January 2022

Improve Member Experience With Real-Time Benefit Tools and Drug Price Transparency

Compliance Today

Faegre Drinker Consulting Principal Mike Adelberg co-authored an article for Compliance Today addressing how real-time benefit tools (RTBTs) and steps to provide drug transparency at the point of care provide an opportunity to lower the cost of drugs for both health plans and their members.

First, Adelberg explains that Medicare Advantage (MA) and Part D plans are required to offer an RTBT to all plan members on Jan. 1, 2023. He also discusses the Transparency in Coverage rule, which puts commercial health plans on a path toward a required cost-estimator tool similar to RTBTs by Jan. 1, 2024.

Adelberg further outlines results from a recent survey assessing plans’ readiness for meeting the new RTBT and Transparency in Coverage requirements and shares considerations. In conclusion, he notes that particularly for Medicare plans facing an earlier deadline, MA and Part D plans should be actively moving toward meeting RTBT requirements.

Copyright 2022 Compliance Today, a publication of the Health Care Compliance Association (HCCA).

Full Article

Meet the Authors

Photo of Michael S. Adelberg
Michael S. Adelberg

Principal - Healthcare Providers & Plans Practice Lead - Faegre Drinker Consulting

The Faegre Drinker Biddle & Reath LLP website uses cookies to make your browsing experience as useful as possible. In order to have the full site experience, keep cookies enabled on your web browser. By browsing our site with cookies enabled, you are agreeing to their use. Review Faegre Drinker Biddle & Reath LLP's cookies information for more details.