Some issues with Medicare Advantage

Problematic

this year 54 percent of all beneficiaries are enrolled in private Medicare plans. 

To those in favor of market-oriented solutions, this would seem like a success story. It would be, except one crucial piece of context: It is costing taxpayers a lot of money. The Medicare Advisory Payment Commission (MedPac), a nonpartisan congressional agency, estimates that the CMS has spent 23 percent more on Medicare Advantage patients than it would have if those patients were in traditional Medicare.

Free market abuses rather than automatic “efficiency “

Monopoly power

Incentives to cheat.