January 9, 2026
CMS Proposes Changes to Health Plan Price Transparency – Comment by February 23
The Centers for Medicare & Medicaid Services (CMS), working with the Department of Labor and the Department of the Treasury (collectively, the Departments), requests public input on proposed changes to the payer price transparency regulations intended to make pricing information easier to access for participants, beneficiaries and enrollees, and to improve the consistency and reliability of public pricing disclosures.
Currently, most group health plans and issuers of group or individual health insurance post pricing information for covered items and services, which third parties, such as researchers and app developers, can use to help consumers better understand the costs associated with their health care.
Proposals include reducing the number and size of the machine-readable files that health plans post online, adding data elements to provide context around the data being reported, and improving the ease of locating and downloading the machine-readable files.
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