HealthLeaders Media February 26, 2024
Employers are seeking claims data, but payers are refusing.
KEY TAKEAWAYS
– Employers are asking payers for cost data but are hearing crickets
– The Consolidated Appropriations Act requires health plans to share information about cost and quality of medical services
– Employers are turning to federal investigations and lawsuits to resolve their frustration with payers
Employers are at odds with payers over their cost and claims data.
Claiming that insurers consistently block access to this data, employers are saying it is increasingly difficult or even impossible to understand what they are being charged in their health plans. Despite a federal mandate that restricts health plans from limiting access to this valuable data, employers are still struggling to obtain it...
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