Healthcare Innovation January 3, 2024
Mark Hagland

Recent publications, reports, and discussions highlight the intense scrutiny facing the Medicare Advantage program, as it becomes Medicare’s majoritarian form of care management

In a healthcare policy landscape in which virtually every policy position has advocates and detractors, it’s easy to get lost in all the claims and counterclaims. And nowhere is the swirl of pro and con opinions more complex than in the discussion around Medicare Advantage, the capitated-payment program under Part C of the Medicare program, which pays private health plans to provide population health management, care management, and wellness services to Medicare beneficiaries.

As of last year, 2023, Medicare Advantage reached an inflection point, with a majority of Medicare beneficiaries nationwide now enrolled in MA plans. In...

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