As AHIP Defends Medicare Advantage, Some Studies Suggest It’s a Better Deal
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May 15, 2025
As Medicare Advantage overpayments and coding practices face increasing scrutiny from the Medicare Payment Advisory Commission (MedPAC) and other stakeholders, the Washington Post editorial board recently called for the U.S. government to look closely at MA for potential reforms, prompting a letter to the editor from the CEOs of AHIP and the Better Medicare Alliance. MedPAC has long held that MA organizations work to enroll the healthiest seniors and subject them to “upcoding,” a practice condemned by Sens. Elizabeth Warren (D-Mass.) and Ron Wyden (D-Ore.), among others, in a May 7 letter to Congressional leadership. But two recent studies suggest that MA is actually more attractive to lower-income and other at-risk beneficiaries than original, fee-for-service (FFS) Medicare.
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