Transparency

Kaiser Permanente® Announces Transparency in Coverage Machine-Readable Files Webinar

Join Kaiser Permanente's webinar that includes a panel of experts to help you understand regulation, provide insights on key considerations around the machine-readable files data, and share perspectiv...

Anthem Machine Readable Files Will Be Available July 1

Beginning July 1, 2022, we will make machine-readable files (MRFs), for plans we administer and maintain, available to the public. The files will contain the negotiated rates for in-network providers ...

Transparency in Coverage Compliance - Machine Readable Files (MRF)

Under the “Transparency in Coverage” Final Rule (TiC), issued in 2020 by the U.S. Department of Health & Human Services, U.S. Department of Labor, and U.S. Department of the Treasury, effective 7/...

Anthem Blue Cross: Transparency in Coverage

The Consolidated Appropriations Act (CAA) was signed into law in December 2020 along with the adoption of the Transparency in Coverage (TIC) rule in December 2020. While implementation of the CAA and ...

UnitedHealthcare and Oxford: Transparency in Coverage

In 2020, the Federal Government finalized “Transparency in Coverage” Rule, which requires health insurers and group health plans, including self-funded clients, to provide cost-sharing data to consume...

Cigna + Oscar: Transparency in Coverage Rule

Cigna + Oscar is taking steps to help groups meet the Transparency in Coverage requirements. What Cigna + Oscar will do: Cigna will be producing and hosting client-specific MRFs to assist the...

Sutter Health Plus Transparency in Coverage: Machine-Readable Files

The Centers for Medicare & Medicaid Services (CMS) Transparency in Coverage Rule requires health plans to disclose pricing information over the course of about three years. In compliance with t...

Cigna Helps Groups Meet Transparency in Coverage Requirements

Cigna is taking steps to help groups meet the Transparency in Coverage requirements. When does the Transparency in Coverage requirement become effective? The rule is effective 7/1/22. What kind...

Blue Shield of California Updates on the Consolidated Appropriations Act

The Consolidated Appropriations Act (CAA) of 2021 outlines various healthcare related provisions impacting health plans, our clients, and our members. Today Blue Shield is providing updates on the Ins...

Proposed Rule on Broker Compensation Transparency

The Administration issued a proposed Rule that addresses disclosures of broker compensation and air ambulance fees. The Proposed Rule is related to the No Surprises Act. Carriers that offer in...

“No Surprises Act” Update

The Consolidated Appropriations Act of 2021 (CAA), also called the “No Surprises Act” required all health insurance carriers and employers that offer group coverage to provide increased transparen...