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Choking on the Gag Clause

The Consolidated Appropriations Act of 2021 (CAA) introduced many significant industry changes, including a prohibition on “gag clauses” – that is, contractual provisions that restrict health plans from disclosing certain important provider cost and quality information. This prohibition has the self-funded industry scrambling for answers amidst vague guidance – not only as TPAs and health plans seek to avoid being bound by gag clauses, but also as these entities work to submit mandatory compliance attestations to the federal government. Needless to say, there are many compliance nuances and business decisions for both health plans and TPAs.

Whether you’re a health plan, TPA, broker, or anyone else, join The Phia Group’s consulting team leaders as they gather to discuss the prohibition on gag clauses, best practices, and next steps to ensure a gag-free tomorrow!

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