No UPCODE Act: A Threat to Seniors’ Health and Access
The No UPCODE Act (No Unreasonable Payments, Coding, Or Diagnoses for the Elderly Act), introduced in 2025, proposes changes to Medicare Advantage (MA) risk adjustment under the guise of improving payment accuracy. However, these changes would ultimately harm seniors and people with disabilities by undermining care coordination, reducing access to preventive services, and increasing costs for beneficiaries.
Better Medicare Alliance strongly opposes the No UPCODE Act. Key concerns and solutions are outlined in this one pager.