Lexology December 3, 2019
On November 15, the Department of Health and Human Services, the Department of Labor, and the Department of the Treasury (collectively, the “Agencies”) issued a proposed “Transparency in Coverage” rule that would require most employer-sponsored group health plans to disclose price and cost-sharing information to participants, beneficiaries and enrollees(collectively, “Participants”) upon request, before services are provided. The proposed rule was issued alongside a new final rule that will require hospitals to provide patients with information about the hospital’s “standard charges” beginning in 2021.
This alert focuses primarily on the provisions of the proposed rule that impact large self-insured group health plans.1 Comments on the proposed rule are due by January 14, 2020.
Background and Overview
The proposed rule stems from...
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