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Increased Transparency for Supplemental Benefits in Medicare Advantage Plans.

This law mandates greater transparency for Medicare Advantage (MA) supplemental benefits. Starting in 2027, MA organizations must report detailed, enrollee-level data on the utilization, costs, and eligibility of these extra benefits. This aims to provide researchers and the public with better information to evaluate the effectiveness and value of different MA plans.
Key points
MA organizations must submit detailed data on how enrollees use supplemental benefits, including total plan spending and out-of-pocket costs per utilization.
This data will be made publicly available online in a de-identified format, allowing for better research and comparison of plan offerings.
The new reporting requirements take effect for plan years beginning on or after January 1, 2027.
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Additional Information
Print number: 118_S_3573
Sponsor: Sen. Warner, Mark R. [D-VA]
Process start date: 2024-01-10