Group health plans must comply with several new requirements set forth by the Consolidated Appropriations Act of 2021 (CAA) and the Transparency in Coverage regulations (TiC Regulations) under the Affordable Care Act (ACA). ...more
10/27/2022
/ Consolidated Appropriations Act (CAA) ,
Continuity of Care ,
Cost-Sharing ,
Disclosure ,
Gag Clauses ,
Health Care Providers ,
Mental Health Parity Rule ,
No Surprises Act (NSA) ,
Price Transparency ,
Reporting Requirements ,
Third-Party Service Provider
Enforcement of one of the Transparency in Coverage Final Rules (“TiC Rules”) begins on July 1, 2022. The rule requires plans and issuers to make machine-readable files publicly available that will disclose in-network rates...more
The effective date is fast approaching for certain provisions of the Consolidated Appropriations Act of 2021 (“CAA”) and related regulations, and the Transparency in Coverage Rule. You can access previous articles written...more
12/1/2021
/ Affordable Care Act ,
Compliance ,
Consolidated Appropriations Act (CAA) ,
Continuity of Care ,
Disclosure Requirements ,
Drug Pricing ,
Employer Group Health Plans ,
Explanation of Benefits (EOBs) ,
Mental Health Parity Rule ,
Price Comparisons ,
Price Transparency ,
Surprise Medical Bills ,
TPAs ,
Transparency ,
Vendors