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Democrats also are focused on trimming payments to private health insurers that serve older people and the disabled. Democratic Sen. Max Baucus of Montana, who heads the Senate Finance Committee, has said a hard look at the payments and the marketing practices of insurers is long overdue.
The insurance companies provide coverage to about 9 million people through a program known as Medicare Advantage. The government, on average, spends about 12% more for beneficiaries treated through Medicare Advantage than it does for those in traditional Medicare. Under regular Medicare, the government simply reimburses a provider a set rate for a particular service.
But Leavitt said the administration will not support cutting money for Medicare Advantage.
"We want to protect it, enhance it and expand
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