Insurance Industry, Biden Admin Trade Barbs Over Medicare Advantage ‘Cuts’

In the view of Medicare Advantage organizations (MAOs) and their allies, federal regulators have been unjustifiably assailing an increasingly popular program among seniors. But to the Biden administration, MAOs’ complaints are unfounded — and their attempt to paint the latest round of proposals as a pay cut is intentionally misleading.

To one longtime health care industry observer, both sides’ arguments amount to “just a lot of noise” that doesn’t do much to prove their cases in the court of public opinion.

As for whether MAOs are actually in line for a pay cut, “it’s one of those things where it’s too close to call…and they’re arguing in the review booth at an NFL game,” says John Gorman, who worked at CMS during the Clinton administration and is now chairman and CEO of Nightingale Partners LLC.

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