Medicare Advantage Civil Monetary Penalties and Profits

Jeffrey Marr; Zihan Chen; Kendra Offiaeli; David J. Meyers

doi:10.1001/jamahealthforum.2026.0217

April 3, 2026JAMA Health ForumOpen Access

Medicare Advantage Civil Monetary Penalties and Profits

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Key Points

The central aim is to evaluate whether civil monetary penalties serve as an effective deterrent against violations by Medicare Advantage insurers based on their profit margins.
Cross-sectional study design
Comparison of civil monetary penalties to profits of Medicare Advantage insurers
Focus on violations of program rules
Identified discrepancies between penalties and profits of insurers
Some penalties may not effectively deter rule violations due to low comparative impact
Implications for policy reform in Medicare Advantage

Implication

Cross-sectional study examines civil monetary penalties versus profits in Medicare Advantage, indicating deterrent effectiveness.

Abstract

This cross-sectional study examines how civil monetary penalties compare to the profits of Medicare Advantage insurers to understand whether they are large enough to be a meaningful deterrent to violating program rules.

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Cite This Study

Marr et al. (2026) studied this question.

synapsesocial.com/papers/69d1fde4a79560c99a0a43d4 https://doi.org/10.1001/jamahealthforum.2026.0217

View Full Paper

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Medicare Advantage Civil Monetary Penalties and Profits

Key Points

Implication

Abstract

Discussion

Cite This Study

Medicare Advantage Civil Monetary Penalties and Profits

Key Points

Implication

Abstract

Discussion

Cite This Study

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