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Recent developments regarding Medicare have brought significant attention, with former President Donald Trump being presented an opportunity to champion Medicare reform. This follows the Biden administration’s latest proposal, which experts criticize for underfunding the widely used Medicare Advantage program.
According to Ann Marie Buerkle, a former Republican representative from New York and an advocate for seniors, the administration’s move represents a crucial moment for Trump. “This is Trump’s opportunity to save Medicare,” Buerkle stated. She highlighted the importance of Medicare Advantage, which serves approximately 34 million Americans. The plan’s underfunding could lead to significant disruptions in healthcare for seniors.
Buerkle emphasized that the program needs proper funding aligned with projected medical cost trends. She noted, “If Trump ensures Medicare Advantage gets the funding it requires for 2026, he’ll be correcting the previous administration’s mistakes and supporting seniors just before the upcoming midterm elections.”
Medicare Advantage plans are private insurance offerings that contract with Medicare, and they cater primarily to individuals aged 65 and older. In contrast, traditional Medicare is a federal program designed for seniors and younger individuals with disabilities.
The Biden administration has previously instituted cuts to Medicare Advantage rates. For instance, in April 2024, experts warned that these changes would translate to an additional $33 monthly charge, totaling about $396 annually for enrollees. Critics argue these cuts disproportionately harm seniors on fixed incomes facing rising inflation.
Just weeks before the current administration’s transition, the Biden team released a final regulation affecting Medicare Advantage. It proposed a 2.2% increase in average benchmark payments, yet experts such as Buerkle argue that this is insufficient. The proposed rates still fall short of keeping pace with current inflation rates, which stand at 2.7%.
Buerkle stated, “Underfunding Medicare Advantage will lead to increased premiums and out-of-pocket costs for beneficiaries.” She noted the importance of Medicare Advantage in managing healthcare efficiently, claiming it has saved taxpayers approximately $144 billion over the last decade.
The proposed measures are not yet finalized, with Trump’s administration having a deadline of April 7 to establish a fiscal strategy for 2026. During a recent rally, Trump assured his commitment to not cut Medicare or Social Security, offering reassurance to supporters and constituents.
In a published op-ed, former Louisiana Governor Bobby Jindal cautioned against late-term cuts to Medicare Advantage. He remarked, “The Biden administration has disguised funding reductions as ‘payment adjustments,’ impacting a program that seniors rely on heavily.” Jindal further emphasized bipartisan support for refining Medicare Advantage to enhance service delivery.
Buerkle warned that the Biden administration’s recent policies may serve as a pathway toward a government-centered healthcare model, undermining the successes of Medicare Advantage. The upcoming months will be pivotal for Trump’s administration as they reassess Medicare policies and work to protect this vital program for seniors.