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President Trump with HHS Sec. Alex Azar. Photo: Chip Somodevilla/Getty Images

The Trump administration has released two new rules requiring hospitals and insurers to make their negotiated prices public, giving patients the ability to shop around for care based on price.

The big picture: The rules — one final and one proposed — could have a huge impact on the health care system, and will surely be fought by the industry — including in court.

Between the lines: The hospital price transparency rule, which requires the disclosure of negotiated rates, is final and will be implemented in January 2021 — if it withstands the legal challenges that will almost certainly be made against it.

  • A second rule, which requires insurers to tell patients their out-of-pocket obligations ahead of time, was proposed, giving the industry time to fight its finalization.

Details: Hospitals will be required to make all of their charges public in a machine-readable file, including payer-specific negotiated rates, the amount the hospital will accept in cash for a service, and the minimum and maximum negotiated rates.

  • Hospitals will also be required to release the same information for 300 shoppable services in a consumer-friendly method, meaning one that patients can use.
  • The rule gives the Centers for Medicare and Medicaid Services the authority to fine hospitals that don't comply $300 per day.

Insurers, under the proposed rule, would have to offer enrollees personalized information about their cost-sharing obligations for all covered services.

  • Insurers would also have to disclose their negotiated rates for in-network providers and what they'll pay for out-of-network providers.

Go deeper

Franklin Graham worries Trump too old to run in 2024

Graham and Trump at a rally in 2017. Photo: Ralph Freso/Getty Images

The Rev. Franklin Graham says a potential 2024 presidential bid by Donald Trump would "be a very tough thing to do," the prominent Christian leader told "Axios on HBO."

Why it matters: Graham, the president of the Billy Graham Evangelistic Association and Samaritan's Purse, was among Trump's earliest and most prominent evangelical defenders.

5 mins ago - Health

Franklin Graham would help Biden persuade evangelicals on vaccines

The Rev. Franklin Graham would be happy to work with the Biden administration on encouraging evangelicals to get COVID vaccines, he told "Axios on HBO."

  • "I would work with the Biden administration. I would work with the CDC. I would work with all of 'em to try to help save life," he told Axios' Mike Allen.

Why it matters: Evangelicals have expressed high levels of vaccine hesitancy.

6 mins ago - World

Most of Congress silent on Israeli-Palestinian fighting

A Palestinian boy mourns an airstrike victim on Sunday. Photo: Mahmud Hams/AFP via Getty Images

The pitched criticism by conservatives over progressive outrage about the fighting between Israelis and Palestinians overshadows a larger silence by the vast majority of Congress.

Why it matters: In the largely permissive environment, the government of Israeli Prime Minister Benjamin Netanyahu is ratcheting up its military engagement in Gaza. The death toll is rising, and a spectacular weekend attack leveled a building housing the Associated Press and other outside media.