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    Financing

    Organizational Excellence

    K4 - Promoting Parity Through Data: What the Transparency in Coverage Law Means for Behavioral Health

    Wednesday, May 7, 2025
    10:30 AM – 11:30 AM ET
    Location: 108A
    NASW CCB ACCME NADAAC NBCC
    In 2022, CMS effectuated new regulations to create greater price transparency in the American health care market. Most behavioral health providers are unaware of the data and how it can be leveraged to support the development of alternative payment models and assist providers in building negotiating power. In this presentation, speakers will provide an overview of the available data, use cases for community behavioral health providers, and how the data can be leveraged to support parity enforcement. Jefferson Center will share its case study in applying the data for payer negotiations and provide lessons learned.

    Learning Objectives:

    • 1. Participants will understand the Transparency in Coverage rule and what data is publicly available, and learn from Jefferson Center’s case study on benefits of how it can be applied
    • 2. Participants will identify how Transparency in Coverage data can support parity analysis and enforcement in their communities.
    • 3. Participants will gain resources and tools to improve rate and value based payment negotiations with commercial payers and self-funded employer plans