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Elevance Study: Medicare Advantage is Reducing Overall Medicare Spending

Posted on April 17, 2025 by John C. Goodman

The study found that a 10-percentage-point increase in Medicare Advantage (MA) penetration is associated with a 0.8–1.9 percent decrease in total Medicare spending per capita. This translates to a 10-year savings estimate of approximately $59–$144 billion (in 2021 dollars)….

When compared to traditional Medicare (TM), MA’s approach is associated with improved outcomes for beneficiaries, including 70 percent fewer readmissions, 24 percent fewer preventable hospitalizations, and 21 percent lower rate of high-risk medication use….

Finally, in fiscal year 2023, Medicare improper payments accounted for $31.2 billion in TM, nearly double the amount in MA ($16.6 billion), even though enrollment in TM and MA was evenly split in 2023….

As MA penetration grew over the past decade, the rate of improper payments in TM dropped from 12.7 percent in 2014 to 7.4 percent in 2023.

Source: Health Affairs

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For many years, our health care blog was the only free enterprise health policy blog on the internet. Then, when the NCPA closed its doors, the health blog stopped as well.

During this five-year hiatus no one else has come forward to claim the space. So, my colleagues and I have decided to restart the blog in connection with the Goodman Institute. We invite you and others to use this forum to share your views.

John C. Goodman,

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