Transparency in Coverage (TiC)
Public comment
Machine-readable files (MRF)
Payer data quality

-- min read

Turquoise Health public comment on CMS-9882-P

Transparency in Coverage files are on the verge of a much-needed overhaul to become leaner, more organized, and more useful.

Turquoise Health public comment on CMS-9882-P

Authors

Carol Skenes
Chief of Staff
Ryan Kost
Senior Director, Data Foundations & Solutions Engineering

On the heels of December's Transparency in Coverage proposed rule, which seeks to evolve the data included in payer machine-readable files (MRF). Turquoise has submitted a public comment focused on a number of different areas. Summarily, we:

  • Support clearer standards and definitions, particularly around provider networks, and stronger structural guidance to improve rate uniformity
  • Request clarity to create a more structured file ecosystem, including a robust table of contents (TOC) that clearly links plans, networks, and related files
  • Point to alignment with hospital price transparency efforts so MRF standards converge
  • Align with the Departments’ changes that improve data completeness and usability, including enhanced out-of-network allowed amount reporting and additional files providing contextual data
  • Affirm the Departments’ prioritization of accessibility and automation, backing standardized file discovery, removal of technical access barriers, and a single open format (JSON)
  • Recommend practical, proportionate implementation timelines

You can download and read our entire comment here.

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