HR 4559

The Prompt and Fair Pay Act aims to improve Medicare payment practices by ensuring that Medicare Advantage plans pay providers at the same rate as traditional fee-for-service Medicare. It mandates payment parity between the two systems, starting in 2027, and establishes stricter deadlines for Medicare Advantage plans to process and pay claims submitted by in-network providers. The bill also seeks to increase transparency and accountability in claims denials, requiring MA organizations to promptly notify providers of any issues with claims and offering interest payments to providers if claims are not paid on time.