What is the official ID of this bill?
The official print number for this legislation is HR 8375.
Medicare Advantage Reform: Faster Approvals and Enhanced Patient Protections
This act shortens the wait time for medical treatment approvals and prevents insurers from revoking coverage after it has been granted. It ensures patients receive timely care while holding insurance companies accountable through public performance scoring and financial penalties.
Key points
Reduces treatment approval wait times to a maximum of 72 hours for standard requests and 24 hours for urgent cases.
Introduces real-time, automated approvals for routine and low-risk medical services to eliminate administrative delays.
Prohibits insurers from denying payment for medical care that was already authorized, protecting patients and providers from unexpected costs.
Requires Medicare Advantage plans to use the same medical necessity standards as traditional Medicare, ensuring consistent coverage.
Establishes a public compliance scoring system that penalizes insurance companies for failing to meet patient care requirements.
Status:
Introduced
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