Introducing payer transparency scores

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.

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

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