Medicare Advantage Improvement Act of 2026
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Summary
The Medicare Advantage Improvement Act of 2026 amends Medicare Advantage program rules to accelerate authorization decisions for covered services. The bill requires Medicare Advantage organizations to respond to standard authorization requests within 72 hours (and expedited requests within 24 hours) starting January 1, 2028, with limited extensions allowed. It also mandates real-time authorization decisions for clinically routine, low-risk services identified by the Secretary, integrated with electronic health record systems, and requires enhanced transparency through quarterly reporting of authorization data at multiple organizational levels.
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