Report: Most hospitals, health plans posting machine-readable price transparency data
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About 84% of hospitals had posted a machine-readable file containing rate information by the end of first-quarter 2023, up from 65% the previous quarter, according to a report released by Turquoise Health. The report also found that 183 commercial health insurers representing over 95% of U.S. commercially insured lives were publishing machine-readable files of their in-network negotiated rates and out-of-network allowed amounts, up from 68 in July 2022.
Under the Centers for Medicare & Medicaid Services’ price transparency rules, hospitals have been required since January 2021 to publicly post a machine-readable file containing a wide range of rate information, among other requirements; while commercial health plans have been required since July 2022 to release machine-readable files of their in-network negotiated rates and out-of-network allowed amounts.