Apples to Apples Comparison Act of 2026
The bill requires the Secretary of Health and Human Services to publish information on expenditures under the Medicare program, broken down by county and Metropolitan Statistical Area. It also mandates the Medicare Payment Advisory Commission (MedPAC) to conduct comparative analyses of expenditures between Medicare Advantage plans and traditional Medicare.
Key points
Publication of Medicare expenditure data in machine-readable files on the CMS website starting in 2027.
Breakdown of expenditure information by county and Metropolitan Statistical Area.
Requirement for comparative analysis of average expenditures in Medicare Advantage versus traditional Medicare (Fee-for-Service).
Inclusion of demographic differences, HCC risk scores, and benefit values in the analyses.
Public disclosure of analysis methodology and allowance for public comment prior to submission.
Status:
Introduced
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