Fact Sheet
August 5, 2026 Recent Reforms to the Medicare Advantage Program by Policy Area, 2026
This fact sheet outlines recent and in-progress reforms to the Medicare Advantage program.
The annual Medicare Advantage regulatory cycle consists of the Medicare Advantage (MA) and Medicare Part D Final Rule and the Rate Announcement, finalized by the Centers for Medicare & Medicaid Services (CMS) each spring for…
Medicare beneficiaries have two options for receiving their Medicare benefits: fee-for-service (FFS) Medicare or Medicare Advantage. Medicare Advantage is the managed care option in Medicare and is a public-private partnership, meaning benefits are offered by…
Average out-of-pocket spending increased for both Medicare Advantage and Fee-for-Service Medicare Enrollees in 2023, and the gap between the two programs continues to grow. In addition to having lower average out-of-pocket costs, Medicare Advantage enrollees…
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