The Medicare Advantage Plan’s (MAP) struggle to establish reimbursement rights on par with traditional Medicare can be compared to a championship boxing match. It’s the middle of Round 4 and the MAP has been knocked down for the second time. Parties responsible for MSP compliance want a knockout and final victory proclaimed. However, no one can believe the fight is over and fully expects the fighter to rise off of the canvas to continue the fight. We all know, with the recent Magistrate’s recommendation out of Eastern District of Texas, that this fight is not over and will continue. More than likely a decision will be required of the U.S. Supreme Court to break the split in the Circuits.