To amend title XVIII to reform the Medicare Advantage program.

HR.3467 would reform the Medicare Advantage program by requiring plans to use capitated payments starting in 2028, limiting how risk adjustment is calculated, eliminating quality-based payment increases, and establishing stop-loss payments for plans with unexpectedly high costs. It would also automatically enroll eligible individuals into the lowest-premium Medicare Advantage plan available, with an opt-out option, and prohibit enrollees from switching plans or returning to traditional Medicare for three years after enrollment, except in cases of hardship. Additionally, the bill would require Medicare Advantage plans to include hospice care coverage and create a Stark Law exception for…

No official summary is available here. This one was written by AI from the bill’s text.