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domains/health/medicare-fiscal-pressure-forces-ma-reform-by-2030s-through-arithmetic-not-ideology.md
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@ -37,7 +37,7 @@ The spending gap grew from $18B (2015) to $84B (2025), a 4.7x increase while enr
### Additional Evidence (confirm)
*Source: [[2026-02-01-cms-2027-advance-notice-ma-rates]] | Added: 2026-03-16*
*Source: 2026-02-01-cms-2027-advance-notice-ma-rates | Added: 2026-03-16*
The 2027 reform package represents CMS executing sustained compression through regulatory tightening rather than waiting for fiscal crisis. The >$7 billion projected savings from chart review exclusion alone demonstrates arithmetic-driven reform acceleration.