Medicare AdvantageAdministrativeLow impact
Health equity reporting
Geisinger Health Plan·Regulatory
Effective date
Mar 5, 2026
We identified it
Jul 29, 2026
Summary
Geisinger Health Plan is implementing health equity reporting as a regulatory requirement and transparency initiative. The plan has published a prior authorization report for Medicare Advantage beneficiaries, available on their Medicare benefit documents page. This policy requires billing teams to be aware of and potentially reference equity reporting data in their interactions with Geisinger Gold Medicare Advantage plans.
Action Required
By March 5, 2026: Billing team should review Geisinger Health Plan's prior authorization report on the Geisinger Gold Medicare benefit documents page (available at https://www.geisinger.org/health-plan/providers/updates/search-updates/2026/03/05/16/35/health-equity-reporting). Familiarize staff with any changes to prior authorization requirements or coverage policies that may be included in the equity reporting update. No immediate billing system changes are required unless the report specifies new prior authorization rules or code-specific coverage changes.