The Consolidated Appropriations Act of 2021 included many requirements for health plans to provide greater transparency. Starting this December, all medical plans must provide a new annual attestation that their plan has no provider/network agreement/contract with a “gag clause” that would prohibit sharing of cost or quality information. Insurance companies are likely to handle this attestation reporting on behalf of their fully insured plans, but employers with carved out benefits or self-insured plans may need to prepare to do their own annual attestation.
KC Rippstein is the Compliance Practice Lead for IMA Benefits. He reads laws, rules, and regulations governing benefit plans, and consolidates them down to what employers need to know.