Medicare Advantage Prompt Pay Act
Sens. Cortez Masto and Blackburn Push Medicare Advantage Prompt Pay Act to Stop Insurance Payment Delays
Legislative Progress
Key Points
Impact Analysis
Personal Impact
Life & Work
Many independent medical practices, clinics, and small healthcare businesses rely on timely insurance payments to cover payroll, rent, and supplies. This bill would guarantee they receive payment within 14 or 30 days depending on how the claim is filed, plus interest if the insurer is late. That's a significant cash-flow improvement for small healthcare providers who currently may wait months for reimbursement from Medicare Advantage plans.
“in the case of a claim submitted electronically, by a provider of services or supplier for items or services furnished under a contract between the organization and the provider of services or supplier, 14 days”
Programs
Disabilities
Milestones
Read twice and referred to the Committee on Finance.
Sent to a congressional committee for expert review. The committee decides whether this bill moves forward.
Introduced in Senate
The bill was officially filed and given a number. It now enters the legislative queue.
Votes
No votes have been recorded for this legislation yet.
Related News
5 articlesBipartisan Bill Seeks to Hold Medicare Advantage Plans Accountable for Faster Payments
The Medicare Advantage Prompt Pay Act would force plans to pay providers faster, requiring 95% of clean electronic claims to be settled within 14 days. The bill includes interest on late payments and authorizes civil penalties up to $25,000 per violation to ensure financial stability for clinics.
Pushing Medicare Advantage plans to pay providers promptly
Lawmakers have sponsored the Medicare Advantage Prompt Pay Act to address hospital frustrations over payment delays. The bipartisan legislation, led by Sen. Catherine Cortez Masto and Rep. Jodey Arrington, aims to bring transparency and stability to the program by enforcing strict deadlines.
Medicare Advantage's 'sunk-cost' problem
Health system leaders are calling for stronger federal oversight, including support for the Medicare Advantage Prompt Pay Act. The legislation would require MA plans to pay clean claims within defined timeframes, addressing the administrative burden and financial friction faced by providers.
Source Information
Document Type
Congressional Bill
Official Title
Medicare Advantage Prompt Pay Act
Data Sources
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(2)Analysis generated by AI. Always verify with official sources.