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[Guidance Overview]
Agencies Propose Price Transparency Requirements for Group Health Plans
"The proposal would require that a group health plan timely disclose information about costs related to covered items and services to participants and beneficiaries and to the public. The detailed information required to be disclosed includes the negotiated amount for each in-network provider for a particular covered item or service and the allowed amount for out-of-network providers."
Cheiron
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Ditching Insurance Companies Doesn't Help Employers Cut Health Care Costs
"The average family premium for fully insured firms last year was a whopping $20,627. For larger self-insured firms, it was $20,739. There hasn't been a meaningful difference for the past 20 years. ... Self-insured firms would seem to have an advantage because they cut out the middleman. ... Most large insured firms have implemented similar strategies. And they buy insurance from the same companies that administer self-insured plans."
Drew Altman, via Axios
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Selected State Health Developments, Fourth Quarter 2019
"Insurance activity near year-end focused on a range of topics: balance-billing, prescription drug cost limits, mental health parity, reproductive health and association health plans (AHPs). Paid leave laws also garnered states' attention, along with various issues that have benefit implications, such as employee vs. independent contractor classification, employer health plan reporting, state tax limits on commuter fringe benefits and coordination of benefits with automobile insurance."
Mercer
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The ACA Expanded Insurance Coverage of Contraceptives -- And Then Prices Soared
"Before the mandate took effect -- i.e., during a period when consumers more often paid for oral contraceptives directly -- price changes for hormones and oral contraceptives generally followed a path similar to that of non-prescription drugs ... Prices for hormones and oral contraceptives actually fell by 12 percent in real terms. As the mandate began to take effect and as the ACA made oral contraceptives seem 'free' to more purchasers, prices for hormones and oral contraceptives began to rise. By the time the mandate took full effect in early 2014, prices for hormones and oral contraceptives reversed five years of real reductions and caught up to the 17 percent growth in real prices for other prescription drugs."
Cato Institute
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