MedCity News December 14, 2023
Matt Parker

The mandates set the framework and data requirements for transparency but consumers need more guidance for informed decision-making and comparisons. Health plans should be acting now to turn the conversation from compliance to true member engagement.

The clock is ticking for health payers. January 1 is the final deadline to meet expanded price transparency requirements, extending past the initial list of 500 to all covered items and services. This will allow members to see their out of pocket cost estimates for every contracted item and service within their plan’s provider network. While difficult to achieve, transparency is a vital objective that benefits employers, providers, health plans, and members in understanding costs before receiving care.

We continue to applaud efforts by...

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Topics: Healthcare System, Insurance, Payer, Pricing / Spending
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