Becker's Healthcare November 20, 2025
Over one-half of eligible Medicare beneficiaries are enrolled in Medicare Advantage plans this year, according to KFF.
Given that enrollment and recent scrutiny, all eyes are on how the private alternative to traditional Medicare gets paid. A Nov. 20 KFF issue brief cited how the Medicare Payment Advisory Commission estimates federal government payments to MA plans are 20% greater than traditional Medicare spending this year.
To cover the cost of core Medicare under MA, plans get a monthly payment per enrollee from the federal government. These funds may also be sufficient to cover some supplemental benefits. The government bases payments by county as a percentage of Medicare spending, with many counties taking in over 100% the amount for traditional Medicare....
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