The Health Plan Guide to the REAL Health Providers Act

The REAL Health Providers Act marks a turning point for provider directory accuracy in Medicare Advantage. This new regulation shifts expectations from simply maintaining directories to actively verifying, measuring, and reporting accuracy, introducing a new era of transparency and accountability.

The operational changes required to comply are significant, and most health plans are not yet equipped to meet them.

The Health Plan Guide to the REAL Health Providers Act outlines a practical path forward. It breaks down:

• Requirements of the new regulation and when plans will be held accountable
• The operating model shift needed to achieve continuous, measurable accuracy
• Actionable steps to build a scalable, compliance-ready provider data strategy

Ready for the REAL Health Providers Act?

The cost of inaction is rising, impacting compliance, performance, and member trust. Download the guide to see how health plans are preparing now.