Payers Will Be Required To Start Disclosing Negotiated Rate Information As Of January, 2022

Under a newly finalized federal rule published November 12, 2020, non-grandfathered individual and group health plan payers will be required to disclose their negotiated rates and personalized member out-of-pocket cost data for an initial list of 500 shoppable services starting for plan years that begin on or after January 1, 2023. Data files with pricing information will be be required to be public as of January 1, 2022.

The term 'group health plan' includes both insured and self-insured group health plans. The list of services will be determined by Department of Health and Human Services (HHS . . .