HealthLeaders Media

Price transparency with gaps: Assessing the completeness of payer transparency in coverage data

Aetna and Cigna generally listed as many—or more—physicians and hospitals as their marketing materials did, whereas UnitedHealthcare listed fewer. Negotiated-rate completeness was highest for ...
The American Journal of Managed Care

Transparency in Coverage Data to Expose Ghost Rates and Hold Payers Accountable: David Muhlestein, PhD

David Muhlestein, PhD, breaks down ghost rates, data gaps, and why stronger oversight is needed to make Transparency in Coverage files usable for patients. Aetna, Cigna, and United Healthcare’s TIC ...
MarketWatch

Healthcare Payer IT in 2026: Digital Prior Authorization, Enforceable Transparency, and Outcomes-Driven Platforms Spark a New Acquisition Race

WASHINGTON, D.C. / ACCESS Newswire / December 15, 2025 / The healthcare payer information technology (IT) sector continues to evolve rapidly, and 2026 is positioned to be a pivotal execution year for ...
KXAN

Data-Driven Payer Contract Negotiation Strategies for Healthcare CFOs

Neolytix is a healthcare technology and services company that helps providers optimize operations, accelerate revenue, and improve patient care. New transparency data and contract intelligence are ...
The American Journal of Managed Care

Yuvraj Pathak, PhD

In analyzing 2025 Transparency in Coverage (TIC) files from national insurers, the authors found vast payer-level differences; overall, physician/outpatient data were more complete, and hospital ...
Morningstar

Healthcare Payer IT in 2026: Digital Prior Authorization, Enforceable Transparency, and Outcomes-Driven Platforms Spark a New Acquisition Race

CMS compliance deadlines and heightened cybersecurity expectations are accelerating payer interoperability and utilization management modernization while shifting vendor selection toward platforms ...