June 25, 2019
On June 24, President Trump signed the executive order “Improving Price and Quality Transparency in American Health Care to Put Patients First.” The executive order, which is consistent with previous Administration policies and priorities, focuses on directing agencies to issue regulations and guidance regarding price, quality and data transparency. As a result, much of the implementation will be determined and directed by Secretaries of various agencies.
The executive order calls for the development of a Health Quality Roadmap within 180 days (Roadmap) that aligns and improves reporting on data and quality measures across Medicare, Medicaid, the Children’s Health Insurance Program, the Health Insurance Marketplace, the military health system and the Veterans Affairs Health System. The Roadmap shall include a strategy for establishing, adopting and publishing common quality measurements; aligning inpatient and outpatient measures; and eliminating low-value or counterproductive measures.
The executive order also requires the Secretary of Health and Human Services to increase access to de-identified claims data from federal health care programs and group health plans for researchers, innovators, providers and entrepreneurs.
Other proposals relate to increasing transparency on hospital rates, providing patients’ information on cost sharing, a report on surprise billing and guidance to patients on selecting a high-deductible plan that can be used with Health Savings Accounts.
While generally there is support for transparency, this process will not be without controversy. The executive orders will need to be carried out through the rulemaking process which can be time consuming. Rulemaking will also provide an opportunity for a wide range of stakeholders to weigh in on the development and implementation of these initiatives.
A factsheet on the executive order is available here.
For more information visit the McDermottPlus Payment Innovation Resource Center or contact Sheila Madhani at firstname.lastname@example.org; Mara McDermott at email@example.com or Katie Waldo at firstname.lastname@example.org.