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Out-of-network price benchmarking through government regulation, competition with Medicare fee-for-service, and the fact that insurers actually bear risk in the MA market may drive down prices in MA.

As payers interpret and transform these contracts into machine readable files utilizing the provided schemas, the prices are altered into a shadow.

While 70% of hospitals are compliant with the federal price transparency rule, the feds have sent more than 900 warning letters to hospitals about their posted data, with four hospitals fined for non-compliance.

Almost 5% of respondents increased contributions as a way of offsetting increases to medical premiums.

Hospital system pricing is closely related to mergers and acquisitions, as consolidations drive up already inordinate health care costs, according to the attorney general of North Carolina, where health care is a leading cause of personal debt.

Here is what I'm calling my 10 commandments of any reference-based pricing plan. Every one of these is important, however, they are ranked from 10 to one, with one being the most important element.

In recent months ominous ads about prescription drugs have flooded the TV airwaves - and Congress is paying attention: House and Senate members have launched nine bills that take aim at pharmacy benefit managers.

Shining a light on one of the biggest mysteries in health care is a noble goal. Here's how employers and benefits advisors can build on the transparency momentum to transform the system.