Viewpoint

Medicare Advantage and Quality Measurement—A System at Risk

JAMA 10.1001/jama.2026.0369

February 12, 2026 at 11:00 AM EST

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This Viewpoint examines 3 dimensions of Medicare’s quality measurement enterprise regarding clinical care assessment, provider network performance, and quality improvement incentivization and outlines reforms to restore accountability.

Corresponding Author: Adam A. Markovitz, MD, PhD, University of Michigan Department of Internal Medicine, University of Michigan Medical School, NCRC, Bldg 16, Office 470W, 2800 Plymouth Rd, Ann Arbor, MI 48109 (amarkov@umich.edu).

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