Becker's Healthcare November 16, 2023
U.S. Senators Bill Cassidy, MD, Catherine Cortez Mastro, Elizabeth Warren and Marsha Blackburn have introduced bipartisan legislation to improve the transparency of Medicare Advantage plans.
The Encounter Data Enhancement Act would require Medicare Advantage plans to report how much they are actually paying for patient services and how much patients are responsible for paying out of pocket.
In 2023, 54% of federal Medicare spending, or $454 billion, went to Medicare Advantage, according to a Nov. 15 press release from Dr. Cassidy’s office.
While the government already requires Medicare Advantage to report encounter data on services provided, the data is often...
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