Medicare Advantage MLR Transparency Act

Key Points

• Starting in 2029, Medicare Advantage insurers would have to publicly post detailed financial data showing how they spend the money they get from the government and enrollees.
• Plans must report the share of revenue spent on actual medical claims versus non-claims costs like administration and marketing, making it easier to see if a plan is putting money toward care.
• The data must be published in a consumer-friendly format set by the Secretary of Health and Human Services, not buried in technical financial filings.
• The bill also requires Medicare Advantage plans to present benefit information in the same standardized format already used by other private health insurers, making plan comparisons easier.
• By forcing this data into public view, the bill aims to give lawmakers, regulators, and the public a clearer picture of how the roughly $500 billion Medicare Advantage program is spending taxpayer and enrollee money.