Consolidated Appropriations Act, 2021 (CAA) – Self funded / level funded groups
The No Surprises Act (NSA), enacted as part of the Consolidated Appropriations Act, 2021 (CAA), includes transparency provisions requiring group health plans to report information on prescription drugs and health care spending to the Departments of Labor (DOL), Health and Human Services (HHS) and the Treasury (Departments).
As part of the Transparency in Coverage Final Rules (TIC Final Rules), group health plans and health insurance issuers will be required to disclose on a public website detailed pricing information in three separate machine-readable files (MRFs).
Cigna recommends that their clients copy the link and post it to their public website where the general public can access the Machine Readable Files (MRFs):
Along with the link, Cigna recommends the following overview verbiage:
This link leads to the machine-readable files that are made available in response to the federal Transparency in Coverage Rule and includes negotiated service rates and out-of-network allowed amounts between health plans and healthcare providers. Cigna will update the files each month and this link will remain constant, therefore, it will automatically update with the new files.