The Medicare Trustees Report unveiled Friday (March 31) pushes the insolvency date for the trust fund to 2031 -- similar to what the actuary projected earlier this month, and two years earlier than the Congressional Budget Office’s 2033 projection -- and pointed in part to lower Part A spending due to the movement of dually eligible beneficiaries to Medicare Advantage, lingering effects of the COVID-19 pandemic, and the movement of joint replacements to outpatient settings.