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CHA Issues Summary of Health Plan Price Transparency Proposed Rule; CMS Call December 10

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CHA has issued a summary, prepared by Health Policy Alternatives, on the proposed rule that would establish a number of new price transparency requirements for health plans. These regulations, proposed by the Centers for Medicare & Medicaid Services (CMS) along with the departments of Labor and Treasury, are intended to build on recently finalized price transparency requirements for hospitals and reflect President Trump’s June 24 executive order. Comments on the proposed rule are due Jan. 29.

CMS continues to host provider calls on the calendar year 2020 outpatient prospective payment system final rule that implements the price transparency provisions required of hospitals, effective Jan. 1, 2021. CMS is also answering questions related to similar provisions required of the health plans in the above-referenced proposed rule. The next CMS Special Open Door Forum on Hospital and Health Plan Price Transparency is Tuesday, Dec. 10 from 11 to 12 p.m. (PT). Additional information on this call is available on the CMS website.  A transcript of the Dec. 3 call covering the hospital transparency provisions will be posted here when it becomes available.

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Proposed Rule Summary