The exciting news in Medicare is happening at the kitchen table—not on the debate stage

McKinsey November, 2019
David Knott, Adi Kumar, and Stephanie Carlton

With so much attention focused on the debate over the merits of Medicare for All, it is easy to lose sight of changes in Medicare Advantage.

Every fall between October 15 and December 7, many of the 60 million Americans who are eligible for Medicare sit at their kitchen table, log onto a computer, and go through the annual ritual of selecting how they want to receive their benefits. Consumers must make a choice as to whether to have their benefits administered by the federal government (Medicare fee-for-service or FFS) or through a private sector plan (Medicare Advantage or MA).

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