Medicare Advantage is a privatized alternative to traditional Medicare that covers adults 65 and older and some people with disabilities.
November 20, 2025
high
descriptive
Describes the nature and target population of Medicare Advantage plans.
Between 2016 and 2022, the Centers for Medicare & Medicaid Services sent letters to five insurers after seven Medicare Advantage plans failed to meet provider network adequacy requirements.
December 31, 2022
high
temporal
Counts of CMS enforcement actions identified in agency documents produced in response to a records request covering 2016â2022.
Traditional Medicare does not use provider networks and is accepted by nearly all doctors and hospitals in the United States.
December 31, 2022
high
definitional
Contrast between traditional Medicare and Medicare Advantage regarding provider access.
Medicare Advantage plans typically require members to use selected networks of doctors, hospitals, and other providers and often offer lower out-of-pocket costs and extra benefits such as vision, dental, and hearing coverage.
December 31, 2022
high
definitional
Common structural features and benefit trade-offs of Medicare Advantage plans compared with traditional Medicare.