AI-assisted summary
The "No UPCODE Act" threatens to increase costs and reduce benefits for seniors enrolled in Medicare Advantage.
The act would alter risk adjustment calculations, potentially leading to a mismatch between government reimbursements and the true cost of care.
Medicare Advantage offers cost savings, lower hospitalization rates, and increased preventative services compared to traditional Medicare.
As someone who has spent decades working with patients and then in healthcare administration, I have seen firsthand how Medicare Advantage has improved the lives of seniors in South Carolina. While over half of eligible seniors choose Medicare Advantage, enrollees tend to be older, sicker, and more diverse than those on original Medicare. In fact, 40% of these beneficiaries qua