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Transparency (Policy)



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Public Policy Webinar: New Price Transparency Proposals for Employer-Sponsored Health Plans
HHS, DOL, and the IRS proposed new regulations that, if finalized, will require employer-sponsored group health plans to (1) make real-time cost-sharing information available to plan participants and beneficiaries and (2) make negotiated in-network provider payment rates and historical out-of-network allowed amounts public. This webinar includes a discussion of these proposals and how they may affect employer-sponsored plans.
Dec 11, 2019
Business Group comments to CMS on its recent price transparency proposal.
While we support efforts to increase price transparency, requirements for making private-payor negotiated charges available may not be the best source of pricing data for consumers. Moreover, publicly disclosing competitively negotiated, proprietary rates may reduce competition and push prices higher – not lower – for consumers, patients, and taxpayers.
Sep 27, 2019
Comments to Senate HELP Committee Leadership with Employer Recommendations for Ending Surprise Billing and Improving Transparency
The Business Group sent Comments to the Senate HELP Committee leadership with recommendations to end surprise billing and improve transparency in health care.
Jun 5, 2019
Administration May Issue Executive Order Requiring Disclosure of Contracted Health Care Prices
Reportedly, the Trump Administration may soon issue an Executive Order that would mandate the disclosure of negotiated prices between insurers and providers in an effort to increase transparency for consumers.
Jun 4, 2019
Congress Considers Surprise Medical Bill Proposals; President Urges Action
Over the past few weeks, House and Senate lawmakers released differing bipartisan proposals and key Committees have held hearings on eliminating surprise medical bills. More of both are likely.
Jun 4, 2019
Comment Letter to ONC & CMS on Proposed Interoperability, Transparency, and Other Health IT Rules
The Business Group, in response to a request for information, submitted comments to the Office of the National Coordinator for Health Information Technology and Centers for Medicare and Medicaid Services supporting their proposals to foster a more transparent health care system--with respect to pricing and quality of care--for patients, providers, and payers.
Jun 3, 2019
Testimony to House Ways and Means Health Subcommittee with Employer Recommendations for Protecting Patients from Surprise Medical Bills
The Business Group submitted written testimony to the House Ways and Means Health Subcommittee with recommendations for legislation that protects patients from surprise bills while not raising their health care costs nor jeopardizing the value that provider networks offer them.
Jun 3, 2019
Joint Letter to the U.S. House Ways and Means Health Subcommittee Leadership Recommending Principles for Surprise Billing Legislation
The National Business Group on Health sent a joint letter to the House Ways and Means Health Subcommittee Chair Lloyd Doggett (D-TX) and Ranking Member David Nunes (R-CA) in coordination with a hearing on surprise billing recommending legislation protect patients from surprise medical bills without undermining network participation or resulting in higher health care costs for all consumers.
May 22, 2019
Joint Letter to House Health, Employment, Labor, and Pensions Subcommittee Leadership Recommending Principles for Legislation that Protects Patients from Balance Billing without Undermining Networks or Increasing Costs
The National Business Group on Health sent a joint letter to the House Health, Employment, Labor, and Pensions Subcommittee Chair and Ranking Member requesting that legislation to combat surprise billing focus on protecting patients from surprise medical bills without undermining network participation or resulting in higher health care costs for all consumers.
Apr 2, 2019
Letter to Senate HELP Chair Lamar Alexander (R-TN) with Recommendations to Slow Rising Health Costs and Improve Health Outcomes
The National Business Group on Health sent a letter in response to Senate HELP Committee Chair Alexander's request for information on specific recommendations for Congress and the Administration to slow rising health care costs, improve health outcomes and increase access to information to make informed decisions about health care. Specifically, the Business Group recommended eliminating the ACA's Cadillac Tax, ending surprise billing, supporting HSA-qualified health plan improvements, advancing policies to promote more affordable, financially sustainable prescription drug prices, encouraging and promoting transparency and accelerating payment and delivery reform in Medicare/Medicaid.
Mar 1, 2019
Joint Letter to Senate HELP Committee Leadership Recommending Principles for Surprise Billing Legislation that Won't Undermine Value-Based Networks
The National Business Group on Health as part of the National Coalition on Benefits sent a joint letter to Senate HELP Committee leadership recommending adopting principles when crafting legislation to protect patients from surprise medical bills without undermining access to high-quality, value-based health care networks.
Feb 21, 2019
Comment Letter on HHS Notice of Benefit and Payment Parameters for 2020
The Business Group supports HHS's proposals related to cost-sharing for prescription drugs.
Feb 19, 2019
President Wants to End Surprise Medical Bills; Senators Weigh Legislation
At a White House roundtable with patients last week, President Trump expressed support for protecting patients from surprise medical bills. Typically, surprise medical bills occur when providers balance bill patients for OON emergency care or treatment at in-network facilities by OON providers.
Jan 31, 2019
Press Release and Consensus Statement on Guiding Principles to Protect Patients from Surprise Medical Bills
The National Business Group on Health along with consumers, businesses, and health insurance providers issued a joint press release and guiding principles on protecting employees and other plan participants from surprise medical bills.
Dec 12, 2018
FAA Reauthorization Law to Increase Scrutiny of Air Ambulances
Last week, President Trump signed the FAA Reauthorization Act of 2018 that will increase scrutiny of air ambulance pricing but maintains federal preemption of state consumer protection laws via the Airline Deregulation Act (ADA) of 1978 which explicitly preempts states from regulating the "rates, routes, or services of any air carrier" including air ambulances.
Oct 12, 2018
Bipartisan Senate Plan Seeks to Tackle Surprise Medical Bills
Last week, Senators Bill Cassidy (R-LA), Michael Bennet (D-CO), Chuck Grassley (R-IA), Tom Carper (D-DE), Todd Young (R-IN), and Claire McCaskill (D-MO) unveiled a proposal and draft legislative language to limit balance billing of plan participants (to in-network OOP costs) by OON providers.
Sep 28, 2018
Working for You in Washington – July 9, 2018
The Business Group's recent policy initiatives include improving health savings accounts, aiding the effort to eliminate Michigan's claims tax, voicing opposition to shifting ESRD Costs from Medicare to employer plans, supporting CMS efforts to improve quality, price transparency and data interoperability and asking the DOL for more clarity on Mental Health Parity disclosure requirements.
Jul 10, 2018
Comments to CMS Administrator Seema Verma Promoting Medicare Price Transparency, HIT Interoperability and Public Disclosure of Inpatient Hospital Quality Information
In response to a recent CMS request for comments on a Medicare proposed rule, the Business Group recently provided comments on how best to promote price transparency in Medicare, promote data interoperability among health systems, physicians, and patients; and to continue its strong commitment to reporting and public disclosure of inpatient hospital quality information.
Jun 25, 2018
National Business Group on Health's Position Statement on Transparency
Apr 10, 2017
Texas Bill Tries to Tackle Patient Confusion over Freestanding Emergency Rooms
In response to a growing number of complaints from patients surprised by high bills, last month, the Texas State Senate passed a bill that would help people understand the risks to their pocketbooks of using freestanding emergency rooms (FERs).
May 5, 2015
Letter to Texas State Senator Charles Schwertner Strongly Supporting CS SB 425 which Would Provide More Transparency of Freestanding Emergency Rooms
The National Business Group on Health wrote a letter in strong support of CS SB 425 which would provide more transparency for Texas freestanding emergency rooms and help consumers realize at the point of purchase the significant costs differences between freestanding emergency rooms, urgent care and other retail-focused health care clinics.
Apr 15, 2015
Comments to the National Institutes of Health (NIH) on Their Proposal to Clarify and Expand Clinical Trial Data Reporting
The National Business Group on Health sent a comment letter to the National Institutes of Health (NIH) on its proposal to clarify and expand the requirements for reporting clinical trial data to the public.
Mar 23, 2015
Centers for Medicare and Medicaid Services' (CMS) Final Rule Paves the Way for Release of Medicare Claims Data
CMS released a final rule on Medicare claims data sharing that allows qualified entities (employers, data warehouses/integrators, insurers, nonprofit organizations, consumer groups, etc.) to combine Medicare claims data with commercial claims data to evaluate physicians' efficiency and measure their performance on specific quality measures at the individual physician, physician group, or integrated delivery system levels.
Dec 12, 2011
CMS to Release Medicare Claims Data
Recently, the government took the first step toward making Medicare claims data available to employers and consumers by issuing a proposed rule on the release and use of this information.
Jun 6, 2011
Patient Protection and Affordable Care Act: Medicare and Medicaid Health Care Payment, Quality and Delivery Reforms
A timeline chart of the Medicare and Medicaid health care payment, quality and delivery reforms in the Patient Protection and Affordable Care Act (Affordable Care Act)
Dec 13, 2010

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