Empowered Patient Podcast

Transparency in Coverage Rule Provides Precision of Price and Negotiated Rates for Healthcare with Mark Galvin TALON

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Sinopse

Mark Galvin, Co-Founder, President, and CEO of TALON, discusses the Transparency in Coverage rule in healthcare, which was added to the Affordable Care Act and requires commercial health plan sponsors to provide transparency in the costs of tests, procedures, and other medical services. The rule aims to provide patients with information on pricing and out-of-pocket costs before committing to services. The lack of awareness and understanding of the rule is in part due to the vested interests of certain stakeholders, such as insurance carriers, who are financially conflicted in driving down the cost of medical claims. Mark explains, "I'm known as a disruptive innovator, as a serial startup guy. The Transparency in Coverage rule is a rule that was added to the Affordable Care Act, or Obamacare, requiring that commercial health plan sponsors predominantly the employers that pay for the lion's share of commercial health plans are required now under that law with the new rule to provide to million members an abil