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Analysis Of Errors In Issuer-Side Qhp Apis And Aca Marketplace Machine-Readable Files (Mrfs) In The United States

2025-12-07 health informatics Title + abstract only
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The Centers for Medicare and Medicaid Services (CMS) requires Qualified Health Plan (QHP) issuers on the federal health insurance marketplace to publish machine-readable JSON files describing plans, provider networks, and drug formularies, following the QHP Provider & Formulary API specification (index.json, plans.json, providers.json, and drugs.json). These data are intended to support consumer-facing tools that help people compare coverage options. In parallel, CMSs Center for Consumer Inform...

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