Medicare Blog

how will baby boomers affect medicare

by Mariano Hettinger IV Published 2 years ago Updated 1 year ago
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Retiring baby boomers will more than double Medicare and Medicaid costs by 2020, according to industry data. As health-care costs increase faster than economic growth, Medicare taxes and the Trust Fund will cover less and less. By 2033, some pundits say, the Trust Fund will be bankrupt, and taxes will pay only for 48 percent of the costs.

Aging comfortably as a baby boomer is a major concern. By 2020, retiring baby boomers are expected to more than double Medicare and Medicaid costs. As a result, some pundits anticipate that the Trust Fund will be bankrupt by 2033. Meanwhile, taxes will cover only 48 percent of the associated health care costs.

Full Answer

How will baby boomers affect Medicare?

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Do Baby Boomers need life insurance?

The Insurance Information Institute recommends that baby boomers consider buying or extending life insurance, which can fulfill financial obligations after your death and provide financial aid to your survivors like spouses, children or even parents. Consider whole or universal life insurance, which include savings components.

Are baby boomers healthier than prior generations?

When comparing today's older adults to those a century ago, the results favor baby boomers. Thanks to vaccines and antibiotics, baby boomers are less likely to suffer from infectious diseases and acute illness. Chronic diseases (heart disease, diabetes and arthritis, for example) develop 10 to 25 years later in life [source: Kolata ].

Why are baby boomers really delaying retirement?

Whether it’s out of need or desire, baby boomers are changing the face of retirement by delaying it- as long as possible in many cases. Here are the main reasons why. Common Reasons Older Adults Delay Retirement. Debt & Savings. It’s obvious that for many boomers, the when, how, and where factors of retirement are determined by money. The Great Recession caused some boomers to put thoughts of retiring on the back burner.

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How Will baby boomers Affect Healthcare?

Regardless of their longer life expectancy, baby boomers were more likely to have higher rates of hypertension, higher cholesterol, obesity and diabetes. These results indicate that seniors will push the cost of health care higher and increase the need for health care professionals as the boomers age.

How is the aging of the baby boomers affecting the Social Security system today?

The results suggest that baby boomers can expect higher incomes and lower poverty rates at retirement than current retirees have. Similar to current retirees, Social Security will account for about two-fifths of the projected family income at age 67 and will be received by almost all baby-boomer retirees.

How many baby boomers are aging into Medicare?

More than 3.3 million beneficiaries ages 65 to 74 joined traditional Medicare as the baby boom generation began qualifying for Medicare in large numbers. The number of beneficiaries ages 65 to 69 and ages 70 to 74 increased by 28.9 percent and 10.9 percent, respectively.

Will Boomers drain Social Security?

The Bottom Line. While the aging of the baby boom generation is changing the math for the future of Social Security, it won't lead to the system's demise. Even if the trust funds run out of money, benefits will be covered by workers who pay Social Security taxes.

What are some negative consequences of the baby boom?

Negative impact on employment These effects cause a decline in young males' income relative to workers in their prime, a higher unemployment rate, a lower labor force participation rate and a lower college wage premium among these younger workers.

What problems do baby boomers face?

Baby boomers were born in the prosperous years following World War II. As they age, they are now facing financial, health, and economic challenges. Some of their most pressing problems are saving enough for retirement and caring for elderly parents.

Who will take care of boomers?

When the oldest baby boomers begin turning 80 in 2025, there will be a growing wave of people who may need more support and services, and the burden will be heaviest for their children. Most long-term care is provided by a spouse, by children — daughters more often than sons — and by other family members.

What generation Group is powering the growth of seniors?

Baby boomers have changed the face of the U.S. population for more than 70 years and continue to do so as more enter their senior years, a demographic shift often referred to as a “gray tsunami.” The 2020 Census will provide the most up-to-date count of the baby boom generation, now estimated at about 73 million.

What Year Will baby boomers retire?

In 2011, that first round of Baby Boomers—those Americans born between 1946 and 1964—turns 65. From now until 2030, 10,000 Baby Boomers each day will hit retirement age. Millions will begin to officially retire, collect social security checks and go on Medicare.

How many retirees have no savings?

According to a PwC report, one in four Americans have no retirement savings. Taking them and people who aren't saving enough into account, the Employee Benefit Research Institute estimated the retirement savings deficit to be $3.68 trillion in early 2020.

How much money can you have in the bank on Social Security retirement?

$2,000You can have up to $2,000 in cash or in the bank and still qualify for, or collect, SSI (Supplemental Security Income).

What will happen when Social Security runs out?

Reduced Benefits If no changes are made before the fund runs out, the most likely result will be a reduction in the benefits that are paid out. If the only funds available to Social Security in 2033 are the current wage taxes being paid in, the administration would still be able to pay around 75% of promised benefits.

Why is Medicare so low?

Medicare also keeps premiums low because it has a gargantuan insurance pool, which is hundreds of times bigger than the pool of people enrolled in your employee health plan. That stupendous size give Medicare a lot of clout when it comes to negotiating prices for medical services. Medicare is the 800 lb. gorilla in the healthcare system.

What is Medicare insurance?

Medicare is a group health insurance plan. You know what that is, don’t you? You have probably been enrolled in one at your job since you became eligible to do so, which was at some point after you started working there. It’s what helps you pay your medical bills, and your premiums for it are automatically deducted from your paycheck. the plan is run by an insurance company.

Is Medicare a self funded plan?

Because, as I am sure you understand quite well, Medicare is not some budget-draining government giveaway to older people. It is a self-funded health insurance plan, just like the kind you are already familiar with. Except its enrollment is much, much bigger. And because of that, it is less costly for the enrollee, with much lower premiums but with the same quality (or better) of benefits. And (horrors!) it is run by the Federal government.

When did Social Security start?

Social Security began in 1935 and was signed in by Franklin Delano Roosevelt, in the wake of his enormous efforts to bring us out of the Great Depression. It takes up a great deal of the Federal budget, so over generations, reforms have been done to keep it solvent. This may mean paying more SS taxes thru your job, having to wait to an older age, etc.

Where does 3/4 of Part B cost come from?

But 3/4 of Part B costs comes out of the general taxation funds - and that is jacking the budget higher every year

Is Medicare the same as Social Security?

Well, Medicare is the same thing. You enroll in it when you are eligible, it helps to cover your medical bills, and premiums for it are automatically deducted from your government paycheck (more commonly known as your monthly Social Security retirement benefit). The only difference is that you are not paying rather costly premiums to a private insurance company so that its executives can get bonuses that they use to buy new yachts every couple of years.

What is the downside of Medicare?

Although Medicare offers exceptional benefits, the big downside to Medicare plans is that they only cover 80% of medical expenses. That leaves a retiree owing the remaining 20% themselves without an out-of-pocket spending limit to protect them.

What are the challenges of Medicare?

The challenges that retirees face when they are Medicare-eligible also include being inundated with marketing information through the mail, over the phone and through the various forms of television and social media. It can make what should be an exciting time for the retiree stressful.

What are the three most common standardized plans used to supplement Medicare?

The three most popular standardized plans used to supplement Medicare are Plans F, G and N. Since Medicare does not cover prescriptions, an individual would need a stand-alone plan referred to as Part D. There is a separate monthly premium for a Medigap Supplement or a Part D plan.

What is Medicare Advantage?

More retirees today are selecting an alternative plan to traditional Medicare, called Medicare Advantage, thinking they are supplementing their Medicare card. This is in large part due to not fully understanding the Medicare process and its options.

What is traditional Medicare?

Traditional Medicare is what retirees have paid into their entire lives through their payroll taxes known as FICA. FICA is comprised of the following taxes: 6.2% Social Security tax; 1.45% Medicare tax. The Medicare tax the baby boomer generation paid into was designed so that Medicare would be their last insurance plan.

Is Medicare a primary insurance?

A Medigap plan retains Medicare as the primary insurance. I often tell retirees to think of Medicare as the body and the Medigap as the arm attached to it. The Medigap plan is accepted everywhere Medicare is accepted and is portable if someone moves or is traveling.

Is Medicare Advantage a supplement?

Having personally talked to thousands of eligible Medicare beneficiaries that have Medicare Advantage plans, most think the Medicare Advantage plan is their supplement to Medicare. Many are surprised to learn that the Medicare Advantage plan is not a supplement to Medicare, but instead an alternative plan designed to privatize ...

What age did the baby boomers start Medicare?

Even though there was a large increase in Medicare beneficiaries ages 65 to 74 when the baby boomers began entering Medicare, this age shift does not explain why Medicare spending per beneficiary has grown so little in recent years.

When did Medicare spend growth slow?

Across all Medicare age groups, even the oldest beneficiaries, annual Medicare per-beneficiary spending growth was low from 2007 to 2015. If the Medicare age distribution had not changed during this time, the Medicare program would have still experienced lower spending growth. The Slowdown in Medicare Spending Growth for Baby Boomers ...

What is age adjustment in Medicare?

Age adjustment: To account for the shift in the age distribution of the Medicare population, we estimate what mean overall spending would be if the mean spending levels by age group changed over time as observed in the data, but the proportion of beneficiaries in each age group remained the same as in 2007.

What is Medicare payment rate adjustment?

Payment rate adjustment: All spending level and spending growth measures are adjusted to account for annual changes in Medicare payment rates. In all years, reported spending levels reflect payment rates in effect in 2015. Information on annual payment rate changes is based on notices in the Federal Register and data from the Centers for Medicare and Medicaid Services.

How much did Medicare spend on beneficiaries in 2015?

Among beneficiaries age 90 and older, spending per beneficiary increased by 10.0 percent from $12,948 in 2007 to $14,244 in 2015. Almost all age groups among traditional beneficiaries younger than age 65 had increases in Medicare spending levels from 2007 to 2015.

What was the average annual growth rate of Medicare spending per beneficiary from 2007 to 2015?

Before adjusting for changes in the Medicare population’s age distribution, the average annual growth rate of spending per beneficiary was –0.04 percent from 2007 to 2015. (Like all spending estimates reported in this brief, these estimates reflect Medicare spending after adjustment to 2015 Medicare payment rates.)

What age group did the spending rate decline in 2009?

The timing of when spending growth rates began to decline varied by age group. Unlike older beneficiaries, those ages 65 to 79 had modest increases in 2009 spending growth. In contrast, 2009 marked the first year of declining spending growth for beneficiaries 80 and older during this time period.

Why are hospitals so expensive for boomers?

It’s more expensive for hospitals to treat patients with chronic conditions because those individuals are more vulnerable to other illnesses. Without drastic changes to the health care system, issues of cost are predicted to worsen. 2 The Census Bureau’s estimate of how many boomers will enter retirement age predicts double-digit percentage increases through 2021, meaning the number of Americans who are eligible for Medicare will increase to 20 percent of the U.S. population by 2029, up from 13 percent in 2011. The problem comes from the fact that the number of people paying into Medicare (people between the ages of 18 to 65) will drop from 63 percent to just 57 percent by 2029. 2 These facts serve to further reinforce the need for more medical students to focus their studies on the care of aging and elderly patients.

How many people are born in the baby boom generation?

Individuals born between the years 1946 and 1964 are categorized as baby boomers, according to The U.S. Census Bureau. Approximately 75 million Americans make up the baby boom generation, and every year for the next 20 years roughly 3 million baby boomers will reach retirement age. 2 These facts will drastically change society, ...

How many geriatricians will be needed by 2030?

According to a study conducted by the Alliance for Aging Research, 33,000 geriatricians will be needed by 2030, and currently there are only 8,800 practitioners that are certified. 1.

What is the role of medical assistants in the elderly?

Medical assistants and doctors caring for elderly patients often work on interdisciplinary teams of other providers. Physicians, nurses, social workers, occupational therapists and family members all collaborate to provide comprehensive care for these patients with multiple needs. 1.

Do boomers need special care?

Boomers will need specialized care. The overall health of the boomer generation was compared with that of their parents in a research study published in JAMA Internal Medicine.

Will baby boomers need medical care?

More baby boomers will need medical care in the future. Medical students today are being prepared to treat a wide variety of illnesses amongst a more diverse population than ever before. Older patients are a major portion of those who will be seeking medical care in the future.

How much will Medicare cost in 2050?

2 Using Reinhardt’s worst-case scenarios for per capita spending, Medicare’s annual acute care costs would rise to $259.8 billion in 2030 and to $287.5 billion in 2050.

What will happen if health care is left as it is today?

If health care is left as it is today, the sheer numbers of baby boomers will drive increased use and, therefore, spending. In the 2000 census the Medicare-eligible U.S. population totaled 35.1 million.

Will the elderly consume more health care?

By their vastly increased numbers alone, the elderly will be consuming ever-increasing health resources over the next half-century. The issues of improved health and longevity are further changing the equation. In the final decade of life, Medicare costs rise dramatically.

How much will the baby boomers pay for health care in 2020?

Retiring baby boomers will more than double Medicare and Medicaid costs by 2020. Retired 65-year-old couples can expect to pay $275,000 in out-of-pocket expenses for health care, excluding long-term nursing care and rehabilitation — but only have a 50 percent chance of covering these costs. On the bright side, exorbitant health spending by baby ...

How much does a 65 year old pay for health care?

Since health costs rise along with age, this equation gets more problematic. The average 65-year-old couple in retirement can expect to pay $275,000 in out-of-pocket expenses for health care, according to Fidelity Investments. But by some estimates, they only have a 50 percent chance of covering these costs. According to a report by AARP, "the U.S. stands out for the high cost of health care and its failure to generate better health outcomes." So no matter how personally responsible emerging seniors may feel, half are likely to fall short when medical costs are concerned.

What are the structural changes in the health care industry?

As health care continues to take up a larger part of the overall economy, structural changes — such as the push toward paying for value, greater emphasis on care management and increased cost sharing with consumers — are taking a stronger hold, pulling back against rapid health-care spending growth. Retiring baby boomers will more ...

How many Americans are personally responsible for retirement?

Americans are unique in that a vast majority feel personally responsible for retirement preparation — a survey by Transamerica found that 91 percent felt very or somewhat personally responsible for post-retirement income sufficiency, versus 73 percent of workers globally.

How much chance of covering health care costs?

But by some estimates, they only have a 50 percent chance of covering these costs. According to a report by AARP, "the U.S. stands out for the high cost of health care and its failure to generate better health outcomes.".

Does baby boomer spending drive innovation?

If there is an upside, it's that exorbitant health spending by baby boomers has driven innovation in health care. Not all innovation leads to lowered costs, though; in fact, sometimes the opposite can occur. As new innovations, drugs and processes are created, demand for these services rise, increasing spending by an order of magnitude.

Do baby boomers retire?

As baby boomers retire, they don't just enter a new chapter — they leave big gaps in the workforce, and one many businesses aren't prepared for. To address the health-care industry alone, nearly two-thirds of baby boomer nurses are already considering retiring.

How does Medicare help the elderly?

Although Medicare has clearly improved the health status of the elderly through access to acute medical care ( Lubitz et al. 2001 ), additional interventions are necessary to improve health care services for the elderly. Much more must be done to facilitate better clinical care management of chronic diseases ( Wagner et al. 1996) and encourage healthy aging. This could include better use of clinical preventive services to reduce the costs of Medicare ( Russell 1998 ), thorough implementation of chronic disease management practices, and incentives to increase the use of behavioral interventions that could help patients quit smoking, better monitor diabetes, and promote physical activity. Although Medicare acute care costs are positively affected by prevention efforts, there is little payoff to medical care providers who invest in preventive efforts. This lack of connection between Medicare prevention efforts and savings is a current barrier to better integration of prevention efforts into Medicare.

What are the economic burdens associated with aging?

Various aspects of economic burden are associated with an aging population: social security payments will increase, medical care insurance costs will grow, the burden associated with uncovered medical expenses such as pharmaceuticals will become quite serious, and long-term care costs will grow. Much of the logic of the paper applies to each of these financial resource challenges. However, we focus principally on the implications of long-term care services, which along with prescription drugs, have had the fastest growing costs in the list cited.

What is the problem with long term care?

The “2030 problem” involves the challenge of assuring that sufficient resources and an effective service system are available in thirty years, when the elderly population is twice what it is today. Much of this growth will be prompted by the aging of the Baby Boomers, who in 2030 will be aged 66 to 84—the “young old”—and will number 61 million people. In addition to the Baby Boomers, those born prior to 1946—the “oldest old”—will number 9million people in 2030.

What are the challenges of aging in 2030?

The real challenges of caring for the elderly in 2030 will involve: (1) making sure society develops payment and insurance systems for long-term care that work better than existing ones, (2) taking advantage of advances in medicine and behavioral health to keep the elderly as healthy and active as possible, (3) changing the way society organizes community services so that care is more accessible, and (4) altering the cultural view of aging to make sure all ages are integrated into the fabric of community life.

What age group should be included in the denominator?

At the very least, the denominator should include only people 75 and older since the 65- to 74-year-old age group does not use large amounts of long-term care. The percentage of elderly older than 85 years who are ADL impaired or institutionalized is more than six times the rate of 65- to 74-year-olds ( Manton, Corder, and Stallard 1997 ). In fact, if the Baby Boom generation is healthier than past generations (as argued later in the paper), it very well could be that the young elderly might work longer and thus be considered producers. In addition, in considering macroeconomic burden, the other group of dependents in society—children—should be included in the denominator with the elderly, as both groups are dependent on the adult population.

How to prepare for the needs of large numbers of elderly?

If the care of the elderly begins and ends with entry into a formalized system that takes over when a person is almost unable to function day to day, society will face large service costs and will miss opportunities to help the elderly function as productive, independent citizens for larger portions of their elderly years. A community's social and economic systems need to become attuned to arranging services to meet the needs of an aging society in natural, informal ways.

How many elderly people will be in the US in 2050?

Their concern focuses on the large growth in the number of elderly over the coming years, from 35 million in 2000 to more than 80 million in 2050 ( Figure 2 ). This growth in elderly could lead to a precipitous drop in the number of workers per elderly if current working and retirement patterns do not change ( Figure 3 ).

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