Medicare Blog

so, what would you do? real solutions for medicare solvency and reducing the deficit

by Juliana Adams Published 2 years ago Updated 1 year ago

Some proposals to reduce the national deficit would increase the age of eligibility for Medicare from 65 to 67, or even higher. This would "save money" for the federal government by shifting costs to beneficiaries, employers and states.

So, What Would You Do? Real Solutions for Medicare Solvency and Reducing the Deficit
  • Bring Down the Costs of Prescription Drugs.
  • Stop Paying Private Medicare Plans Anything More Than Traditional Medicare. ...
  • Lower, Don't Raise, the Age of Medicare Eligibility. ...
  • Let the Affordable Care Act Do Its Job.
Jun 9, 2011

Full Answer

How can we solve Medicare's problems?

But the most convincing solvency proposals look to bring more revenue into the Medicare system. For instance (and pardon the wonkspeak): redirecting revenue raised from "the net investment income tax" into the Part A trust fund rather than where it goes now, into the federal government's general revenue kitty.

What are the insolvency projections for the Medicare hospital insurance trust fund?

Insolvency projections for the Medicare Hospital Insurance Trust Fund have varied over the years, with current estimates projecting insolvency in 2026. Its Hospital Insurance Trust Fund pays for what's known as Medicare Part A: hospitals, nursing facilities, home health and hospice care and is primarily funded by payroll taxes.

What does Medicare insolvency really mean?

What Medicare Insolvency Really Means Current insolvency projections mean that the trust fund could pay 90% of Part A bills once the depletion date is breached. The bills would be paid, but with delay. And it's possible that a risk of lower payments to hospitals and other health care providers might limit access to some of their services.

How is Medicare Part A funded?

Its Hospital Insurance Trust Fund pays for what's known as Medicare Part A: hospitals, nursing facilities, home health and hospice care and is primarily funded by payroll taxes. Employers and employees each kick in a 1.45% tax on earnings; the self-employed pay 2.9% and high-income workers pay an additional 0.9% tax.

How can Medicare solvency be improved?

To extend the solvency of the trust fund, we have two choices: spend less or increase revenues. We believe there is substantial unnecessary spending in Medicare and outline ideas that increase efficiency and payment accuracy without reducing eligibility or benefits.

What is Medicare solvency?

Medicare solvency is measured by the level of assets in the Part A trust fund. In years when annual income to the trust fund exceeds benefits spending, the asset level increases, and when annual spending exceeds income, the asset level decreases.

How can I reduce my Medicare coverage?

Depending on the type of Medicare plan you are enrolled in, you could potentially lose your benefits for a number of reasons, such as:You no longer have a qualifying disability.You fail to pay your plan premiums.You move outside your plan's coverage area.Your plan is discontinued.More items...

Does Medicare have a deficit?

Medicare is on track to become insolvent by 2024 unless actions are taken. In search of a solution, @CommonwealthFnd spoke to experts on the program — here's what they said.

Is Medicare a solvent?

The Medicare Hospital Insurance Trust Fund will have sufficient funds to pay full benefits until 2026, according to the latest annual report released Aug. 31 by the Medicare Board of Trustees. That's unchanged from last year's report.

What is the solvency of Social Security?

Solvency for the Social Security program is defined as the ability of the trust funds at any point in time to pay the full scheduled benefits in the law on a timely basis.

Will I lose Medicare if I get married?

The good news about marriage and Medicare is that your coverage won't change. Neither will your spouse's. Whether you're already married, thinking about getting married, or no longer married, here's what you need to know.

Which statement is true about a member of a Medicare Advantage MA plan who wants to enroll in a Medicare supplement insurance plan?

Which statement is true about members of a Medicare Advantage (MA) Plan who want to enroll in a Medicare Supplement Insurance Plan? The consumer must be in a valid MA election or disenrollment period.

Does Medicare Work in the Philippines?

YES. Medicare can save at least fifty percent in costs if they allow American beneficiaries to be covered in the Philippines. The current annual cost per beneficiary is $11,743.

How is Medicare sustainable?

Medicare is Sustainable It simply requires governments to remain committed to supporting Medicare for the whole community ie providing free universal health care. Funding by the national taxation system ensures those who can afford to pay more, do pay more.

How much is the Medicare deficit?

The Medicare Trustees' report shows that the Part A Hospital Insurance trust fund will be insolvent in just five years, the trust fund faces a shortfall of 0.77 to 1.61 percent of payroll, and Medicare spending will grow significantly over the next few decades.

How does Medicare affect the economy?

In addition to financing crucial health care services for millions of Americans, Medicare benefits the broader economy. The funds disbursed by the program support the employment of millions of workers, and the salaries paid to those workers generate billions of dollars of tax revenue.

Medicare Financing: The Basics

The traditional Medicare program is made up of three parts: (1) hospital insurance (Part A) for hospital inpatient procedures; (2) supplemental medical insurance (Part B) for doctor’s visits and outpatient procedures; and (3) prescription drug coverage (Part D).

Doing Nothing Is Not an Option

As Congress begins to confront the soaring national debt today and in the years to come, it will become even more obvious that fundamental Medicare reform is an essential part of that process.

How long does it take for Medicare to become insolvent?

But now even those gimmicks have run their course. Estimates suggest the Medicare trust fund will become officially insolvent within five years —and could face a cash flow crunch even sooner.

When did Medicare Part A become a condition of Social Security?

In 1993, an administrative ruling by the Clinton administration—one that did not even go through notice-and-comment rulemaking—forced all individuals to enroll in Medicare Part A as a condition of applying for Social Security. This policy makes little sense, for several reasons.

What does it mean when seniors pay to Medigap?

Every dollar seniors pay to a Medigap insurer allows an organization like AARP to take their share of the cut (a.k.a. “ kickbacks ”) in the process. Fewer dollars running through insurance companies means less overhead and profits for the insurers—and more dollars back in seniors’ pockets.

How much money does Washington spend on Medicare?

According to the Congressional Budget Office, the national debt has roughly tripled since 2007 and is projected to rise such that, by the end of the coming decade, Washington will spend nearly $1 trillion per year just to pay the interest on our bills. Medicare itself has been effectively insolvent for several years.

Does Medicare have a cap on out of pocket costs?

Because the traditional Medicare benefits provided by law do not include a cap on out-of-pocket costs, roughly nine in 10 seniors have some type of “insurance” to provide such a catastrophic cap. Otherwise they could face medical bills totaling tens of thousands of dollars (or more) in the case of a medical emergency.

Can Republicans reform Medicare?

To be clear: Republicans can—and should—explore more comprehensive Medicare reforms, including a premium support program that would place private plans and traditional Medicare on a level playing field to attract and enroll seniors.

Will Biden rightsize entitlements?

In the immediate future, President Joe Biden and his Democrat colleagues in Congress will likely thwart any major attempt to right-size our entitlement programs, until Washington finally re-learns the habit of spending within its means.

What is solvency fix?

A solvency fix also could present an opportunity to improve benefits. For example, a reform package could add a hard cap on out-of-pocket costs for prescription drugs, or add dental, vision and hearing benefits to Original Medicare. It also could include addition of a long-term care benefit, perhaps the most significant uncovered risk ...

When will Medicare become insolvent?

The Medicare trustees projected last year that the Hospital Insurance Trust Fund will become insolvent in 2024 - less than three years from now. Just last week, the Congressional Budget Office (CBO) forecast a somewhat longer insolvency date due to an improving economic outlook - 2026.

What is the most urgent retirement issue facing the new Biden administration and Congress?

CHICAGO (Reuters) - The most urgent retirement issue facing the new Biden administration and Congress is not Social Security reform or figuring out how to boost savings in 401 (k)s and IRA accounts. FILE PHOTO: The sun rises on the U.S. Capitol dome before Joe Biden's presidential inauguration in Washington, U.S., January 20, 2021.

Will the trust fund run dry in 2024?

Without changes to expected spending or trust fund revenue, the checking account will run dry in 2024, and would have sufficient funds from current tax payments ...

Is there a shortfall in Medicare Part A?

Shortfalls are nothing new for Medicare Part A - they generally are the result of rising healthcare costs. But this is only the second time insolvency has been predicted within five years. The financial cliff has drawn closer due to declining payroll tax receipts during the economic downturn.

When his administration and Congress get around to staving off Medicare insolvency, should they address?

When his administration and Congress get around to staving off Medicare insolvency, some experts say, they ought to also address longer-term questions about how best to provide high-quality health care at an affordable price for older Americans.

When will Medicare become insolvent?

Medicare's Hospital Insurance Trust Fund is projected to become insolvent in 2024 or 2026 — just three to five years from now. Yet you probably haven't heard about that.

What is Medicare Part A funded by?

Its Hospital Insurance Trust Fund pays for what's known as Medicare Part A: hospitals, nursing facilities, home health and hospice care and is primarily funded by payroll taxes. Employers and employees each kick in a 1.45% tax on earnings; the self-employed pay 2.9% and high-income workers pay an additional 0.9% tax.

How much money did the Cares Act get from the Medicare Trust Fund?

And last year's Covid-19 relief CARES Act tapped $60 billion from the Medicare trust fund to help hospitals get through the pandemic. Meantime, Medicare rolls have been growing with the aging of the U.S. population. With the insolvency clock ticking, the Biden administration and Congress will need to act soon.

When will the Congressional Budget Office deplete?

Last September, the Congressional Budget Office (CBO) forecast depletion in 2024. In February 2021, the CBO pushed back that date to 2026 due to improved prospects for stronger economic growth and higher employment rates.

Is Medicare insolvency a new issue?

Medicare Insolvency Issues Aren't New. The Medicare Hospital Insurance Trust Fund has actually confronted the risk of insolvency since Medicare began in 1965 because of its dependence on payroll taxes (much like Social Security).

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