Industry Experts Warn of DOGE Effect, Other Trump 2.0 Curveballs Likely to Hit Medicare Advantage

  • Jan 02, 2025

    Although common industry sentiment around the return of Donald Trump to the White House is that a Trump presidency will be friendlier to Medicare Advantage than the Joe Biden administration, some aspects of MA may continue to be scrutinized as headlines of overpayment and risk score gaming persist. Trump has tasked businessmen Elon Musk and Vivek Ramaswamy with rooting out waste and cutting federal spending as leaders of his new Dept. of Government Efficiency (DOGE). And while their authority has been debated, the Trump advisers as of late December had already helped derail a 1,500-page spending bill that included PBM reforms (Congress ultimately passed a streamlined version that will keep the government funded through March 14). Read more
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  • Lauren Flynn Kelly

    Lauren has been covering health business issues since the early 2000s and specializes in in-depth reporting on Medicare Advantage, managed Medicaid and Medicare Part D. She also possesses a deep understanding of the complex world of pharmacy benefit management, having written AIS Health’s Radar on Drug Benefits from 2004 to 2005 and again from 2011 to 2016. In addition to her role as managing editor of Radar on Medicare Advantage, she oversees AIS Health’s publications and manages the health editorial staff. She graduated from Vassar College with a B.A. in English.

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