Medical Xpress June 13, 2023
Enrollment in the Medicare Advantage program—which allows Medicare beneficiaries to get their health care through plans administered by private insurance companies—has been growing so rapidly that it has recently surpassed enrollment in traditional Medicare. A new analysis by USC researchers warns that overpayments to Medicare Advantage plans now exceed 20 percent or $75 billion annually, underscoring the urgent need for reform.
Researchers with the USC Schaeffer Center for Health Policy & Economics found that the millions of beneficiaries in traditional Medicare who have switched to Medicare Advantage plans have lower spending than those with similar health risks who remain.
They report this pattern of favorable selection more than doubles prior overpayment estimates made by the Medicare Payment Advisory Commission (MedPAC),...
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