Former President Donald Trump’s pending return to the White House could alter the very nature of Medicare, the nearly 60-year-old federal program.
More than half of Medicare beneficiaries are already enrolled in plans, called Medicare Advantage, run by commercial insurers. Based on Trump’s campaign positions and previous policies, that proportion is now expected to grow – perhaps dramatically – for a number of reasons
Trump and many congressional Republicans have already taken steps to aggressively promote Medicare Advantage. And Project 2025, a political wish list produced by the conservative Heritage Foundation for the next presidency, calls for making insurer-run plans the default enrollment option for Medicare.
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