Becker’s Payer Issues reported on Simple Healthcare’s evaluation of 2025 Transparency in Coverage (TiC) files, showing that major insurers are not fully meeting federal disclosure expectations. The article detailed the study’s methodology — comparing published provider counts and negotiated rates across specialties and settings — and found particular weaknesses in hospital inpatient and outpatient data.

Becker’s also highlighted that no insurers have been publicly fined by CMS for noncompliance, even as hospitals face penalties for their own transparency violations. The report included insurer responses disputing the findings and noted broader regulatory context, including a 2025 executive order and updated federal guidance to improve TiC data quality

Read the full article here.

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