Medicare Advantage Payment

Federal spending and the sustainability of the Medicare program are central to the policy debate. With the majority of beneficiaries now enrolled in Medicare Advantage (MA), and payments to MA now exceeding what spending would have been in traditional Medicare, understanding how MA plans are paid is essential. MPI’s work in this area breaks down the MA payment system and looks at the policy levers that shape how private plans are financed, with particular attention to topics such as risk adjustment, coding intensity, quality bonus payments, plan rebates, and payment benchmarks.

Explore policy proposals related to Benchmarks for plan payments, Risk adjustment, Quality bonus program and star ratings, Supplemental benefits and rebates, and Encounter data in our Medicare Advantage Compendium.