Authors
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
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CY 2026 OPPS Final Rule
Updates to the hospital MRF landscape go live today, and here’s what hospital v3 data is already showing us
Early data shows 2,731 hospitals on v3, 1,956 with median allowed amount data on day one.
Providers


