TALON offers professional benefits administrators a comprehensive solution for the Transparency in Coverage Rule and No Surprises Act enabling compliance and safe harbor for the employer-sponsored group health plan clients you serve. And, TALON more than ensures compliance. It will strengthen your client relationships as you leverage the new market-driven healthcare system, through TALON, to drive down out-of-pocket expenses and reduce employer health care spending, much to their delight.
TALON’s MyMedicalShopper™ consumer self-service tool served as the prototype for these new federal mandates. It fulfills all transparency requirements of the Transparency in Coverage Rule and No Surprises Act that apply to your fully funded clients. While enforcement may commence in mid-2022 or sometime thereafter, the No Surprises Act requires compliance, including an internet-based consumer self-service tool, beginning on January 1, 2022. Your clients risk fines up to $100 per member per day upon enforcement. Yet, while the risks of non-compliance are certainly great, informed employers will embrace the benefits of the Transparency in Coverage Rule and No Surprises Act as the impressively bipartisan legislation changes the healthcare marketplace from a fractured one to one that is truly consumer-first.
Employers face substantial fines for non-compliance to the new federal commercial health insurance mandates. Learn how to achieve compliance and benefit fully from America’s new market-driven healthcare system!
TALON’s white/private label platform is designed with the needs of the TPA fully in mind. Our Advisory tools will help you support your clients in new ways, and aid you in prospecting efforts as you demonstrate your leveraging of TALON to reduce your customers’ healthcare expenditures through encouraging and rewarding smart consumerism.
For a quick overview of MyMedicalShopper, click here. With links below, our Executive Summary introduces the new laws, rules, and the TALON platform, while our Planning Guide presents both in greater detail.
We are here to help. Our experts are ready to work with you to ensure compliance and client safe harbor.