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MA payments are $76B above what spending would have been in Medicare fee-for-service in 2026, says MedPAC report.
After years of cuts, AMA says it supports a bipartisan bill that "takes a meaningful step toward reestablishing Medicare payment stability."
The number of medical coders is being increased from 40 to approximately 2,000 by Sept. 1.
Higher-than-expected utilization and low reimbursement have challenged the program in 2024.
This is an 8% decline following the expiration of pandemic-era policies that temporarily increased star ratings for some plans.
The growth poses challenges to providers' credit quality, given growing risks to reimbursement from MA plans.
Groups are calling on Congress to prevent the proposed 2.93% proposed payment reduction for 2025.
"It would be political malpractice for Congress to sit on its hands and not respond to this report," says AMA president.
Rebates bring down prices by as much as half.
The concern is that the QBP overpays MA organizations and does not encourage quality improvement or help beneficiaries select plans.
