Enrollment in Medicare Advantage (MA) has grown remarkably, increasing from 24% of Medicare beneficiaries in 2010 to 51% in 2023. Under MA, private insurers are paid using risk-adjusted per beneficiary per month rates, an approach that CMS and others believe will encourage efficient resource use and quality. Yet many stakeholders argue that MA plans are overpaid and have questioned the program’s value. In light of unprecedented enrollment growth, understanding how MA can be reformed to deliver on its promise is essential.
Center for Advancing Health Policy through Research
Medicare Advantage
The other half of the 62 million Medicare beneficiaries receive coverage through private plans for Medicare enrollees, known as Medicare Advantage.
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Chicago Sun Times and KFF Health News