Medicare Advantage Cost Transparency Act

TL;DR (AI)

• The bill requires Medicare Advantage plans to include specific information in encounter data submitted starting January 1, 2027, including the allowed amount for an item or service and the amount of cost sharing.
• Medicare Advantage plans must also include indicators regarding whether the individual received an at-home health risk assessment in their encounter data.
• The required data distinguishes between 'specified assessment entities' and other assessment entities, with specified entities being those where the Medicare Advantage organization or a related entity has an ownership or control interest.