Urban Institute Update
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Challenges of choice in Medicare


Medicare beneficiaries face many choices when entering the program and often seek assistance from health insurance agents and brokers to determine their coverage options.


Analysis of how these actors may influence Medicare enrollment finds that their financial incentives maybe be misaligned with the beneficiaries they serve. Additionally, the Medicare Advantage (MA) sales industry has grown rapidly alongside MA enrollment growth, spending billions of taxpayer dollars annually on marketing and sales. This may represent a significant, understudied target for reducing MA overspending.


Strategies to help beneficiaries navigate enrollment and reduce taxpayer spending on the MA sales industry include tying agent and broker commission increases to inflation and benchmarking them to other insurance markets, increasing funding for neutral enrollment assistance, and reining in MA overpayment.



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