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Spurred by the sharp rise in email messaging during the pandemic, a growing number of health systems have started charging patients when physicians send replies to their messages.

Have you ever wondered about the hidden layers of health care costs? Today, we bring you insights from an eye-opening conversation with Dr. Keith Smith, co-founder of the Surgery Center of Oklahoma.

Three House committees have introduced the Lower Costs, More Transparency Act, which would require hospitals, payers, labs, imaging providers and surgical centers to use machine-readable files to list prices they'll charge patients.

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.