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September 10, 2025Milbank Quarterly

From Disappointment to Predominance: Medicare Advantage's Ascendancy and Transformation of Medicare

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Authors

RMRick MayesMJMicah Johnson

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Overview

Enrollment in Medicare Advantage has surged by 30 million, suggesting a significant shift in beneficiary care dynamics.

Key Points

  • Medicare Advantage's enrollment increased by approximately 30 million since 2004, highlighting its rapid rise.
  • MA now costs 20% more than traditional Medicare, indicating financial strain on the system.
  • Overpayments to MA providers have led to increased influence in policy making, raising concerns about interest group capture.
  • Reforms are necessary to create a more equitable Medicare system and support the sustainability of the Hospital Trust Fund.

Cite This Study

Mayes et al. (2025) studied this question.

synapsesocial.com/papers/68c1a27254b1d3bfb60dde0bhttps://doi.org/10.1111/1468-0009.70042
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Inside The Meteoric Rise Of Medicare Advantage2025 · 5 citations
  2. 2Medicare Advantage Under Fire: Public Criticism and Implications2024 · 5 citations
  3. 3Growing Divergence Between Medicare Advantage Plan Bids and Payments to Plans2024 · 2 citations
  4. 4Protecting the Integrity and Quality of the Medicare Advantage Program: A Position Paper From the American College of Physicians2026
  5. 5Trends in Selection Into Medicare Advantage2026