Commonwealth Fund December 8, 2017
Yash M. Patel, Stuart Guterman

Toplines

  • Enrollment in private Medicare plans has increased more than 80 percent since 2009
  • Medicare Advantage costs are now lower than traditional Medicare costs, but payments to plans remain higher

Abstract

  • Issue:Since the 1980s, private plans have played an increasingly important role in the Medicare program. While initially created with the goals of reducing costs, improving choice, and enhancing quality, risk-based plans — now known as Medicare Advantage plans — have undergone significant policy changes since their inception; these changes have not always aligned with the original policy objectives.
  • Goal:To examine major policy changes to Medicare risk plans and the effects of these policies on plan participation, enrollment, average premiums and...

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