Medicare Advantage Consumer Protection and Transparency Act

The Medicare Advantage Consumer Protection and Transparency Act requires Medicare Advantage plans to submit detailed, standardized data about supplemental benefits, healthcare services provided (encounter data), coverage denials, prior authorization requirements, quality measures, and provider networks. Plans must submit this information annually in standardized formats, with penalties of up to 10% in reduced payments for incomplete submissions. The data will be publicly reported, increasing transparency for beneficiaries and oversight officials. This law directly affects Medicare Advantage plans and beneficiaries by providing clearer information about plan offerings and performance. It focuses on concrete data collection and reporting requirements rather than altering benefit structures.