Been hearing MA is going away since 2008. Every year they grow and grow. Free stuff may not be healthcare but people love free shit. And I would say dental care, vision care, OTC items and going to a gym are all somewhat health related.A comparison between OM and MA. Here's one article. There are plenty of others.
Payments to Medicare Advantage Plans Boosted Medicare Spending by $7 Billion in 2019 | KFF
The federal government spent $321 more per person for beneficiaries enrolled in Medicare Advantage plans than for those in traditional Medicare in 2019, a gap that amounted to $7 billion in additional spending on the increasingly popular private plans that year, finds a new KFF analysis. The...www.kff.org
The problem is that there is waste and fraud on both sides. MA plans are not the panacea that you imply.
As far as MS companies not having a say, they all have actuaries and they have control on how they price their products.
As for all this free stuff, that's not health care. That's marketing.
As for the writing on the wall, if you're implying that MA plans are the future of Medicare then all I can say is that we're looking at different walls.
You are right about the actuaries and that's what's going to make Med Sups unaffordable for most. Nothing they can do to cut down on claims, just keep raising premiums every year.