Transparency

Cigna + Oscar: Transparency in Coverage Rule

Cigna + Oscar is taking steps to help groups meet the Transparency in Coverage requirements. What Cigna + Oscar will do: Cigna will be producing and hosting client-specific MRFs to assist the...

Sutter Health Plus Transparency in Coverage: Machine-Readable Files

The Centers for Medicare & Medicaid Services (CMS) Transparency in Coverage Rule requires health plans to disclose pricing information over the course of about three years. In compliance with t...

Cigna Helps Groups Meet Transparency in Coverage Requirements

Cigna is taking steps to help groups meet the Transparency in Coverage requirements. When does the Transparency in Coverage requirement become effective? The rule is effective 7/1/22. What kind...

Blue Shield of California Updates on the Consolidated Appropriations Act

The Consolidated Appropriations Act (CAA) of 2021 outlines various healthcare related provisions impacting health plans, our clients, and our members. Today Blue Shield is providing updates on the Ins...

Proposed Rule on Broker Compensation Transparency

The Administration issued a proposed Rule that addresses disclosures of broker compensation and air ambulance fees. The Proposed Rule is related to the No Surprises Act. Carriers that offer in...

“No Surprises Act” Update

The Consolidated Appropriations Act of 2021 (CAA), also called the “No Surprises Act” required all health insurance carriers and employers that offer group coverage to provide increased transparen...

CMS Proposes Higher Price Transparency Penalties for Hospitals

The Centers for Medicare and Medicaid Services (CMS) proposes to increase the penalty for some hospitals that don’t comply with the Hospital Price Transparency Final Rule. There is a wide variatio...

Webinar Replay: Surprise Billing

The regulatory agencies have released Part 1 of the Surprise Billing Rules that go into effect Jan. 1, 2022. In this webinar our partners at BenefitComply discuss how these rules may impact employer s...

HHS Issues Rule on Surprise Medical Bills

The Biden Administration issued an interim final rule to restrict out-of-pocket costs from surprise billing and balance billing. The regulations will take effect for health care providers and faci...

Anthem Blue Cross - Recent regulations focus on price and quality transparency

We believe part of making healthcare simpler means empowering members’ decisions with information that balances the cost and quality of services. Anthem Blue Cross will expand the amount of informatio...

Anthem Blue Cross - Recent regulations focus on price and quality transparency

We believe part of making healthcare simpler means empowering members’ decisions with information that balances the cost and quality of services. Anthem Blue Cross will expand the amount of informatio...