Price Transparency With Gaps: Assessing the Completeness of Payer Transparency in Coverage Data

For these payers, 2025 TIC files support analysis of physician and hospital outpatient prices but are inadequate for inpatient benchmarking. CMS should evaluate TIC completeness-internally or via an external auditor-and enforce penalties when required information is not published.

Publication Details

Journal: The American Journal of Managed Care
Published: 2025-12-01
DOI: https://doi.org/10.37765/ajmc.2025.89862
Primary Topic: Healthcare Policy and Management
Type: article
Field-Weighted Citation Impact: 0.00

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article

Price Transparency With Gaps: Assessing the Completeness of Payer Transparency in Coverage Data

Dec 1, 2025

The American Journal of Managed Care

Healthcare Policy and Management

article

Price Transparency With Gaps: Assessing the Completeness of Payer Transparency in Coverage Data

December 1, 2025article en

Abstract

The American Journal of Managed CareVol. 31(Spec. No. 15)

Openalex Percentile: Top 53%

Healthcare Policy and Management

DOI Source OpenAlex

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Price Transparency With Gaps: Assessing the Completeness of Payer Transparency in Coverage Data · The American Journal of Managed Care (2025) | TGRS Research Map | TGRS