Medicare Advantage Cost Transparency Act requires inclusion of specific information in Medicare Advantage encounter data.

The Medicare Advantage Cost Transparency Act amends title XVIII of the Social Security Act to mandate the inclusion of certain information in Medicare Advantage encounter data. Specifically, starting from January 1, 2027, encounter data must include the allowed amount for an item or service, the amount of cost sharing, and an indicator if an at-home health risk assessment was provided by a specified assessment entity. This aims to enhance transparency and accountability in Medicare Advantage plans.

Medicare Advantage Cost Transparency Act requires inclusion of specific information in Medicare Advantage encounter data.

The Medicare Advantage Cost Transparency Act amends title XVIII of the Social Security Act to mandate the inclusion of certain information in Medicare Advantage encounter data. Specifically, starting from January 1, 2027, encounter data must include the allowed amount for an item or service, the amount of cost sharing, and an indicator if an at-home health risk assessment was provided by a specified assessment entity. This aims to enhance transparency and accountability in Medicare Advantage plans.