The chamber’s lawsuit challenges provisions that require pricing data to be made available in a massive, machine-readable file to allow third parties to develop shopping tools for consumers.

A second national organization has filed a lawsuit challenging parts of the insurer transparency rule issued by the Trump administration last October. The action by the Pharmaceutical Care Management Association on Thursday follows a similar suit by the U.S. Chamber of Commerce, Fierce HealthCare reported.

Under the rule, private payers are required to provide patients upfront with pricing that has been negotiated with providers, including real-time cost-sharing data. Beginning in 2023, insurers must offer an online tool that provides out-of-pocket cost estimates for 500 of the “most-shoppable” services. By 2024, that platform must extend to all services.

Complete your profile to continue reading and get FREE access to BenefitsPRO.com, part of your ALM digital membership.

Your access to unlimited BenefitsPRO.com content isn’t changing.
Once you are an ALM digital member, you’ll receive:

  • Critical BenefitsPRO.com information including cutting edge post-reform success strategies, access to educational webcasts and videos, resources from industry leaders, and informative Newsletters.
  • Exclusive discounts on ALM, BenefitsPRO magazine and BenefitsPRO.com events.
  • Access to other award-winning ALM websites including ThinkAdvisor.com and Law.com

Already have an account?

 

BenefitsPRO

Join BenefitsPRO

Don’t miss crucial news and insights you need to navigate the shifting employee benefits industry. Join BenefitsPRO.com now!

  • Unlimited access to BenefitsPRO.com - your roadmap to thriving in a disrupted environment
  • Access to other award-winning ALM websites including ThinkAdvisor.com and Law.com
  • Exclusive discounts on BenefitsPRO.com and ALM events.

Already have an account? Sign In Now
Join BenefitsPRO

Copyright © 2023 ALM Global, LLC. All Rights Reserved.