Premier Applauds Introduction of the Prompt and Fair Pay Act

Premier commends Representatives Murphy and Doggett for introducing the bipartisan Prompt and Fair Pay Act (H.R. 4559)—a bold and necessary step toward holding Medicare Advantage plans accountable and ensuring providers are paid fairly and on time.

A recent Premier survey revealed that 95 percent of providers experience payment delays from Medicare Advantage plans, with more than one-third waiting over 90 days to get paid. The survey also showed that 70 percent of denials were ultimately overturned and the claims paid, but only after multiple, costly rounds of review resulting in over $20 billion in administrative waste annually. That’s not just a billing issue—it’s a barrier to care and a threat to provider sustainability.

This legislation directly addresses the inequities Premier and our members have long raised: aligning payment timelines and standards for in-network and out-of-network providers and putting real guardrails in place to protect patients and the providers who serve them.

Premier is proud to support this effort to bring fairness, transparency and accountability to Medicare Advantage.

• Sign on letter in support of the Prompt Fair Payment Act
• Reps. Murphy and Doggett fact sheet on the Prompt Fair Payment Act
• Reps. Murphy and Doggett press release
• Bill text
• 2023 Premier survey results
• 2024 Premier survey results
• 2024 letter to CMS on Medicare Advantage reforms from Premier and 118 members
• 2025 letter to CMS on Medicare Advantage reforms from Premier and 80 members