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Nine Arkansas hospitals cited for failing federal price transparency rules under CMS enforcement action

Credit: Conway Regional Medical Center

Conway, Arkansas – Nine hospitals in Arkansas have been cited by the Trump administration as part of a nationwide push to enforce federal hospital price transparency rules, with regulators issuing warning letters or demanding corrective action plans from facilities that failed to fully comply with requirements designed to make healthcare costs public.

According to the Centers for Medicare & Medicaid Services (CMS), hospitals across the United States are required to publish detailed pricing information for medical services. The goal is to allow patients to compare costs before receiving treatment, a step federal officials say is essential for improving accountability and competition in the healthcare system. Hospitals that do not comply face potential civil penalties of up to $2 million per year.

In Arkansas, the enforcement action has placed a spotlight on a mix of acute care hospitals, critical access facilities, and behavioral health centers. Among those receiving warning letters are Conway Regional Medical Center in Conway and Fulton County Hospital in Salem. Both facilities fall under the categories of acute care and critical access hospitals, serving patients in their surrounding communities.

Behavioral health institutions were also included in the warnings. Pinnacle Pointe Behavioral Healthcare System in Little Rock, Rivendell Behavioral Health Services in Benton, and The BridgeWay in North Little Rock all received notices from CMS indicating that their pricing disclosures did not meet federal requirements within the expected timeframe.

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A second group of Arkansas hospitals was directed to take stronger corrective steps. Magnolia Regional Medical Center in Magnolia, Mena Regional Health System in Mena, Ouachita County Medical Center in Camden, and Southwest Arkansas Regional Medical Center in Hope were all asked to submit corrective action plans after regulators determined that their compliance efforts were incomplete.

Reactions from hospital officials have been limited, though some institutions have offered explanations. Mena Regional Health System said its inclusion on the corrective action list was due to an administrative error involving two transposed digits in its hospital license number, not missing pricing data. Officials stated that the mistake was corrected and that a required corrective action plan was submitted before the list of hospitals became public.

Conway Regional Medical Center referred to comments from the Arkansas Hospital Association, which has previously stated that most hospitals in the state support price transparency and already comply with federal requirements. Other facilities named in the CMS notices have either declined to comment or have not publicly addressed the findings.

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The enforcement effort arrives at a time when several Arkansas hospitals are already under financial strain. Ouachita County Medical Center, for example, filed for Chapter 11 bankruptcy earlier this year and also closed its obstetrics unit. Data from the Center for Healthcare Quality and Payment Reform shows that multiple hospitals included in the CMS notices, including facilities in Mena, Magnolia, Hope, and Salem, have reported operating losses in recent years.

The federal Hospital Price Transparency Rule, which took effect in 2021, requires hospitals to post clear and accessible pricing data online. Facilities that receive warning letters are generally given 90 days to comply. If they fail to do so, CMS can require a corrective action plan within 45 days and may escalate enforcement measures if problems continue.

Federal officials say additional hospitals across the country could still receive similar notices as oversight continues. For Arkansas, the latest citations highlight ongoing challenges in balancing regulatory compliance, financial pressure, and the push for more transparent healthcare pricing for patients.

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