REAL Health Providers Act
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Progress
Where this bill stands in the legislative process.
- Introduced
- Passed House
- Passed Senate
- To President
- Became Law
Overview
The REAL Health Providers Act aims to improve the accuracy and accountability of provider directories used by Medicare Advantage plans. It requires plans to maintain publicly available, up-to-date directories with detailed information about participating providers, including accommodations and telehealth capabilities. The bill also establishes penalties for enrolling patients in plans based on inaccurate directory information and mandates regular accuracy analyses by Medicare Advantage organizations, with reports submitted to the Secretary. Finally, it directs the GAO to study the implementation of these changes and the Secretary to hold a stakeholder meeting and issue guidance to plans and providers.
Key provisions
- Requires Medicare Advantage plans to maintain publicly available and regularly updated provider directories.
- Establishes penalties for enrolling patients based on inaccurate provider directory information.
- Mandates annual accuracy analyses of provider directories by Medicare Advantage organizations.
- Requires Medicare Advantage organizations to notify enrollees of cost-sharing protections related to inaccurate directory information.
- Directs the GAO to conduct a study of the bill's implementation.
- Requires the Secretary to hold a stakeholder meeting to gather input on maintaining accurate directories.
- Instructs the Secretary to issue guidance to Medicare Advantage organizations and providers on maintaining accurate directories.
- Requires the inclusion of accuracy scores on the plan’s provider directory.
Who is affected
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Sponsors
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9 on record
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Cosponsors
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