Episode: Health Policy Updates April 2025
The REAL Health Providers Act: What Health Plans Need to Know
Topics Covered
Are health plans prepared for the sweeping changes proposed under The REAL Health Providers Act? In this episode, Kate Deiters and Zach Snyder break down the legislation’s key provisions and explore how it could transform the way Medicare Advantage Organizations manage provider directories, verify provider information, and report on provider data accuracy.
Discover how the Act builds on elements of the No Surprises Act and introduces compliance requirements like removing unverified providers from the directory, conducting annual accuracy assessments, and maintaining a public Accuracy Score.
Listen on:
Proven Solutions for Your Provider Network Management
Looking to simplify your workload? Let Quest Analytics® take on the heavy lifting! Our solutions and dedicated team specialize in provider data accuracy and provider network adequacy for various lines of businesses, including Medicare Advantage, Medicaid and Commercial. Schedule a strategy session today and see how we can help you every step of the way.
