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Price transparency requirements for health plans

Starting Jan. 1, 2022, a number of new transparency requirements that concern commercial health plans will begin to take effect related to the Transparency in Coverage (TIC) rule  and the No Surprises Act (NSA). The broad objectives of these rules are to allow plan members to better compare service pricing across providers before receiving care and to avoid “surprise bills” not covered by their plan. Compliance and enforcement of the TIC rule and NSA will have a staggered rollout by provisions with recent and continual guidance and enforcement updates by the Centers for Medicare & Medicaid Services (CMS). Health plans must stay apprised of these provisions and updates to meet compliance dates for requirements that have been operationally challenging to implement.

Furthermore, with many hospitals and health systems having been criticized for not adhering with their earlier January 2021 implementation date, and with CMS increasing fines for providers that are still not in compliance, health plans should take note to ensure they are adhering to their health-plan-specific reporting obligations.

Join Baker Tilly for an informative discussion about what health plans should be doing in order to comply with the price transparency rule. Our team of Value Architects™ will discuss:

  • The goals of price transparency, no surprises and why it matters
  • A timeline of healthcare price transparency and impacted stakeholders
  • Baker Tilly’s perspective on how health plans can successfully achieve compliance
  • Practical methods and techniques to implement the new price transparency and NSA requirements

Who should attend?

  • C-suite executives, vice presidents, directors and board members of fully insured group health plans and employers with self-insured group plans

Key learning objectives

  • Recognize the goals of price transparency and why it matters
  • Know the timeline of healthcare price transparency and impacted stakeholders
  • Understand Baker Tilly’s perspective on how health plans can successfully achieve compliance
  • Identify practical methods and techniques to implement the new price transparency requirements

Presenters

  • Michael Patti, principal and practice leader, healthcare
  • David Gregory, MPA, FACHE, principal
  • Kevin Coonan, MBA, director

Information about CPE eligibility

There are no prerequisites for this event, and advance preparation is not required. There is no cost to attend this event.

Level: Overview
CPE credit: One (1) hour total credit
Field of study: Specialized Knowledge

A certificate of completion will be emailed to you four to six weeks following the event.

For more information regarding administrative policies such as complaint and refund policies, please email [email protected].

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Baker Tilly is registered with the National Association of State Boards of Accountancy as a sponsor of continuing professional education on the National Registry of CPE Sponsors. State boards of accountancy have final authority on the acceptance of individual courses for CPE credit. Complaints regarding registered sponsors may be submitted to the National Registry of CPE Sponsors through its website: nasbaregistry.org.

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