Health Affairs September 27, 2023
In its Forefront series on “Provider Prices in the Commercial Sector,” Health Affairs has published a number of articles that detail the importance of price transparency, its current and potential effects, and the challenges inherent in the price files that have been published by payers as a result of the enforcement of the Transparency in Coverage (TiC) rule, also known as the insurer price transparency rule.
One article by Daniel Cullen and colleagues compared the information in a payer’s published TiC file with a set of claims from that same payer. The analyses revealed many of the inaccuracies that exist in these files, as have analyses by other organizations and individuals. However, it also revealed an important finding that is...