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Republicans push bill to alter Medicare adviser study methods for Advantage plans

House Ways and Means Committee Republicans voted Wednesday to change how the Medicare Payment Advisory Commission studies spending on Medicare Advantage plans.

STAT+: GOP aims to change Medicare adviser’s math to help out private insurers
File photo STAT+: GOP aims to change Medicare adviser’s math to help out private insurers Photo: STAT

Committee votes on new rules

The House Ways and Means Committee advanced a bill in a party line vote. This legislation directs the nonpartisan agency to study overpayments to Medicare Advantage plans differently. The proposed changes aim to make the analysis more favorable to private insurers.

Current spending estimates remain

MedPAC estimated this year that Medicare pays 14% more per enrollee to Advantage plans than traditional coverage would cost. That difference totals $76 billion in overall payments for seniors covered by these private arrangements. Insurers face increased scrutiny regarding their costs to taxpayers in recent years.

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