A report issued by the Commonwealth Fund recently found that the ACA will get rid of what it calls $12.7 billion in overpayments accrued by MA plans in 2009, will save $640 million by reducing plan rebate payments and will simultaneously pay out $2.1 billion to plans that perform well. "The Medicare Advantage program must work just as well as traditional Medicare without costing more," Karen David, Commonwealth's president, said in a statement. "The Affordable Care Act will make that possible, while also protecting traditional Medicare, by eliminating excess payments to private plans while maintaining fair payments and rewarding plans for high quality."