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In this report on the future solvency of Medicare, the Committee for Economic Development proposes a policy that aims to maintain quality, “bend the cost curve,” and reduce the current unsustainable growth of costs under traditional Medicare. The report examines that financial realities of the Medicare system and proposes building on the existing Medicare Advantage programs, rather than imposing mandatory change on traditional Medicare. Medicare Advantage has some of the characteristics of the system that CED recommends, but it also has some flaws. This report suggests ways to achieve better efficiencies by offering beneficiaries more options and letting plans pass savings on to consumers.