AMA calls for federally maintained Medicare Advantage provider directory

The American Medical Association is calling for the federal government to create a federal database of physicians participating in Medicare Advantage plans. 

Advertisement

Delegates at the association’s Interim Meeting voted to adopt a policy urging Medicare Advantage plans to maintain accurate provider directories, the association said Nov. 15. 

“Patients face a false appearance of choice when Medicare Advantage plans create networks that are too thin and directories that are too flawed,” Scott Ferguson, MD, an AMA board member, said in a news release.

“A comprehensive and authoritative source of accurate information is needed from federal authorities to support patients in Medicare Advantage,” Dr. Ferguson added. 

In October, CMS said it was seeking feedback on a possible national directory of healthcare providers.

At the Becker's 5th Annual Fall Payer Issues Roundtable, taking place November 2–3 in Chicago, payer executives and healthcare leaders will come together to discuss value-based care, regulatory changes, cost management strategies and innovations shaping the future of payer-provider collaboration. Apply for complimentary registration now.

Advertisement

Next Up in Payer

  • ACA insurers requested a median rate increase of 15% for 2027, according to a Peterson-KFF Health System Tracker analysis. However,…

  • The No Surprises Act’s independent dispute resolution process has now generated more than $22 billion in total costs since 2022,…

Advertisement

Comments are closed.