Our Blog: The New Healthcare Marketplace
Top TPAs Select TALON For Compliance, Safe Harbor and Competitive Advantage In the New Market-Driven Healthcare System
TALON has recently licensed its turn-key solution for federal No Surprises Act and Transparency in Coverage Rule compliance and safe harbor to leading third-party administrators (TPAs). “These TPAs are poised to not only protect clients against the financial risks of non-compliance, but also to take full advantage of America’s new market-driven healthcare system that begins
Consumer Protections are coming to Healthcare
The No Surprises Act prohibits balance billing in the case of surprise medical bills — those for non-emergency services furnished by out-of-network providers during a visit by the patient at an in-network facility — unless the law’s notice and consent requirements are met, according to the Interim Final Rule published earlier this summer. Out-of-network providers
True Price Transparency means “No Surprises”
TALON defines healthcare “price transparency” to be accurate and easily accessible information intuitively presented on the price of health care services and items that helps define the value of those services, enabling patients and other healthcare cost stakeholders to identify, compare, and choose providers based on cost, quality, and convenience. It is important to note
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Ensuring Compliance with the No Surprises Act and Transparency in Coverage Rule
Passive Healthcare Consumers = Exploited Healthcare Consumers
I’ve written previously about the blight of complacency that has descended upon employer-sponsored health insurance. Much of the growth of the unsustainable cost-curve experienced by employers and their employees arises from the complacency of benefit advisors, employers, and their employees. Employee benefit costs—namely, healthcare—appear as the second largest expense item for many employers. Yet benefit
The New Definition of Plan Metals
Within health plan design offerings, there are four categories, or metal levels, made available to employers and their employees. These levels are listed by the split of costs between the enrolled individual and the health plan. See chart below: How you and your insurance plan split costs The decision process behind enrollment within these plans
Health Insurance Premium Rebate Checks Aren’t Good News for America
Ever since 2012, Americans have received rebate checks from their health insurers when the Medical Loss Ratio doesn’t “measure up” to the 80/20 Rule. In simple terms, the Rule means that insurers must spend 80 percent of their revenue from premiums to pay for the healthcare of their subscribers. The other 20 percent is theirs to keep. What
Resources
Executive Summary
Download the Executive Summary of Ensuring Compliance with the No Surprises Act and Transparency in Coverage Rule
10 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.
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