Make Medicare Advantage default; shift to competitive bidding and cut MA micromanagement
Mandate’s legislative Medicare Advantage package includes default MA enrollment, beneficiary control of dollars, competitive bidding replacing formula payments, and removing restrictions on key benefits.
Mandate
Mandate Ch. 14 (HHS) — Legislative Proposals / Medicare Advantage: make MA the default enrollment option; give beneficiaries direct control of Medicare dollars; remove micromanaging policies; replace formula-based payment with competitive bidding; reconfigure risk adjustment; remove restrictions on key benefits including drugs, hospice, and MSA plans.
Undo plan
1) Preserve traditional Medicare as a meaningful default option with equal counseling.
2) Reverse default-MA enrollment schemes that steer seniors into private plans without affirmative choice.
3) Regulate MA marketing and prior-auth abuses; keep risk adjustment integrity.
4) Codify informed-choice enrollment periods and broker conflict rules.
5) Verify: CMS enrollment quality metrics; complaint rates; traditional Medicare share.