A federal law that went into effect last year is supposed to prevent surprise charges by hospitals and doctors. Yet questions persist over how well agencies are administering it.
. The agency prioritizes complaints based on egregious examples, CMS said.
In the two instances when CMS did resort to fining hospitals, it proved wholly effective, said Cynthia Fisher, founder of Patient Rights Advocate, a nonprofit that pushes for price transparency in health care. "CMS itself has indicated that only a small number of hospitals across the country are not in compliance," Ascension's statement said."We will continue to find ways to make sure consumers and patients have the most current information available to make an informed healthcare decision."
Fisher said she is confident in the accuracy of her group's report, which she said was validated by an outside firm. More importantly, she said comprehensive pricing data is pivotal to give consumers and others information they need before they get hit with a big bill. “Now I'm sitting here staring down $10,000 in out-of-pocket bills with a deductible of $2,700 and no one can really tell me why,” Griner said. “I like to think I'm a pretty sophisticated consumer being an attorney, but I feel like an idiot every time I talk to these people.”
Part of the problem is that what information is made available isn't done so with patients in mind, said Elisabeth Benjamin, vice president of health initiatives at the Community Service Society of New York and founder ofCMS allowed hospitals to post the information in a format that was easier for them. The consumer-friendly database allows people to look up estimated prices for 300 medical services.
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