Our Blog: The New Healthcare Marketplace

New Transparency in Coverage Requirements Are Quickly Approaching. And So Are the Penalties for Noncompliance.
As we have seen in recent months, CMS has started to pick up the pace of hospital audits to ensure Transparency in Coverage (TiC) compliance. Where there was more leniency for noncompliance before as entities worked through the heavy lifting of system implementations to satisfy new requirements, the looming threat of penalty fees in the

Are You Moving at The Speed of Technology or Healthcare?
If there’s one thing that’s not a secret, it’s that changes to the healthcare system tend to move at a snail’s pace. The Affordable Care Act, for example, took nearly 5 years from the time of its introduction to the first open enrollment period1. Looking on a smaller scale at group health plans, even implementing

Taking The Road Less Traveled: Beyond Regulation
Since its founding in 2014, TALON has been ahead of the regulatory curve, setting the standard in a breakthrough market and even influencing the Transparency in Coverage Rule. Our platform was used as an industry standard upon which the new federal mandates were based. TALON provides employers with the tools they need to stay compliant,

Complying with the Transparency in Coverage Final Rule and No Surprises Act: Taking Baby Steps is the Expensive Way to Go
Various elements of the Transparency in Coverage Final Rule and the No Surprises Act have already taken effect, and others will take effect over the next two years. This staged rollout of requirements (with very significant fines for non-compliance) could encourage employers to opt for piecemeal software solutions that end up being far more costly,

TPAs: A Piecemeal Solution To Transparency In Coverage Could Be Your Last Meal
The Transparency in Coverage Rule (TiC) already requires that companies post machine readable files (MRF) which disclose negotiated rates for every in-network provider and the historical payments to, and billed charges from, out-of-network providers. The MRF must also include in-network negotiated rates and historical net prices for covered prescription medications, broken down by health plan

Compliance with Transparency Mandates Is NOT Optional for Employers
The Implications of Non-Compliance Can Be Dire The phrase “transparency fines are coming” is now a moot point, because—like it or not—transparency fines are here, and enforcement has begun. With the pivotal July 1 deadline to meet the Machine-Readable Files (MRFs) provision of the Transparency in Coverage Rule now behind us, a shocking number of

New Transparency in Coverage Requirements Are Quickly Approaching. And So Are the Penalties for Noncompliance.
As we have seen in recent months, CMS has started to pick up the pace of hospital audits to ensure Transparency in Coverage (TiC) compliance. Where there was more leniency for noncompliance before as entities worked through the heavy lifting of system implementations to satisfy new requirements, the looming threat of penalty fees in the

Are You Moving at The Speed of Technology or Healthcare?
If there’s one thing that’s not a secret, it’s that changes to the healthcare system tend to move at a snail’s pace. The Affordable Care Act, for example, took nearly 5 years from the time of its introduction to the first open enrollment period1. Looking on a smaller scale at group health plans, even implementing

Taking The Road Less Traveled: Beyond Regulation
Since its founding in 2014, TALON has been ahead of the regulatory curve, setting the standard in a breakthrough market and even influencing the Transparency in Coverage Rule. Our platform was used as an industry standard upon which the new federal mandates were based. TALON provides employers with the tools they need to stay compliant,

Complying with the Transparency in Coverage Final Rule and No Surprises Act: Taking Baby Steps is the Expensive Way to Go
Various elements of the Transparency in Coverage Final Rule and the No Surprises Act have already taken effect, and others will take effect over the next two years. This staged rollout of requirements (with very significant fines for non-compliance) could encourage employers to opt for piecemeal software solutions that end up being far more costly,

TPAs: A Piecemeal Solution To Transparency In Coverage Could Be Your Last Meal
The Transparency in Coverage Rule (TiC) already requires that companies post machine readable files (MRF) which disclose negotiated rates for every in-network provider and the historical payments to, and billed charges from, out-of-network providers. The MRF must also include in-network negotiated rates and historical net prices for covered prescription medications, broken down by health plan

Compliance with Transparency Mandates Is NOT Optional for Employers
The Implications of Non-Compliance Can Be Dire The phrase “transparency fines are coming” is now a moot point, because—like it or not—transparency fines are here, and enforcement has begun. With the pivotal July 1 deadline to meet the Machine-Readable Files (MRFs) provision of the Transparency in Coverage Rule now behind us, a shocking number of
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Ensuring Compliance with the No Surprises Act and Transparency in Coverage Rule
Resources
Executive Summary
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Key Considerations
What you need to consider with Ensuring Compliance with the No Surprises Act and Transparency in Coverage Rule
Planning Guide
Download the Planning Guide Ensuring Compliance with the No Surprises Act and Transparency in Coverage Rule
Transparency in Coverage Final Rule
Learn about how the final rule applies to your group.
No Surprises Act
Learn about how the act applies to your group.
True Price Transparency
True price transparency means no surprises.