Leveling the Playing Field in Medicare Advantage: The Role of Smaller Plans in a Changing Market
On Monday, May 4, 2026, Georgetown’s Medicare Policy Initiative in collaboration with Arnold Ventu...
Market Competition
Competition plays an important role in the Medicare Advantage (MA) market. MPI’s work focuses on the impact of evolving market dynamics, such as increased market consolidation and vertical integration, on the cost, quality, and availability of MA plans. MPI’s work on this topic examines the role of smaller and regional plans on market competition, and trends in various ownership arrangements, plan entry and exit, and geographic variation in plan availability. Additional work examines the effect of legislative and regulatory policy changes on competition within Medicare Advantage and with traditional Medicare, and the implications for beneficiaries and federal spending.
Explore policy proposals related to Competitive bidding, Existence of Medicare Advantage, and Plan networks, provider payments, and benefits coverage in our Medicare Advantage Compendium.
Leveling the Playing Field: Why Smaller Medicare Advantage Plans Are Calling for Payment Reform
In this blog, Carrie Graham and Laura Skopec explore the views of local and regional plans expressed...
Data Brief: Smaller Medicare Advantage Plans: How Do They Compare?
Read “Smaller Medicare Advantage Plans: How Do They Compare?” here.
Comment Letter: Response to CMS Request for Information on Future Directions in Medicare Advantage – Risk Adjustment and Quality Bonus Payments
Read the Comment Letter On the Medicare Program here.
An Uneven Playing Field: Why Smaller Plans Are Calling for Stronger Guardrails on Medicare Advantage Marketing
In a new blog, Laura Skopec and Carrie Graham share findings from a 2025 closed-door roundtable and ...
Is the Sky Falling in Medicare Advantage?
Recent headlines suggest the Medicare Advantage (MA) market is in turmoil—with insurers pulling ba...
White Paper: Reforms to Medicare Advantage: Perspectives of Local and Regional Plans
Read “Reforms to Medicare Advantage: Perspectives of Local and Regional Plans” here.