Transparency in Healthcare Coverage: Proposed Rule Would Require Price Disclosure

Compliance, Transparency

Background On June 24, 2019, President Trump signed Executive Order Improving Price and Quality Transparency in American Healthcare to Put Patients First directing the Departments of Health and Human Services, Treasury and Labor (Departments) to develop regulations to require hospitals, healthcare providers, health insurance issuers, and self-insured group health plans to provide or facilitate access to information…

Final Rule on Health Care Transparency Issued

Compliance, Transparency

On Oct. 29, 2020, the Departments of Labor (DOL), Health and Human Services (HHS) and the Treasury (Departments) issued a final rule regarding transparency in coverage that imposes new transparency requirements on group health plans and health insurers in the individual and group markets. These provisions only apply to non-grandfathered coverage, including both insured and self-insured group…

No Surprises Act Interim Final Rules Include Model Notice; Prohibits Balance Billing for Out-of-Network Emergency Care and Air Ambulances

Compliance

The Departments of Health and Human Services (HHS), Labor and Treasury (collectively“Departments”) released the Interim Final Rule “Requirements Related to Surprise Billing; Part I”. This rule is the first round of sub regulatory guidance written in response to the No Surprises Act passed as part of the Consolidated Appropriations Act. The Act establishes protections from surprise…