Fight for our Future

Medicare Advantage (MA) has grown rapidly over the past decade, now covering more than half of all Medicare beneficiaries. But alongside that growth, a costly and often misunderstood problem has emerged: upcoding. Policymakers across the political spectrum increasingly agree that fixing upcoding is one of the most important steps Congress can take to slow the growth of federal healthcare spending. What Is Upcoding? Upcoding occurs when Medicare Advantage plans report that their enrollees have more—or more severe—diagnosed medical conditions than…