties for non-compliance.
Some states, like Colorado, have expanded price transparency regulations to include pharmacy benefit managers (PBMs) and prescription drug data, adding another layer of compliance for health systems operating across multiple jurisdictions.
To ensure compliance, CFOs will have to step up on a few measure.s Check out this infographic for a quick CFO guide, and dive into the full article here.
Marie DeFreitas is the CFO editor for HealthLeaders.