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MOOP, there it is! Cost-sharing limits reemerge as Senate Democrats propose Medicare changes

A photo of Sen. Ron Wyden, Ranking Member of Senate Finance Committee.
Photo: Anna Moneymaker/Getty Images

A potentially $50 billion proposal to cap traditional Medicare out-of-pocket costs would trigger serious compliance and operational changes across CMS, Medigap, and Medicare Advantage.

A long‑shot proposal from Sen. Ron Wyden, ranking member of the Senate Finance Committee, renews attention on a major gap in Medicare: the lack of a statutory annual limit on Medicare out‑of‑pocket (MOOP) spending. The bill, co‑sponsored by 14 Senate Democrats, would establish an annual $5,000 cap for people

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