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On December 6, 2020, we posted an article titled “RADICAL new transparency rules likely apply to your health plan in one year.” The regulations are a little more than 150 PDF pages long. The following is intended to provide a condensed, but more comprehensive, summary of the requirements described in our December 6, 2020 article.
January 1, 2022 – Three files disclosed
For plan years beginning on or after January 1, 2022
Applies to non-grandfathered health plans
Public disclosure
Out-of-network allowed amounts
Negotiated rates and historical net prices for covered prescription drugs
Must be made available on an internet website