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Transparency in Coverage Proposed Rule Aims to Make Price Files More Usable

The U.S. Department of Health and Human Services has issued a December proposed rule to overhaul the Transparency in Coverage (TiC) machine‑readable files, with implementation slated for 2027. The rule would filter out payment rates that never apply to a provider, consolidate pricing to a single rate per provider network, and add provider reference sub‑files that group clinicians by NPI. It also shifts updates from monthly to quarterly to better synchronize payer data with hospital price‑transparency files. These changes aim to shrink file size, improve data quality, and make the files actionable for negotiations.