Health Affairs June 6, 2022
Richard Gilfillan, Donald M. Berwick

Following our September 2021 Health Affairs Forefront articles (parts one and two) on the “Medicare Advantage Money Machine,” the most common reaction of which we are aware has been that this was an “Emperor Has No Clothes” moment. Many knew the Medicare Advantage (MA) game, but few had called it what it was. Two responses to our articles, by individuals we have long admired, have been published in Forefront that find fault with our analyses. One is by George Halvorson, for 30 years one of the most accomplished executives in US health care and a passionate advocate for MA as a solution to our nation’s health care cost and quality conundrum. The other comes from Don Crane, another highly respected...

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Topics: ACO (Accountable Care), CMS, Govt Agencies, Insurance, Medicare Advantage, Payment Models, Provider, Value Based
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