CY 2024 OPPS Final Rule
Hospital Price Transparency Rule
Machine-readable files (MRF)
Compliance deadlines

-- min read

CMS releases new final rule with required schemas for hospital MRFs

The required schemas go into effect on 7/1/2024.

November 2, 2023
CMS releases new final rule with required schemas for hospital MRFs

Authors

Chris Severn
Chris Severn
CEO, Co-Founder

Today, CMS published the CY 2024 Hospital Outpatient Prospective Payment System (OPPS) Final Rule that includes required schemas as of 7/1/2024. CMS finalized this rule after an open comment period that resulted in feedback submissions from stakeholders all across the industry (including the Turquoise team!) and patients as consumers.

As compared to the Proposed Rule, the Final Rule extends the grace period for the new required schemas, which will go into effect on 7/1/2024.

Since the Proposed Rule, we’ve already heard from a number of providers keen on creating compliant MRFs. Turquoise has a process and a team in place to help! If you’re a hospital or health system, and you’re looking to make changes to your MRF, reach us here.

Related resources

Learn, listen, and watch the latest on price transparency.

Transparency in Coverage Final Rule (2026): What Changes for Payer Machine-Readable Files
Transparency in Coverage (TiC)
10/6/26

Transparency in Coverage Final Rule (2026): What Changes for Payer Machine-Readable Files

Payers will report by network instead of plan, move from monthly to quarterly, and attest to their data. We expect files to be slimmed down, more organized, and easier to find online.

All
Prescription Drugs Rates Get A Mandated Due Date with Dec 2027 Enforcement
Prescription Drug Machine-Readable File
10/5/26

Prescription Drugs Rates Get A Mandated Due Date with Dec 2027 Enforcement

What this means for manufacturers ability to provide patients a personalized OOP cost for drugs

Life Sciences
Transparency in Coverage Update Trims Down Payer MRFs & Brings Back the Rx File
Transparency in Coverage (TiC)
10/5/26

Transparency in Coverage Update Trims Down Payer MRFs & Brings Back the Rx File

CMS's first major TiC overhaul since 2022 simplifies payer files and sets a December 2027 enforcement date for the prescription drug file. Here's what it means for patients and the industry

All
https://turquoise.health/resources/blog/cms-releases-new-final-rule-with-required-schemas-for-hospital-mrfs