11/04/2020

CMS Finalizes Price Transparency Rule with Self-Service Tool

CMS has released the final rule for price transparency in healthcare coverage, which aims to allow the public to have greater insight into healthcare costs in order to increase value. It requires that plans provide members with real-time access to relevant patient pricing information in a manner that is tailored to member needs and conditions.

Payers will make the information available through an online, self-service tool, including in-network rates, out-of-network charges and allowed amounts, and prescription drug pricing.  READ MORE