Gag Clause Prohibitions
The Requirement
The Requirement
The Requirement
The Consolidated Appropriations Act of 2021 (CAA 21) states group health plans and health insurance issuers offering group health plans must:
- Ensure no gag clauses exist in provider, network, TPA, or other service contracts; AND
- Submit an annual attestation confirming their compliance to the Center for Medicare and Medicaid Services.
Our Service
The Requirement
The Requirement
Lucidus Compliance offers a comprehensive review of your agreements to root out impermissible gag clauses. Upon completion of our review, Lucidus:
- Compiles your agreements;
- Notes problematic clauses; AND
- Drafts & Delivers an audit-ready report complete with simple remediation recommendations.
The Benefit
The Requirement
The Benefit
With your attestation filed, and your audit-ready report in hand, you can rest easier knowing you've taken the first steps toward federal regulatory compliance.
What's more, you are now armed with the information you need to:
- Optimize plan performance; AND
- Balance healthcare spend.
From Barriers to Clarity
Gag Clause Prohibitions
Transparency begins with your service agreements.
Historically, and far too often, cost and quality of care information are concealed from plan sponsors and consumers alike through the use of Gag Clauses which lead to higher healthcare costs, prolonged and unnecessary treatment, and frustration.
At Lucidus, we believe the recipe for a good health plan starts with clean service agreements. As such, we feel adherence to Gag Clause regulations should never go overlooked or be handled by a party in interest - and so should you.
Why? Because you, your business, your employees, and your plan beneficiaries deserve better!