Health Affairs March 11, 2021
Recently, a number of health policy experts have suggested that the best route to universal coverage might be to expand Medicare Advantage (MA) rather than enact Medicare for All—in other words, a private-sector instead of a government solution. Under some proposals, President Joe Biden’s Medicare-like public option would be replaced with private insurance options. Either MA plans would be allowed to compete for non-Medicare business on the insurance exchanges, or insurers would negotiate prepaid contracts with providers, using government funds.
At this point, with major health care reform barely on the legislative horizon, these ideas are purely theoretical. Nevertheless, they are serious policy proposals. Therefore, some hard questions about Medicare Advantage need to be asked and answered now. To reach...
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