That's not really a fair comparison. MACs handle claims processing and payments on behalf of CMS [0]. They don't have an actuarial stake in your care the way a

That's not really a fair comparison. MACs handle claims processing and payments on behalf of CMS [0]. They don't have an actuarial stake in your care the way a private insurance company would. [0]: https://www.cms.gov/Medicare/Medicare-Contracting/Medicare-Administrative-Contractors/What-is-a-MAC#WhatIsAMac https://www.cms.gov/Medicare/Medicare-Contracting/Medicare-A...