Overview

• Over 40 Democratic lawmakers have urged Republican leaders to target Medicare Advantage 'upcoding' as a cost-saving measure instead of cutting Medicaid funding.
• The Congressional Budget Office (CBO) reports that proposed GOP Medicaid cuts could leave 5.5 million Americans without coverage, with half losing all health insurance options.
• Centers for Medicare and Medicaid Services (CMS) analysis reveals $83 billion in overpayments to Medicare Advantage insurers in 2024 due to fraudulent coding practices.
• Republicans aim to cut $880 billion from Medicaid to fund $5 trillion in tax cuts, but internal divisions persist, with moderates opposing deep reductions.
• Public polling shows strong opposition to Medicaid cuts, with 76% of Americans favoring maintaining or increasing funding for the program.