It's open enrollment when those with Medicare can adjust the supplemental programs, those involving the cost of their medications as well as out-of-pocket spending. Here's a quick guide. (And we're betting you can find a way to reduce your spending before Congress gets to it.)
Just like the hapless victim in Three Card Monte, physicians will bear the brunt of financial risk in Medicare Advantage and other "risk sharing" plans. It is not that they shouldn't have skin in the game, it's just that all the skin should not be theirs.
Because Medicare Advantage programs are paid in part, by the value their care-partners provide, they choose their partners carefully. And when incentives are aligned, patient outcomes seem to improve.