Transparency

News and Updates

Oct 25

New Gag Clause Compliance Attestation Due by December 31, 2023

Since December of 2020, the Consolidated Appropriations Act, 2021 (CAA) has prohibited group health plans (GHPs) and issuers from...

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Apr 3

HHS Releases Revised Instructions for RxDC Reporting Due June 1, 2023

The U.S. Department of Health and Human Services (“HHS”) has released revised instructions for group health plans and insurers to report...

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Mar 6

Employer “Gag Clause” Attestation Required

The federal agencies have issued FAQ guidance addressing provisions of the Consolidated Appropriations Act, 2021 that prohibit “gag...

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Dec 27, 2022

Regulators Issue Key Updates on Rx Reporting Requirements | Grace Period Announced

On Friday, December 23rd various federal agencies issued a “last-minute” update related to the new federal requirements for group health...

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Nov 15, 2022

New Group Health Plan Prescription Drug Reporting to Begin in December 2022

The 2021 Consolidated Appropriations Act established new transparency requirements for group health plans to report specific information...

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Jul 6, 2022

New Federal Healthcare Transparency Rules Continue to Roll Out

The federal Transparency in Coverage rules require group health plans to display certain health care price information via...

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Jun 1, 2022

Action Required | Important Update on Machine-Readable Files

The federal Transparency in Coverage rules require health plan sponsors to provide pricing disclosures via separate sets of...

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Dec 20, 2021

Summary of Transparency Requirements Chart

CSB: Summary of Transparency Requirements chart can also be located on the Resource Center page under Checklists, Charts and Guides

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Sep 13, 2021

President Biden Releases Plan to Address Pharmacy Costs

The White House unveiled a proposal to lower prescription drug costs, outlining a series of executive actions the Biden administration...

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Aug 27, 2021

Transparency in Coverage – New Group Health Plan Compliance Deadlines

There are several major health cost transparency requirements and data obligations starting in 2022 that will affect employers that offer...

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Jul 12, 2021

Federal Surprise Medical Billing: First Rules Issued by Regulators

On July 1, 2021, the federal agencies issued interim final regulations outlining certain requirements related to surprise billing. These...

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Nov 3, 2020

Trump Administration Issues Final Rules on Transparency in Health Care Coverage

On Thursday, October 29th, the Trump administration issued its final rule requiring nearly all health insurers and self-insured plans to...

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Oct 15, 2020

Future of Healthcare Reform – ACA Litigation and Trump Administration Plan

The Trump Administration has recently indicated its health care strategy for affordable, high-quality healthcare through an executive...

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Jun 30, 2020

Hospital Price Transparency Rule Survives Court Ruling

In late June, a federal court ruled in favor of upholding the U.S. Department of Health and Human Services’ (HHS) final rule issued last...

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Nov 22, 2019

Rules Issued to Increase Healthcare Price Transparency

Insurers and employer-sponsors of non-grandfathered health plans may soon have to disclose extensive amounts of plan cost-sharing...

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