Health Affairs October 14, 2025
G. Caleb Alexander

Editor’s Note

This article is part of a Health Affairs Forefront featured series, “Assessing The Evidence For MA Reform.” The series was developed and supported by the research firm, Stage Analytics, through a grant from Bristol Myers Squibb. The articleʼs analyses and conclusions remain that of the authors. Health Affairs retained review and editing rights, as well as the right to decline any articles that failed to meet Health Affairs Forefront editorial standards.

More than two decades after the passage of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003, which modernized the Medicare Advantage (MA) program and created the Medicare prescription drug benefit (Part D), MA now covers more beneficiaries than fee-for-service Medicare. Private insurers cover MA beneficiaries...

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