Medicare Advantage Cost Transparency Act

This bill would change Medicare law to require Medicare Advantage plans to report more details in the encounter data they submit for items and services provided starting with plan years that begin on or after January 1, 2027. The data would have to include the allowed amount for each item or service and the cost sharing charged, such as deductibles, copayments, and coinsurance. It would also have to show whether the patient received an at-home health risk assessment earlier in the plan year. Separate indicators would show whether that assessment came from a company tied by ownership or control to the plan's organization or from an unrelated assessment company.

Full text and official record on Congress.gov

Sponsors

• Diana DeGette Democrat sponsor
• 1 cosponsors