Hospital Price Transparency Compliance Register

PROBLEM: A November 2024 HHS Office of Inspector General audit found that 37 of 100 sampled hospitals did not comply with one or more Hospital Price Transparency Rule requirements, and estimated that 46 percent of the 5,879 hospitals required to comply did not make their standard charges available to the public (HHS-OIG A-07-22-06108). Patients therefore still cannot reliably compare prices before care, and enforcement has relied on sporadic audits rather than continuous compliance records.

SOLUTION: An IBM Cloud Ideas compliance improvement that maintains a hospital price-transparency compliance register: each hospital's machine-readable file and shoppable-services display is checked, timestamped and scored against the rule, with gaps, warnings and penalty notices recorded in one auditable ledger.

EVIDENCE BASIS: DOCUMENTED — HHS-OIG audit A-07-22-06108, Nov 2024: 37 of 100 sampled hospitals non-compliant; estimated 46% of 5,879 hospitals non-compliant with the Hospital Price Transparency Rule.