New payer price transparency rules take effect in 2024

(By Jakob Emerson for Becker’s Hospital Review)

New requirements for payers under CMS’ Transparency in Coverage rule took effect Jan. 1.

Since July 1, 2022, payers have been required to disclose in-network provider rates for covered items and services; out-of-network allowed amounts and billed charges for all covered items and services; and negotiated rates and historical net prices for covered prescription drugs administered by providers. Continue reading here…

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