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New Price Transparency Rules for Health Plans: Key Issues for Plan Sponsors, Service Providers, and Insurers


Feb. 3, 2021
Recorded Online

This CLE webinar will guide employee benefits attorneys, plan sponsors, and service providers through new price transparency rules for health plans. The panel will discuss key provisions of the final rules; their impact on plan sponsors, insurers, and service providers; requirements and new mandates; administrative challenges; and best practices to maintain compliance.


On Oct. 29, 2020, the Departments of Health and Human Services, Treasury, and Labor issued the final transparency rules for health coverage. The rules impose significant transparency requirements and new mandates on group health plans, insurers, and service providers.

Under the final rules, plans, service providers, and insurers must disclose cost-sharing estimates, negotiated rates for in-network providers, out-of-network allowed amounts, charges, and drug pricing information. The rules are also subject to the same enforcement structure as other requirements under the ACA, requiring strict administrative procedures to maintain compliance and avoid state and DOL enforcement actions.

The final rules do not change existing privacy and security requirements under HIPAA or other applicable state and federal laws. Employee benefits attorneys, plan sponsors, and service providers must implement procedures aligned with the mandates under the final rules while maintaining compliance with other applicable state and federal laws.

Listen as our panel discusses key provisions of the final transparency in coverage rules, new requirements and mandates, administrative challenges, and best practices and next steps for plan sponsors, service providers, and insurers.


  1. Key provisions of the new price transparency rules
  2. Application of disclosure requirements to health plans
  3. Disclosure of cost-sharing information
  4. Disclosure of negotiated in-network and out-of-network rates
  5. Shared savings in the medical loss ratio
  6. Best practices and next steps for plan sponsors, service providers, and insurers

More Information, How to Register

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