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Challenges with effective price transparency analyses - Peterson-KFF Health System Tracker

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This brief examines some of the issues and challenges researchers and other data users may encounter when using the price data reported pursuant to the Transparency in Coverage, or TiC regulation, promulgated by the Departments of Health and Human Services, Labor and Treasury (“Agencies”) during the first Trump administration. The regulation requires group health plans and health insurance issuers (“payers”) to make available, among other things, a machine-readable file with all of their in-network provider rates for covered items and services. Payers began releasing price data under the rule in July 2022, following an earlier requirement that hospitals report prices they negotiate with payers. From the onset, the complexity and extremely large size of many of the data files have made it difficult for researchers and many others to effectively gain access to the information. Over time, however, some organizations have become more proficient in downloading these data files and organizin

Health Spending Challenges with effective price transparency analyses By Gary Claxton , Lynne Cotter , and Shameek Rakshit February 25, 2025 Introduction This brief examines some of the issues and challenges researchers and other data users may encounter when using the price data reported pursuant to the Transparency in Coverage, or TiC regulation , promulgated by the Departments of Health and Human Services, Labor and Treasury (“Agencies”) during the first Trump administration. The regulation requires group health plans and health insurance issuers (“payers”) to make available, among other th

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