Medicare Advantage Funding Floor: Ensuring Better Care in Underserved Areas.
This law sets a minimum funding level (benchmark floor) for Medicare Advantage plans in areas where traditional Medicare enrollment is low. The goal is to stabilize and potentially improve the quality of health services available to seniors in these regions. Crucially, at least half of any resulting funding increase must be spent directly on basic medical benefits for patients.
Key points
Establishes a minimum payment rate for Medicare Advantage plans starting in 2026, aiming to boost stability and access to care in certain geographic areas.
Requires that at least 50% of the increased federal payments resulting from this floor must be used directly to cover basic health benefits for beneficiaries.
Introduced
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