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The Medi­care changes rep­re­sent a rare con­sen­sus at a time when health care is­sues are among the most po­lit­i­cally di­vi­sive. Re­pub­li­can and Demo­cratic law­mak­ers, as well as Seema Verma, the Trump ad­min­is­tra­tion’s Medi­care chief, are pulling in the same di­rec­tion.

The idea of broader ser­vices through Medi­care Ad­van­tage was em­bod­ied in a bi­par­ti­san Se­nate Fi­nance Com­mit­tee bill to im­prove care for chron­i­cally ill se­niors. The leg­is­la­tion got spliced into a mas­sive bud­get bill passed ear­lier this year. The Trump ad­min­is­tra­tion is­sued reg­u­la­tions in the spring try­ing to ac­cel­er­ate the changes.

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