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Implementing Health Reform: Reference Pricing and Network Adequacy
Timothy Jost, in Health Affairs Link to more items from this source
[Guidance Overview]
Oct. 13, 2014

"On October 10, 2014, the Departments of Labor, Treasury, and Health and Human Services issued a frequently asked question (FAQ) regarding the use of reference-based pricing in non-grandfathered large group employer plans. Although the issue the FAQ addresses specifically is the use of reference pricing, the FAQ is remarkable insofar as it is the first departmental guidance that [the author is] aware of that addresses the use of networks by self-insured ERISA plans."

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