Transparency in Healthcare Coverage: Proposed Rule Would Require Price Disclosure

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

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

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…

The Impact of the Consolidated Appropriations Act of 2021 on the Mental Health Parity Rules

The Consolidated Appropriations Act, 2021 (CAA) was enacted on Dec. 27, 2020. The CAA includes a $900 billion coronavirus relief package that provides funding to individuals and businesses. Within the CCA, there is a somewhat overlooked but important provision that affects group health plans because it requires such plans to prepare a report with specific information demonstrating…

GBS has a multi-phase approach to assisting you as you navigate, prepare, and comply with the collection of new transparency rules.

Transparency Rules: What’s Next?

A number of new transparency-related rules impose new obligations upon employers that sponsor group health plans to their employees. GBS is committed to support you in your efforts to comply as new information becomes available and as new requirements go into effect. If you have any questions, or are looking for additional information, please reach…