REAL Health Providers Act

Summary

Requiring Enhanced & Accurate Lists of Health Providers Act or the REAL Health Providers Act This bill requires Medicare Advantage (MA) organizations to maintain directories of in-network providers and continually ensure their accuracy. Specifically, MA organizations must publish on their websites an accurate directory of in-network providers and regularly update these directories. The bill additionally specifies that if a provider is listed as in-network in this directory when a beneficiary selects and makes an appointment with the provider, but the provider is not actually in-network, the beneficiary is still only responsible for paying in-network cost-sharing requirements. MA organizations must annually evaluate and report on the accuracy of their directories; the Centers for Medicare & Medicaid Services and MA organizations must publish this information on their websites. The bill provides funds for these purposes. The Government Accountability Office must report on the bill's implementation.

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3 official files

• Introduced in Senate (text)

  Introduced in Senate · EN · 17 October 2023

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• Introduced in Senate (PDF)

  Introduced in Senate · EN · 17 October 2023

  ViewDownloadOpen at official source

• Introduced in Senate

  summary · EN · 17 October 2023

  Open at official source

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