Bill 118 hr 7708, also known as the Provider Directory Accuracy Act, aims to make changes to title XVIII of the Social Security Act in order to ensure that Medicare Advantage (MA) organizations offering network-based plans maintain up-to-date and accurate provider directories.
The bill requires MA organizations to regularly update their provider directories to reflect any changes in the network of healthcare providers available to beneficiaries. This includes adding new providers, removing providers who are no longer part of the network, and updating contact information for existing providers.
The goal of this legislation is to improve transparency and accessibility for Medicare beneficiaries who rely on MA plans for their healthcare coverage. By ensuring that provider directories are accurate, beneficiaries can make informed decisions about their healthcare options and avoid potential disruptions in care due to outdated information.
In addition to requiring MA organizations to maintain accurate provider directories, the bill also includes provisions for penalties for organizations that fail to comply with these requirements. This is intended to incentivize organizations to prioritize the accuracy of their provider directories and ensure that beneficiaries have access to the care they need.
Overall, the Provider Directory Accuracy Act seeks to enhance the quality of care for Medicare beneficiaries enrolled in MA plans by ensuring that they have access to reliable and up-to-date information about the healthcare providers available to them.