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Insurance department backs law to standardize machine‑readable healthcare price files; carriers ask for dialogue on format
Summary
The Insurance Department proposed legislation to standardize carrier machine‑readable price files by giving the commissioner authority to require a single format so carriers’ federally required files (in‑network negotiated rates, out‑of‑network allowed/paid amounts and prescription‑drug prices) can be aggregated and used for analysis and consumer tools.
The New Hampshire Insurance Department proposed a bill to codify the federal “transparency and coverage” machine‑readable file requirements and to give the commissioner authority to require a single, standard format for carriers to post price data. The department said the federal rule obliges carriers to post three large machine‑readable files (in‑network negotiated rates, out‑of‑network allowed/paid amounts and prescription‑drug negotiated rates/historical net prices) but allows carriers to publish the data in multiple formats; that heterogeneity makes the federal postings difficult to use for statewide analysis or for third‑party tools.
Alex Feldwegle and Jason Aziz of the…
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