Becker's Healthcare January 2, 2024
New requirements for payers under CMS’ Transparency in Coverage rule took effect Jan. 1.
Since July 1, 2022, payers have been required to disclose in-network provider rates for covered items and services; out-of-network allowed amounts and billed charges for all covered items and services; and negotiated rates and historical net prices for covered prescription drugs administered by providers.
In 2023, payers were required to provide an internet-based price comparison tool that allows members to receive an estimate of their cost-sharing...
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