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Medicare Advantage is a success and can serve as the first stage ofreform, but Congress will have to change the existing paymentsystem and provide a system of premium support, properly adjusted,for each beneficiary. What is needed next is more robustcompetition for the entire program and parity in the payment tohealth care options that seniors choose.
Patient-centered, market-based health reforms can help to heal the fractured incentive structure surrounding dual eligibles, improve dual eligibles’ health, and save taxpayers’ money.