Medicare Advantage Improvement Act of 2026: reforms to Medicare Advantage program.

The Medicare Advantage Improvement Act of 2026 amends the Social Security Act to introduce reforms in the Medicare Advantage program. Key provisions include: 1) Applying fee-for-service prompt payment requirements to both in-network and out-of-network services. 2) Reducing timeframes for Medicare Advantage organizations to respond to certain authorization requests. 3) Prohibiting certain authorization processes for clinically necessary changes. 4) Establishing a Medicare Advantage organization compliance scoring and accountability program.

Medicare Advantage Improvement Act of 2026: reforms to Medicare Advantage program.

The Medicare Advantage Improvement Act of 2026 amends the Social Security Act to introduce reforms in the Medicare Advantage program. Key provisions include: 1) Applying fee-for-service prompt payment requirements to both in-network and out-of-network services. 2) Reducing timeframes for Medicare Advantage organizations to respond to certain authorization requests. 3) Prohibiting certain authorization processes for clinically necessary changes. 4) Establishing a Medicare Advantage organization compliance scoring and accountability program.