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Center for Advancing Health Policy through Research

Improving Medicare Advantage: Evidence-Based Reforms for a More Transparent and Sustainable Program

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  • Higher Costs, Less Competition: The Rise of Vertical Integration in the U.S. Health Care System
  • Improving Medicare Advantage: Evidence-Based Reforms for a More Transparent and Sustainable Program
  • Medicare Advantage Payment and Opportunities for Cost Containment
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Improving Medicare Advantage: Evidence-Based Reforms for a More Transparent and Sustainable Program

About the Event

As Medicare Advantage (MA) continues to grow, now covering over half of all Medicare beneficiaries, questions around its cost to taxpayers and value to enrollees are increasingly central to the congressional agenda. Recent analyses show that upcoding alone could account for over $80 billion in annual overpayments, while prior authorization practices and limited transparency create administrative burdens and raise concerns about access and oversight. 


With policymakers eyeing MA reforms as potential pay-fors in a year-end health package and CMS regulations on the horizon, this bipartisan, educational briefing will provide a forum to explore pragmatic, research-backed options for strengthening the program’s integrity without undermining beneficiary access. The discussion will focus on potential areas to revitalize the MA program with growing consensus, such as improving risk adjustment, addressing upcoding incentives, enhancing transparency, and reforming prior authorization. 

Date: December 10th, 2025
Time: 12:00 PM - 2:30 PM EST
Location: Senate Russell Office Building, Room SR-385 2 Constitution Ave NE Washington, DC 20001
 

Agenda at a Glance

Opening & Closing Remarks: 

Ashish Jha, Dean, Brown University School of Public Health 

Keynote:

U.S. Senator Roger Marshall (R-KS)

Panel 1: Fixing the Fundamentals: Payment Integrity and Oversight

  • David Meyers, Assistant Director of CAHPR and Associate Professor of Health Services, Policy & Practice
  • Chris Pope, Senior Fellow, Manhattan Institute
  • Anna Bonelli, Director of Health Policy, Committee for a Responsible Federal Budget
  • Erin Fuse Brown, Professor of Health Services, Policy & Practice, Brown University School of Public Health

Panel 2: Medicare Advantage’s Future: Balancing Growth, Competition, and Accountability

  • Thomas A. Scully, JD, General Partner at Welsh, Carson, Anderson, & Stowe and Former Administrator of CMS
  • Brian Sutter, Partner & CEO, Capitol Hill Consulting Group and Former Staff Director of the Way and Means Subcommittee on Health
  • Shawn Maree Bishop, Senior Advisor at Akin and Former Chief Health Advisor for the U.S. Senate Finance Committee
  • Joe Albanese, Director of Policy, Center for Medicare, CMS

Moderators: 

  • Andy Ryan, Director of the Center for Advancing Health Policy through Research
  • Molly Turco, Health Policy Expert & Independent Consultant, MTT Strategies and Former Senior Policy Advisor for Medicare Advantage & Part D, CMS
Brown 2026 logo

This event is proud to be a part of the Brown 2026 intitiative

Learn more
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Improving Medicare Advantage: Evidence-Based Reforms for a More Transparent and Sustainable Program