https://cephas.lianabanyan.com/tags/medicare-advantage/Recent content in Medicare-Advantage on Cephas - Liana Banyan Knowledge CenterHugo -- 0.152.2en-us© 2026 Liana Banyan Corporation. All rights reserved.Tue, 12 May 2026 00:00:00 +0000https://cephas.lianabanyan.com/im-just-a-bill/medicare-advantage-transparency/Tue, 12 May 2026 00:00:00 +0000https://cephas.lianabanyan.com/im-just-a-bill/medicare-advantage-transparency/<h1 id="-im-just-a-bill--medicare-advantage-transparency-act">👀 I&rsquo;m Just a Bill — Medicare Advantage Transparency Act</h1> <h2 id="a-liana-banyan-im-just-a-bill-bounty-poster">A Liana Banyan &ldquo;I&rsquo;m Just a Bill&rdquo; Bounty Poster</h2> <h2 id="what-is-this-bill">What is this bill?</h2> <p>Medicare Advantage (MA) transparency legislation in the 119th Congress, addressing documented patterns of denial-of-care, prior-authorization friction, and provider-network adequacy gaps in MA plans.</p> <h2 id="what-does-it-actually-do">What does it actually do?</h2> <ul> <li><strong>Prior authorization:</strong> Caps prior-auth response times; requires denial reasons in plain language.</li> <li><strong>Network adequacy:</strong> Strengthens enforcement of provider-network requirements.</li> <li><strong>Marketing transparency:</strong> Limits misleading marketing practices for MA plans.</li> <li><strong>Star ratings:</strong> Modifies the CMS Star Ratings methodology to weight beneficiary-experience metrics more heavily.</li> <li><strong>Risk adjustment:</strong> Addresses upcoding documented in OIG investigations.</li> </ul> <h2 id="who-votes-when">Who votes when?</h2> <ul> <li>Senate Finance + House Ways &amp; Means + Energy &amp; Commerce active consideration.</li> </ul> <h2 id="how-does-this-affect-cooperative-class-families">How does this affect cooperative-class families?</h2> <p>The cooperative does not endorse positions on Medicare structural reform. The Council exists to provide accurate plain-language explanation of what bills do.</p>