Transparency

Has the Prescription Drug Reporting Requirement Been Delayed?

Question: I’ve heard that the prescription drug reporting requirement under the transparency rules was delayed. Does this mean I don’t need to worry about any impending requirements? Answer: T...

Health Cost Transparency Guide for Employers

The Consolidated Appropriations Act (CAA), No Surprises Act (NSA), and the Transparency in Coverage Final Rule (TiC Final Rule) impose several new requirements on employer-sponsored group health plans...

MediExcel Transparency in Coverage: Machine-Readable Files

Beginning July 1st, 2022, the Transparency in Coverage Rules (TIC Rules) requires group health plans and health insurance issuers to make available to the public, negotiated rates for all covered item...

Blue Shield of California Transparency in Coverage: Machine-Readable Files

Blue Shield of California is working in good faith to implement requirements of the Machine-Readable Files (MRF) provision of the Transparency in Coverage Final Rule (TCFR) for July 1, 2022. These ...

Aetna Transparency in Coverage: Machine-Readable Files

The Transparency in Coverage rule requires health plans and insurers to disclose pricing information via MRF by July 1, 2022. Health plans must generate two MRFs that contain: Negotiated rates f...

Anthem Transparency in Coverage: Machine-Readable Files

Transparency in Coverage (TIC) regulations require health insurers and group health plans to create machine readable files (MRFs) that contain the negotiated rates for in-network providers and allowed...

The Transparency in Coverage Rule for Machine-Readable Files Deadline is Approaching

The deadline for Transparency in Coverage Machine-Readable Files is July 1, 2022 The Transparency in Coverage (TiC) rule is part of the federal transparency efforts that require insurers and group ...

Kaiser Permanente® Announces Transparency in Coverage Machine-Readable Files Webinar

Join Kaiser Permanente's webinar that includes a panel of experts to help you understand regulation, provide insights on key considerations around the machine-readable files data, and share perspectiv...

Anthem Machine Readable Files Will Be Available July 1

Beginning July 1, 2022, we will make machine-readable files (MRFs), for plans we administer and maintain, available to the public. The files will contain the negotiated rates for in-network providers ...

Transparency in Coverage Compliance - Machine Readable Files (MRF)

Under the “Transparency in Coverage” Final Rule (TiC), issued in 2020 by the U.S. Department of Health & Human Services, U.S. Department of Labor, and U.S. Department of the Treasury, effective 7/...

Anthem Blue Cross: Transparency in Coverage

The Consolidated Appropriations Act (CAA) was signed into law in December 2020 along with the adoption of the Transparency in Coverage (TIC) rule in December 2020. While implementation of the CAA and ...

UnitedHealthcare and Oxford: Transparency in Coverage

In 2020, the Federal Government finalized “Transparency in Coverage” Rule, which requires health insurers and group health plans, including self-funded clients, to provide cost-sharing data to consume...