Medicare Blog

how successful is medicare

by Elyse D'Amore Published 2 years ago Updated 1 year ago
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Throughout its 50 year history, it would appear that overall, Medicare has been a success. The program was originally signed into law back in 1965 by President Lyndon Johnson. Since that time, the program covers approximately one-third of all Americans, and it accounts for $4 of every $10 that is spent on health care in the United States.

Medicare's successes over the past 35 years include doubling the number of persons age 65 or over with health insurance, increasing access to mainstream health care services, and substantially reducing the financial burdens faced by older Americans.

Full Answer

What are the strengths of a Medicare agent?

These Medicare agents come from different backgrounds, but all of them have three common strengths: They’re driven to succeed, they go the extra mile for their clients and each of them are able to take advantage of different opportunities to market themselves. Jim has been an insurance agent for over 30 years.

Is there a difference between summer and fall for Medicare Advantage?

He also has what he calls two seasons: Summer is for Medicare Supplements, and fall is for Medicare Advantage. Richard loves to do seminars in the fall because they’re an easy way for him to reach a large audience quickly.

How do health insurance agents market to seniors?

Each of them use simple marketing techniques to expand their customer base, ranging from newspaper ads to volunteering with a nonprofit organization supporting seniors who may also be looking for a great health plan. These affiliated agents go above and beyond by helping out in their communities.

How has Medicare Advantage done?

How much does Medicare pay?

Can Medicare Advantage exclude the sickest?

Is changing who pays the bill a real reform?

Is universal health care more economically viable?

Does Medicare Advantage cover dental?

See more

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How widely accepted is Medicare?

The simple answer to this question is yes. Ninety-three percent of non-pediatric primary care physicians say they accept Medicare, comparable to the 94 percent that accept private insurance. But it also depends on what type of Medicare coverage you have, and whether you're already a current patient.

What is so great about Medicare?

Medicare guarantees affordable health insurance. Medicare delivers a guaranteed level of coverage to people who might not otherwise be able to afford it. And it helps insulate beneficiaries from rising health care costs.

What is the downside of Medicare?

There are some disadvantages as well, including provider limitations, additional costs, and lack of coverage while traveling. Whether you choose original Medicare or Medicare Advantage, it's important to review healthcare needs and Medicare options before choosing your coverage.

How many people have benefited from Medicare?

Medicare beneficiaries In 2020, 62.6 million people were enrolled in the Medicare program, which equates to 18.4 percent of all people in the United States. Around 54 million of them were beneficiaries for reasons of age, while the rest were beneficiaries due to various disabilities.

What would happen if Medicare ended?

Payroll taxes would fall 10 percent, wages would go up 11 percent and output per capita would jump 14.5 percent. Capital per capita would soar nearly 38 percent as consumers accumulated more assets, an almost ninefold increase compared to eliminating Medicare alone.

What is the biggest disadvantage of Medicare Advantage?

Medicare Advantage can become expensive if you're sick, due to uncovered copays. Additionally, a plan may offer only a limited network of doctors, which can interfere with a patient's choice. It's not easy to change to another plan. If you decide to switch to a Medigap policy, there often are lifetime penalties.

What are two major problems with respect to the future of Medicare?

Financing care for future generations is perhaps the greatest challenge facing Medicare, due to sustained increases in health care costs, the aging of the U.S. population, and the declining ratio of workers to beneficiaries.

How secure is Medicare?

The bottom line is that, even without any changes, Medicare is completely fine for now, and will continue to be for more than another decade. After that, however, there's a serious possibility that Medicare will run out of money if nothing is done to fix the shortfall.

What are the challenges of Medicare?

Medicare's challenges are not solely financial. Medicare beneficiaries are a diverse group with diverse health care needs, and certain beneficiary populations—such as those with a disabilities or multiple chronic conditions—are particularly vulnerable to having high health care needs.

Did Medicare increase life expectancy?

From 1965, when Medicare was enacted, to 1994, life expectancy at age 65 increased nearly 3 full years. Those who reached age 75 in 1994 could expect to live, on average, 11 additional years.

What percentage of Americans use Medicare?

Currently, 44 million beneficiaries—some 15 percent of the U.S. population—are enrolled in the Medicare program.

Where does Medicare money come from?

Funding for Medicare, which totaled $888 billion in 2021, comes primarily from general revenues, payroll tax revenues, and premiums paid by beneficiaries (Figure 1). Other sources include taxes on Social Security benefits, payments from states, and interest.

How has Medicare Advantage done?

After two decades, how have they done? The good news is that the plans did compete for enrollees and reduced utilization of high-cost services with little adverse effects on health. Use of emergency departments, ambulatory surgery and high-cost imaging are 20% to 30% lower in Medicare Advantage plans compared to fee-for-service Medicare. Beneficiaries enrolled in Medicare Advantage receive about 10% fewer hip and knee replacements and have lower rates of hospital readmissions than traditional Medicare. Further, the evidence suggests that risk-adjusted mortality is lower in Medicare Advantage plans, which may reflect better care coordination and greater use of preventive services.

How much does Medicare pay?

Excluding deductibles and some other exceptions, Medicare typically pays 80% of the bill and the beneficiary pays 20%.

Can Medicare Advantage exclude the sickest?

Medicare Advantage plans can’t exclude the sickest from participating in order to keep costs lower. While sicker seniors historically tended to choose traditional Medicare because of the ability to see any provider, that trend has diminished over time.

Is changing who pays the bill a real reform?

Simply changing who pays the bill is not real reform. The health systems most often cited for providing high-quality, cost-effective care are integrated systems such as Kaiser Permanente in the West, Intermountain Healthcare in Salt Lake City and Geisinger Health in Pennsylvania. They each rely on coordinated, team-based care, with access to transparent data on costs and clinical outcomes. And like most Medicare Advantage plans, they do a better job of educating patients to enable them to take greater control over their own health.

Is universal health care more economically viable?

A universal health care system of managed competition built around this type of care model is more politically feasible and more economically sustainable than expanding fee-for-service Medicare.

Does Medicare Advantage cover dental?

The bad news is that only one-eighth to one-half of the realized savings in Medicare Advantage plans are passed on to beneficiaries, either in the form of lower premiums and/or additional services such as dental, vision, and hearing that traditional Medicare does not cover. The bulk of the savings are retained by the plans.

Why Is Selling Medicare A Lucrative Business?

So if you can picture my audience, most probably are familiar with Medicare, maybe they’re even thinking about selling Medicare, maybe they sell Final Expense like you guys focused on as your primary product at one point. Maybe it was just brand new. Describe to us what makes selling Medicare a lucrative business to be involved in.

What happens if you go out and try to change Medicare?

If you go out and try to change Medicare or reduce benefits, you will have millions of seniors go to the voting register and vote the bonds out, Republican or Democrat.

Is Medicare a lifetime renewal?

I mean, the nature of Final Expense, great product, but here today, none tomorrow, right? It’s the first year drive n product, a little bit of renewal, but the Medicare products bring in a lifetime renewal.

Can you pay for leads with hundred thousand dollars?

So obviously with the hundred thousand dollars coming in, you can pay for your leads, you can take time off, maybe the stress will ease, everybody knows what commission breath is. Maybe rent’s close and you’re just a little bit short on cash for rent, you don’t have to worry about that anymore.

Do people over 65 need technology?

But no, at the end of the day, these people, especially the ones over 65, they don’t want to depend on technology. They don’t want to make a mistake. They understand it’s their health insurance. And one mistake could cost them hundreds of thousands of dollars.

Is Medicare for seniors right?

You have to understand this. A senior who’s getting Medicare has paid into the system for decades. Okay? It is their right. That is how they feel about it. They have earned the right to access it at that point.

How has Medicare advanced the effort to not just treat illness and disease, but to also deliver more preventive care and to?

By making care available to more people, Medicare has essentially advanced the effort to not just treat illness and disease, but to also deliver more preventive care and to address more issues before they become acute.

Why was Medicare expanded?

Over time, Medicare has been widely expanded to cover many more people .

Why did seniors go without medical care?

Because of this, roughly one in four seniors went without medical care at all due to cost issues.

How many people are uninsured at 65?

Today, only 2 percent of Americans over 65 are uninsured – and, according to analysts, Medicare has even helped to increase the life expectancy for Americans over age 65 by five years.

How can we reduce spending on healthcare?

Reduced spending can be accomplished by focusing on better use of electronic health records data, as well as ceasing to perform unnecessary testing of patients and providing unwanted care.

Is Medicare going forward?

Medicare Going Forward. While Medicare has been considered a success, there is still much more that can be done. For example, health care spending can be made more efficient – and more oriented towards preserving one’s health rather than towards merely treating ailments.

Does Medicare provide public health care?

In addition to benefitting consumers, Medicare has also provided a great deal of public benefit as well. The funds from Medicare that continue to flow in to doctors, hospitals, and other health care providers have helped to keep care available for all Americans – while at the same time also allowing necessary financing for improvements in both medical technology and treatments.

How has Medicare Advantage done?

After two decades, how have they done? The good news is that the plans did compete for enrollees and reduced utilization of high-cost services with little adverse effects on health. Use of emergency departments, ambulatory surgery and high-cost imaging are 20% to 30% lower in Medicare Advantage plans compared to fee-for-service Medicare. Beneficiaries enrolled in Medicare Advantage receive about 10% fewer hip and knee replacements and have lower rates of hospital readmissions than traditional Medicare. Further, the evidence suggests that risk-adjusted mortality is lower in Medicare Advantage plans, which may reflect better care coordination and greater use of preventive services.

How much does Medicare pay?

Excluding deductibles and some other exceptions, Medicare typically pays 80% of the bill and the beneficiary pays 20%.

Can Medicare Advantage exclude the sickest?

Medicare Advantage plans can’t exclude the sickest from participating in order to keep costs lower. While sicker seniors historically tended to choose traditional Medicare because of the ability to see any provider, that trend has diminished over time.

Is changing who pays the bill a real reform?

Simply changing who pays the bill is not real reform. The health systems most often cited for providing high-quality, cost-effective care are integrated systems such as Kaiser Permanente in the West, Intermountain Healthcare in Salt Lake City and Geisinger Health in Pennsylvania. They each rely on coordinated, team-based care, with access to transparent data on costs and clinical outcomes. And like most Medicare Advantage plans, they do a better job of educating patients to enable them to take greater control over their own health.

Is universal health care more economically viable?

A universal health care system of managed competition built around this type of care model is more politically feasible and more economically sustainable than expanding fee-for-service Medicare.

Does Medicare Advantage cover dental?

The bad news is that only one-eighth to one-half of the realized savings in Medicare Advantage plans are passed on to beneficiaries, either in the form of lower premiums and/or additional services such as dental, vision, and hearing that traditional Medicare does not cover. The bulk of the savings are retained by the plans.

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