Medicare Advantage Improvement Act of 2026 reforms Medicare Advantage program.

The Medicare Advantage Improvement Act of 2026 amends title XVIII of the Social Security Act to reform the Medicare Advantage program. It introduces prompt payment requirements for all claims, including those for in-network and out-of-network services. The bill mandates real-time authorization decisions for certain services, applies the two-midnight benchmark and presumption rules, and requires transparency in coverage criteria.

Medicare Advantage Improvement Act of 2026 reforms Medicare Advantage program.

The Medicare Advantage Improvement Act of 2026 amends title XVIII of the Social Security Act to reform the Medicare Advantage program. It introduces prompt payment requirements for all claims, including those for in-network and out-of-network services. The bill mandates real-time authorization decisions for certain services, applies the two-midnight benchmark and presumption rules, and requires transparency in coverage criteria.