Gaps in Medicare Advantage Data Limit Transparency in Plan Performance for Policymakers and Beneficiaries

(By Jeannie Fuglesten Biniek, Meredith Freed, and Tricia Neuman for Kaiser Health News Published: Apr 25, 2023)

Enrollment in Medicare Advantage, the private plan alternative to traditional Medicare, has increased steadily since 2010, and is poised to become the dominant form of Medicare coverage. Despite this shift in how Medicare beneficiaries receive their Medicare benefits, and the associated change in the distribution of federal spending, substantial data gaps limit the ability of policymakers and researchers to conduct oversight and assess the program’s performance, including evaluating the value provided and implications for equity. Additionally, the gaps in data prevent policymakers and other stakeholders from understanding how options to address the fiscal pressures facing the Medicare program, including extending the solvency of the Part A Hospital Insurance Trust, could impact beneficiaries. Continue reading here…

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