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CMS Announces Historic Price Transparency Requirements to Increase Competition and Lower Healthcare Costs for All Americans
Centers for Medicare & Medicaid Services [CMS], U.S. Department of Health and Human Services [HHS] Link to more items from this source
[Guidance Overview]
Nov. 15, 2019

"If finalized, the proposed Transparency in Coverage rule would require health plans to:

  • "Give consumers real-time, personalized access to cost-sharing information, including an estimate of their cost-sharing liability for all covered healthcare items and services, through an online tool that most group health plans and health insurance issuers would be required to make available to all of their members, and in paper form, at the consumer"s request....
  • "Disclose on a public website their negotiated rates for in-network providers and allowed amounts paid for out-of-network providers."

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