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July 1 Deadline for ACA Transparency in Coverage: Is Your Company (and Your Health Plan Provider) Ready?
Jones Walker Link to more items from this source
[Guidance Overview]
June 22, 2022

"[G]roup health plans subject to the TiC Final Rules must disclose through three separate [machine-readable files (MRFs)] the following pricing information for each coverage option: [1] In-network provider negotiated rates for all items and covered services, [2] Historical out-of-network allowed amounts for providers, and [3] In-network negotiated rates and historical net prices for all covered prescription drugs at the pharmacy-location level The MRFs must be updated on a monthly basis and must clearly state the date the files were last updated.... [O]nly the in-network and out-of-network MRFs must be made publicly available by July 1, 2022."

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