Both sources report that on Oct. 5, 2026, the Trump administration finalized a rule overhauling the "Transparency in Coverage" requirements that have applied to insurers and employer plans since 2022. The rule aims to make the massive, often confusing price files more usable by removing "ghost" rates, requiring dollar-figure reporting for in-network rates, and adding executive certification.
The rule also lowers the threshold for reporting out-of-network allowed amounts from 20 to 11 claims and requires aggregation by insurance market, which regulators say will significantly increase out-of-network data. Reporting moves from monthly to quarterly, and rates will be reported by provider network rather than individual plan, reducing file volume.
Where the sources differ: STAT emphasizes that officials also said they will begin developing drug price disclosure next month, with a "hopeful" final plan by May and enforcement by the end of 2027. Healthcare Dive notes that some stronger proposals were dropped, such as highlighting specific rate changes in updated files, and transparency advocates wanted a single-claim threshold. Employers cheered the changes, saying the data will be usable by a general audience.