Welcome to Greenskies’ transparency in coverage of machine-readable files (MRFs). To access our MRFs, click here.
Background
Under the “Transparency in Coverage” Final Rule (TiC), issued in 2020 by the U.S. Department of Health & Human Services, U.S. Department of Labor, and U.S. Department of the Treasury, effective 7/1/22, health plans (which include employers who sponsor employee benefit plans) and health insurance issuers must publicly post pricing data known as the “machine-readable files” or (“MRFs”).
The release of cost files increases health cost transparency, it is not intended to communicate costs to employees or plan participants. This rule requires insurance companies and self-insured plans to publicize what they pay providers for medical services and make that available to the public. One of the primary goals of this requirement is that the information is broadly available and to provide more transparency across the industry.