Lexology July 1, 2022
Beginning July 1, 2022, the Departments of Health and Human Services, Labor and Treasury (the “Departments”) will begin enforcing the Transparency in Coverage Final Rule (“TiC Rule”) broadly requiring non-grandfathered health plans, including self-insured plans, to publish the price of nearly every health care service negotiated with providers. The TiC Rule continues federal efforts to promote greater health care price transparency for consumers and comes more than a year and a half after hospitals were required to comply with the analogous Hospital Price Transparency Rule.
Background
The TiC Rule requires health plans to publicly post machine-readable files disclosing: (1) negotiated rates with in-network providers; and (2) historic billed charges and allowed amounts paid to out-of-network providers. These machine-readable file requirements...
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