A Medicare Advantage lobbying group that's emerged as the biggest political ad spender this year appears focused on prodding endangered Democratic incumbents in battleground states to turn back a package of Biden administration policy changes.

• Better Medicare Alliance spent $13.5 million on media spots through March 31, according to data collected by AdImpact and shared with Axios. The group declined to comment.

Why it matters: The blitz comes as the Biden administration seeks to change elements of the way private Medicare plans get paid.

• The organization's ads portray the proposal as a cut Medicare that would hurt seniors.
• Yes, but: The Biden administration disputes the characterization and maintains the changes will make payments to insurers more accurate.

What we're watching: The next turn comes on or before Monday afternoon, when CMS is due to release the final Medicare Advantage payment notice for 2024.

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