Nov 15, 2024
The Consolidated Appropriations Act (CAA) gag clause provision prohibits group health plans and health insurance issuers offering group health insurance coverage from entering into an agreement between a plan or issuer and a healthcare provider, network or association of providers, third-party administrator, or another service provider offering access to a network of providers that would directly or indirectly restrict a plan or issuer from disclosing or accessing certain price and quality information.
Group health plans and issuers are required to submit an attestation each year to confirm compliance with the prohibition on gag clauses.
Anthem will file the Gag Clause Prohibition Compliance Attestation on behalf of your fully insured and administrative services only (ASO) clients before the December 31, 2024, deadline. For your reference, the following statement is Anthem's confirmation of compliance with the provision for the business and information that Anthem administers and maintains.
Anthem represents that the administrative services provided under its Administrative Services agreements are consistent with the requirements set forth in Section 201 of the Consolidated Appropriations Act, 2021. No action is required by you or your clients. However, if your clients are contacted by the Centers for Medicare and Medicaid Services (CMS) about the Gag Clause Prohibition Compliance Attestation, please contact your Anthem representative.
Review Anthem's CAA-Attestation Transparency in Coverage FAQ for more information or contact your Amwins Connect team. We are here to help.
