{"id":96416,"date":"2025-08-20T08:56:07","date_gmt":"2025-08-20T08:56:07","guid":{"rendered":"https:\/\/www.newsbeep.com\/us\/96416\/"},"modified":"2025-08-20T08:56:07","modified_gmt":"2025-08-20T08:56:07","slug":"senator-calls-for-price-transparency-in-health-care","status":"publish","type":"post","link":"https:\/\/www.newsbeep.com\/us\/96416\/","title":{"rendered":"Senator calls for price transparency in health care"},"content":{"rendered":"<p>Reducing America\u2019s outrageous health care costs is a top bipartisan priority of this Congress.<\/p>\n<p>The\u00a0Patients Deserve Price Tags Act, a new bipartisan bill I introduced with Sen. John Hickenlooper (D-Colo.), can reverse runaway health expenditures that are burdening Americans of all backgrounds by requiring actual prices throughout the health care system.<\/p>\n<p>Americans now spend\u00a0<a href=\"https:\/\/www.cms.gov\/data-research\/statistics-trends-and-reports\/national-health-expenditure-data\/historical\" target=\"_blank\" rel=\"noreferrer noopener nofollow\">approximately $5 trillion a year<\/a>, nearly 20% of GDP, on health care. That\u2019s more than twice as much as in 2000, adjusted for inflation. These costs have put\u00a0<a href=\"https:\/\/kffhealthnews.org\/news\/article\/diagnosis-debt-investigation-100-million-americans-hidden-medical-debt\/\" target=\"_blank\" rel=\"noreferrer noopener nofollow\">100 million people<\/a>\u00a0in medical debt.<\/p>\n<p>The lack of price transparency is a major\u00a0reason for this\u00a0health care hyperinflation.\u00a0For too long, powerful hospitals, health insurance companies, and industry middlemen\u00a0have hidden prices from Americans so they can profiteer.\u00a0Almost all Americans have a health care billing horror story, such as\u00a0<a href=\"https:\/\/www.npr.org\/sections\/health-shots\/2023\/11\/21\/1213255059\/she-was-elated-about-her-pregnancy-then-came-a-2-400-bill-for-blood-tests\" target=\"_blank\" rel=\"noreferrer noopener nofollow\">$2,400 for blood tests<\/a>,\u00a0<a href=\"https:\/\/www.npr.org\/sections\/health-shots\/2022\/08\/23\/1118852779\/an-18-000-biopsy-paying-cash-might-have-been-cheaper-than-using-her-insurance\" target=\"_blank\" rel=\"noreferrer noopener nofollow\">$8,400 for a breast biopsy<\/a>, and\u00a0<a href=\"https:\/\/www.npr.org\/sections\/health-shots\/2023\/12\/19\/1219693344\/when-a-quick-telehealth-visit-yields-multiple-surprises-beyond-a-big-bill\" target=\"_blank\" rel=\"noreferrer noopener nofollow\">$660<\/a>\u00a0for a five-minute telehealth appointment.<\/p>\n<p>By requiring with upfront prices, including discounted cash and negotiated insurance rates (not unaccountable estimates), our bill empowers consumers to substantially reduce costs through competition and choice. Patients can choose\u00a0<a href=\"https:\/\/greenimaging.net\/mri\/\" target=\"_blank\" rel=\"noreferrer noopener nofollow\">$300 MRIs<\/a>\u00a0at standalone imaging centers and\u00a0<a href=\"https:\/\/www.beckersasc.com\/gastroenterology-and-endoscopy\/how-colonoscopy-costs-have-changed-ascs-vs-hopds.html\" target=\"_blank\" rel=\"noreferrer noopener nofollow\">$1,000<\/a>\u00a0for colonoscopies at an ambulatory surgical center instead of paying\u00a0<a href=\"https:\/\/www.mriatbelfair.com\/cost\" target=\"_blank\" rel=\"noreferrer noopener nofollow\">$3,000<\/a>\u00a0and\u00a0<a href=\"https:\/\/charlotteledger.substack.com\/p\/the-case-of-the-10000-colonoscopy-5ef\" target=\"_blank\" rel=\"noreferrer noopener nofollow\">$10,000<\/a>\u00a0for the same services at their local hospital.<\/p>\n<p>\t\t\t<img decoding=\"async\" width=\"768\" height=\"432\" src=\"https:\/\/www.newsbeep.com\/us\/wp-content\/uploads\/2025\/08\/GettyImages-1741292941-768x432.jpg\" class=\"attachment-article-main-medium-large size-article-main-medium-large wp-post-image\" alt=\"\" loading=\"lazy\"  \/>\t\t<\/p>\n<p>\t\t\t\t<img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.statnews.com\/wp-content\/themes\/stat\/images\/home\/statplus.svg\" width=\"19\" height=\"16\" alt=\"\"\/><br \/>\n\t\t\t\t<a href=\"https:\/\/www.statnews.com\/2025\/08\/04\/drug-price-transparency-reports-pharma-companies-jnj\/\" rel=\"nofollow noopener\" target=\"_blank\">The murkiness of drug companies\u2019 price transparency reports<\/a><\/p>\n<p>Many working-age Americans receive coverage through their employer or union, and our bill gives\u00a0these health plans the tools they need to reduce skyrocketing costs that reduce worker wages and take-home pay.\u00a0According to <a href=\"https:\/\/www.kff.org\/health-costs\/report\/2023-employer-health-benefits-survey\/\" target=\"_blank\" rel=\"noreferrer noopener nofollow\">KFF<\/a>, the average annual employer-sponsored health premium is $24,000, a 50% increase over the past decade.<\/p>\n<p>A recent JAMA\u00a0<a href=\"https:\/\/jamanetwork.com\/journals\/jamanetworkopen\/fullarticle\/2813927\" target=\"_blank\" rel=\"noopener nofollow\">study<\/a>\u00a0found that health care\u00a0premiums as a share of total employee compensation have more than doubled since 1988.\u00a0Increasing health care costs are a major\u00a0reason that real worker wages are stagnant.\u00a0\u00a0<\/p>\n<p>With upfront prices, employers and unions can design a benefit where workers get the best quality, lowest price care, and share savings in the form of reduced premiums and higher wages. Our bill also gives employers and unions access to claims data, which plan administrators routinely hide, allowing them to spot price gouging and wide price variations.<\/p>\n<p>Our legislation would reveal\u00a0the inflationary \u201cspread pricing\u201d and kickback schemes among vertically integrated health insurers, third-party administrators, pharmacy benefit managers, and their vendors, so\u00a0employers and unions can\u00a0rectify overbilling and design affordable plans.<\/p>\n<p>Returning national health expenditures to worker paychecks and family budgets where they belong will generate an enormous economic stimulus. Economists project that systemwide price transparency will reduce national health expenditures by\u00a0<a href=\"https:\/\/www.usatoday.com\/story\/news\/health\/2024\/09\/09\/hidden-health-care-prices-bill\/75084491007\/\" target=\"_blank\" rel=\"noreferrer noopener nofollow\">approximately $1 trillion<\/a>\u00a0per year. This estimate tracks\u00a0<a href=\"https:\/\/jamanetwork.com\/journals\/jama\/article-abstract\/2752664\" target=\"_blank\" rel=\"noreferrer noopener nofollow\">a 2019 JAMA study<\/a>\u00a0that finds\u00a0nearly 25% of national health care spending is waste, overcharges, and fraud.<\/p>\n<p>I practiced medicine before joining the Senate, and I saw firsthand that patients routinely couldn\u2019t access the upfront prices they needed before treatment. Physicians want what\u2019s best for their patients, and our bill finally gives them the financial peace of mind they deserve. The bill codifies and strengthens President Trump\u2019s hospital price transparency rule and expands its requirements to ambulatory surgery centers, clinical labs, and imaging centers. It also boosts enforcement, as the current rate of hospital compliance is unacceptable, with a report by PatientRightsAdvocate.org estimating it to be <a href=\"https:\/\/static1.squarespace.com\/static\/60065b8fc8cd610112ab89a7\/t\/673c995127e9990b5f10dea8\/1732024706191\/PRA+Nov+2024+Hospital+Price+Transparency+Compliance+Report.pdf\" target=\"_blank\" rel=\"noopener nofollow\">around 21%<\/a>.<\/p>\n<p>\t\t\t<img decoding=\"async\" width=\"768\" height=\"432\" src=\"https:\/\/www.newsbeep.com\/us\/wp-content\/uploads\/2025\/08\/AdobeStock_220223657-768x432.jpeg\" class=\"attachment-article-main-medium-large size-article-main-medium-large wp-post-image\" alt=\"\" loading=\"lazy\"  \/>\t\t<\/p>\n<p>\t\t\t\t<img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.statnews.com\/wp-content\/themes\/stat\/images\/home\/statplus.svg\" width=\"19\" height=\"16\" alt=\"\"\/><br \/>\n\t\t\t\t<a href=\"https:\/\/www.statnews.com\/2025\/01\/02\/hospital-price-transparency-rules-2025-cms\/\" rel=\"nofollow noopener\" target=\"_blank\">Latest updates to hospital price transparency rules aim to make the data more useful<\/a><\/p>\n<p>Price transparency can make health care efficient, as it does in every other sector of the economy. Tech innovators and AI can aggregate price disclosures in consumer-friendly tools that make\u00a0shopping for care and coverage similar to shopping for any other good or service.<\/p>\n<p>Price transparency is a bipartisan health fix at a time when Americans are seeking real solutions that bridge political divides. According to a recent\u00a0<a href=\"https:\/\/www.patientrightsadvocate.org\/2024maristpoll\" target=\"_blank\" rel=\"noreferrer noopener nofollow\">Marist poll<\/a>, 94% of Americans support regulations that require disclosure of actual prices in advance of care.<\/p>\n<p>Congress should put aside partisan tensions and do its job to deliver for American patients, workers, and businesses. Passing the\u00a0Patients\u00a0Deserve Price Tags Act\u00a0can restore trust and faith in the American health care system \u2014 and in Congress.<\/p>\n<p>Roger Marshall, M.D., is a U.S. senator representing Kansas.<\/p>\n","protected":false},"excerpt":{"rendered":"Reducing America\u2019s outrageous health care costs is a top bipartisan priority of this Congress. The\u00a0Patients Deserve Price Tags&hellip;\n","protected":false},"author":2,"featured_media":96417,"comment_status":"","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[59],"tags":[1340,97,252,9149,253],"class_list":["post-96416","post","type-post","status-publish","format-standard","has-post-thumbnail","category-health-care","tag-congress","tag-health","tag-health-care","tag-health-care-costs","tag-healthcare"],"_links":{"self":[{"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/posts\/96416","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/comments?post=96416"}],"version-history":[{"count":0,"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/posts\/96416\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/media\/96417"}],"wp:attachment":[{"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/media?parent=96416"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/categories?post=96416"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.newsbeep.com\/us\/wp-json\/wp\/v2\/tags?post=96416"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}