What key legislation governs Medicare Advantage Plans?

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The key legislation that governs Medicare Advantage Plans is the Social Security Act. This act established the Medicare program, which includes Part C, commonly known as Medicare Advantage. Medicare Advantage Plans are private insurance plans that provide Medicare benefits, and they must adhere to the regulations set forth under the Social Security Act.

While the Affordable Care Act, the Patient Protection Act, and the Medicare Improvements for Patients and Providers Act all have implications for healthcare and Medicare, they do not serve as the primary legislative foundation governing Medicare Advantage Plans. The Affordable Care Act made significant reforms to healthcare, including some related to Medicare, but it is not the cornerstone legislation for Medicare Advantage. The Patient Protection Act is not a recognized term in relation to Medicare legislation, and while MIPPA made improvements and modifications to Medicare, it does not underpin the basic structure and governance of Medicare Advantage Plans. The Social Security Act remains the centerpiece for Medicare, encompassing both the original Medicare program and Medicare Advantage Plans.

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