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Final Transparency Rules Mean More Disclosures by Plan Sponsors
Graydon Link to more items from this source
[Guidance Overview]
Dec. 3, 2020

"For plan years beginning January 1, 2022, health plans and insurers must disclose three separate files on their websites that include detailed pricing information for all covered items and services under the applicable plan. The first file must show negotiated rates for all in-network covered items and services. The second file must show information regarding charges from, and payments to, out-of-network providers. The third file must provide historical information regarding in-network prescription drug pricing by pharmacy location."

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