CEO SUMMARY: Feeling they’ve been denied access by insurance companies to price data about medical claim payments, self-funded employer plans and unions are taking their health insurance companies to court. This battle over access to prices may have implications for providers, such as clinical labs, required by federal laws to publicly post prices for their […]
Big Employers Sue Payers over Price Transparency
Courts may ultimately decide how much medical claims price data health insurers must provide
- By Robert Michel
- > From the Volume XXX, No. 12 - August 21, 2023 Issue
- Tags: American Hospital Association, Anthem, Centers for Medicare and Medicaid Services, Elevance, employer-funded health plans, Fee-for-service, FFS, Harford HealthCare, health insurers, HHS, Hospital Price Transparency Rule, Jeremy Kernodle, lab risk & compliance, Medicare Advantage, No Surprises Act, Price transparency, self-funded employers, Texas Medical Association, TMA, U.S. Department of Health and Human Services, U.S. District Court for the District of Connecticut, U.S. District Court for the Eastern District of Texas
