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" ... This rule was largely inspired by a plethora of surprise medical billing stories that investigative journalists have brought to Americans’ attention this year. It’s fathomable to believe some federal judge will rule for the hospitals in the short term, but longer term there is no way Congress or the states are going to agree that hospitals have a right to arbitrarily charge patients whatever they want, without first letting them know what those prices are. Ultimately, Congress will see the wisdom of connecting payment to outcomes. Even if they don’t dictate the rules (a good thing), forcing health systems to more broadly report outcomes will accelerate the move to value in very meaningful ways. ... "
" ... “It’s fathomable to believe some federal judge will rule for the hospitals in the short term, but longer term there is no way Congress or the states are going to agree that hospitals have a right to arbitrarily charge patients whatever they want, without first letting them know what those prices are.” ... "