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Administration Proposes Significant Updates to Disclosure Requirements to Make Health Care Prices Clear, Accurate, and Actionable for Americans
Centers for Medicare & Medicaid Services [CMS], U.S. Department of Health and Human Services [HHS]
[Guidance Overview] Dec. 22, 2025 "Key improvements [in the proposed rule] include: [1] Requiring plans and issuers to exclude from the In-network Rate Files certain data for services providers would be unlikely to perform. [2] Reorganizing In-network Rate Files by provider network rather than by plan ... [3] Requiring Change-log and Utilization Files so users can easily identify what has changed from one In-network Rate File to the next ... [4] Reducing reporting cadence for In-network Rate and Allowed Amount Files from monthly to quarterly," MORE >> |
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