DOI: 10.1001/jama.2026.19161 ISSN: 0098-7484

Reforming Risk Adjustment in Medicare Advantage—A View From Congress

Sunjay Letchuman, William M. (Bill) Cassidy

This Viewpoint outlines reforms to Medicare Advantage risk adjustment to help limit overspending, including extending the reference period used to calculate Medicare risk scores and excluding diagnoses solely from in-home assessments.

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