The following displays a complete ignorance of how MA works and ignores the problems already identified – not sure what the first sentence says as MA plans are private plans.
What you read here is the foundation for privatizing Medicare. MA should never have existed or should be costing taxpayers no more than what basic Medicare pays.
You have to ask yourself, how do MA plans accomplish all this?

MA plans aggressively manage patient access to care care and limit access to network providers. Rather than providing a reasonable cost, it is more likely they are overpaid by Medicare.
In fact, Medicare spending per enrollee in a MA plan has been higher than traditionally Medicare for years.
As far as quality of care goes, it’s not the MA (insurance company) than provides the care, but rather health care providers who, of course, provide care to all types of patients including those with regular Medicare.
Consider this:
Department of Justice (DOJ): The DOJ is investigating allegations of fraudulent practices by some Medicare Advantage insurers. Specifically, they’re looking into situations where organizations might have submitted inaccurate information regarding patient health status to increase their reimbursement.
Office of Inspector General (OIG): This government watchdog is examining how Medicare Advantage plans use prior authorization, a process requiring approval before certain treatments are covered. Concerns include possible delays in necessary care due to these approvals.
Another recent investigation by the Wall Street Journal exposed that some insurers might have received improper payments for diagnoses added to patient records. This has raised concerns about the accuracy of coding practices used by some Medicare Advantage plans


I’m not interested in a Trump-Biden debate but I do wonder why a position paper from a think tank has generated so much interest. You can go to Heritage Foundation, the Cato Institute as well as any number of lesser known think tanks and find all sorts of positions. Is any of it ever acted on? Is any of it widely read? I don’t know but before I get interested in any of their topics, I would need someone to inform me as to my questions concerning the likelihood that this report is actionable.
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The keynote speaker, Tom Homan, at the RNC tonight is the lead author of Project 2025. The majority of contributors to Project 2025 were former Trump staffers who will likely work in his next administration as well. JD Vance is a huge Project 2025 proponent. The facts are clear that this will the blueprint for the next Trump administration. If you support Project 2025, then vote for Trump, but there is no need to mislead people by acting like it is just another think tank. That is a GOP talking point because they know how unpopular many of the parts of 2025 are, like cutting veteran benefits and Medicare and social security.
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Thank you for continuing to publish this. It is surreal how the people most likely to vote for Trump don’t realize they are voting against their own interests (except billionaires, who have a vested interested in tax policy). While I think it unlikely that much of Project 2025 will be implemented, as the GOP would have to take both houses of Congress and abolish the filibuster, the odds have certainly increased, especially with the Supreme Court giving the President full immunity for any official acts. In any case, you definitely hit upon the other issue with Project 2025, that the massive privatization effort just opens up tremendous opportunities for corruption. As inefficient and frustrating as our undermanned civil service can be now, replacing them with private equity would be ten times worse. Imagine – sorry, our proprietary AI has ruled against your Medicare or Social Security. There is no way to talk to a human. Goodbye.
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dire times are to come unless we vote for the lefties–look at all the good things they have done for us–surprised that there is even a contest this year–Biden, or whoever they anoint in a coup–glad there is no Medicare fraud, I mean I never read about it.
I know folks with both Adv. and regular Medicare and they are all satisfied. I use neither but friends certainly do and both seem to work. Let folks decide which works for them and then purchase “B’– “D” and a supplemental or go with an Advantage plan.
Oh, sure the Trump voter is so stupid as they vote against their own interests–and off course you know what their best interests are.
This by the folks that believed in the Russian conspiracy–de-fund the cops was a good idea (just re- imagine policing)–Hunter’s computer was Russian disinformation–Charlottesville was where Trump praised the Nazi,s (Google Snopes), the border is closed and those illegals are all made up by Fox News—inflation was 9% in January 2021–Biden is not cognitively impacted in any negative way–democracy is not threatened when they stage a coup to oust their presidential candidate not because they care about the country being in the hands of a sick man, but because they might lose.
Now the same folks who bring you illegal immigrants at record numbers tell you they didn’t place Secret Service agents on a slanted roof as they feared for the agents’safety–I could have sworn the shooter was on that same roof. And that fool still has her job!
The Secret Service DEI hire probably said: we had a sign next to the building and it read; shooter go to the roof–agents go inside the building. You can’t make this sh… up!
Picture the crowd in Butler, PA–think about Mr. Comperatore–to Hillary they were deplorables, and to our great leader they have been described as enemies of our democracy and maga extremists .
No riots–no looting–no burning
Sure, the great unwashed are stupid in the eyes of many but after all the BS many others fell for, I think they can make up their own mind and probably know better than most what works best for them and their families.
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