Medicare Blog

what is biden doing to medicare

by Ms. Adell Wiegand Published 2 years ago Updated 1 year ago
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Will Biden’s Medicare plan get expanded?

Oct 28, 2021 · President Biden has dropped a long-sought expansion of Medicare from his $1.75 trillion social spending bill to the chagrin of far-left Democrats. A broad framework for the deal released by the...

What does Joe Biden want to do about prescription drug prices?

Mar 02, 2022 · In his State of the Union address Tuesday night, Biden called for capping insulin prices at $35 a month for all Americans, as well as allowing Medicare to negotiate prices with drug manufacturers —...

Will Biden’s Medicare age cut help seniors over 60?

Nov 02, 2021 · President Biden and Congressional Democrats rolled their sleeves up in recent days to produce a compromise plan to end this unfair prohibition and reduce the costs of prescription drugs, while...

What does Biden's proposed plan mean for Social Security?

Jan 20, 2021 · Medicare Expansion . Biden has called for expansion of Medicare by reducing the eligibility age to 60.

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How does Biden's plan affect Medicare?

President Biden's scaled-down $1.7 trillion Build Back Better social spending and tax plan retains major benefit increases for Medicaid long-term care recipients as well as Medicare enrollees. But it trims more ambitious initiatives and drops an earlier proposal for family and medical leave.Oct 29, 2021

Is Biden going to change Medicare to age 62?

The Proposal for Medicare at 60 Besides a proposal to offer a public health insurance option similar to Medicare, President Biden hopes to lower the Medicare eligibility age to 60. During the presidential race, this was part of his health care platform. Currently, the age at which one becomes Medicare-eligible is 65.Dec 7, 2021

Will the Medicare age be lowered?

More than 125 House lawmakers introduced legislation Friday that lowers the Medicare eligibility age to 60 from 65. The Improving Medicare Coverage Act — led by Reps.Sep 7, 2021

Does build back better lower Medicare age?

The BBBA—at least in its current form—would not lower the Medicare eligibility age, nor would it expand fee-for-service (FFS) Medicare coverage to dental or vision services. The legislation does, however, provide a new hearing benefit in Medicare FFS.Nov 10, 2021

Why is Medicare so expensive?

There are two reasons: Traditional Medicare has gaps in coverage that most people fill by purchasing supplemental plans, which means they pay added premiums.

How much does a 60 year old get with ACA?

In Houston, a 60-year-old making $32,000 can get a midlevel ACA “silver” plan for $88 a month, compared with either $284 for traditional Medicare plus a Medigap supplement and a prescription plan, or a Medicare Advantage plan starting at $149.

Will Biden lower Medicare eligibility to 60?

Email this article. The Associated Press. In this May 13, 2021 file photo, President Joe Biden speaks in the Roosevelt Room of the White House in Washington. Biden and many Democrats have proposed to lower Medicare’s eligibility age to 60, to help older adults get affordable coverage. But a new study finds that Medicare can be ...

Is Medicare a tax financed plan?

A new tax-financed plan modeled on Medicare and offering comprehensive coverage with no premiums or deductibles would be better for consumers, he said. And the U.S. would reduce health care spending because Medicare pays doctors and hospitals less than private insurance.

Is Biden asking Congress to extend the more generous financial assistance that has brought down the cost of Obamacare premiums

Biden is asking Congress to permanently extend the more generous financial assistance that has brought down the cost Obamacare premiums. The Avalere analysis also found that uninsured people make up only 8% of the 24.5 million adults ages 60-64 who would qualify for Medicare by lowering the eligibility age.

What would happen if Medicare was expanded?

This proposed Medicare expansion, based on Medicare rates and taxpayer subsidies, would further erode private health coverage—and create a new class of persons dependent on government. It would make federal taxpayers pay for private businesses’ heath care bills.

What is the expansion of government health care financing?

The expansion of government health care financing is the expansion of government power and control over Americans’ health care. That, finally, is the point of the Biden ...

What is the age limit for Medicare?

President Joe Biden is committed to expanding the Medicare program by reducing the normal age of entitlement eligibility from 65 to 60. According to his fiscal year (FY) 2022 budget submission to Congress, the President wishes to provide Americans in the 60 to 64 age group “the option to enroll in the Medicare program with ...

What age group is Medicare expansion?

New taxpayer subsidies for the Medicare expansion would be targeted to Americans ages 60 to 64 , or, under the Sanders’ proposal, those 55 to 64. As noted, this is an age cohort that enjoys a higher median household income than either younger working families or current Medicare beneficiaries. 11#N#Semega et al., “Income and Poverty in the United States: 2019.”#N#Not only would the proposal expand government dependency down the age scale, but it would also create a new constituency for government dependency further up the income scale.

How many people will be eligible for Medicare at age 60?

According to Avalere, a prominent Washington, DC–based health policy research firm, opening the Medicare program to persons between the ages of 60 and 64 could shift an estimated 24.5 million persons from existing health insurance coverage into the Medicare program. 4.

What is Moffit's job?

Moffit specializes in health care and entitlement programs, especially Medicare. The Biden Medicare expansion proposal would worsen the program’s already serious financial condition, which is characterized by an accelerating pace of spending and driven by rapid enrollment growth and rising per capita care costs.

What is Avalere's focus?

In measuring the proposal’s impact, the Avalere analysts focus primarily on health plans in the health insurance exchanges created under the Affordable Care Act of 2010 (ACA). As these analysts note, there are several complicated trade-offs in moving from ACA coverage to Medicare.

How many people would be on Medicare if the age was 62?

That actually would be an incremental step—a study last year by the National Academy of Social Insurance found that lowering the age to 62 would add 10.1 million to the Medicare rolls, but only 670,000 who had been uninsured because this older age group already has a comparatively low uninsured rate.

How many people would be uninsured if Medicare was reduced to 50?

By contrast, reducing the Medicare age to 50 would add 57.3 million new enrollees, 4.6 million of whom would have been uninsured, the study found. A lower Medicare age would come with some complications, namely how to finance the Part A expansion.

What percentage of the original household benefit would be cut if two spouses earned similar benefits?

But if the two spouses earned similar benefit amounts, the survivor still faces a cut in household benefit in the neighborhood of 50%. Biden’s plan would give survivors the option of receiving 75% of the original household benefit, so long as the new payment does not exceed the benefit received by a two-earner couple with average career earnings.

When will Medicare be exhausted?

Before the pandemic, Medicare's trustees projected that the fund would be exhausted in 2026, but the job losses stemming from the pandemic have reduced tax receipts.

Does Biden have longevity insurance?

Biden also proposes several changes that I’d group together under the category of longevity insurance —that is, they would tend to boost benefits for older beneficiaries. This can be significant for clients who run the risk of exhausting savings if they reach very advanced ages.

Is Social Security a long term problem?

It’s not news that Social Security faces a long-term solvency problem. Before the pandemic, Social Security’s actuary projected that the combined retirement and disability trust funds would be drained in 2035; at that point, the program would have sufficient income from current tax payments to meet roughly 80 percent of promised benefits.

Does the CPI-E increase COLA?

The CPI-E, which would replace the CPI-W, is projected to boost the COLA by two percentage points annually. That may not sound like much, but it adds up as the higher benefit compounds over time. Benefits for some surviving spouses also would get a boost under Biden’s plan.

How much would Biden's plan boost?

Biden’s plan would also boost median benefits 27% for beneficiaries in the bottom fifth of the lifetime earnings distribution compared with only 14% for beneficiaries in the top three-fifths of the lifetime earnings distribution.

Who introduced the Social Security Reform Act of 2016?

And former Rep. Sam Johnson, R-Texas, introduced the Social Security Reform Act of 2016, which would shrink Social Security. Read Fixing Social Security and Comparing Democratic and Republican Approaches to Fixing Social Security.

How many people will be out of poverty in 2021?

The Urban Institute's projections show that Biden’s proposals would lift more than one million people out of poverty in 2021 and cut the poverty rate for adult Social Security beneficiaries over the coming decades by more than half.

Why is filling in gaps important?

Filling in gaps will be important. There are gaps in public health systems, in who is covered by the system and in what is covered. Underserved areas are an issue growing in importance. Over the past few years hospitals in underserved areas have closed, and some areas have few doctors. Specialists may be far away.

What would happen if the Social Security cap was removed?

Removal of the Social Security tax cap would be especially costly for self-employed, high-income individuals, who bear both the employee and employer portion of the tax. As a result of the elimination of the cap, individuals residing in high-tax states could be subject to a marginal tax rate exceeding 60%.

Did Biden push for a bipartisan commission?

What’s more, Johnson doesn’t expect Biden to push for a bipartisan commission to study and propose Social Security reforms as happened under President Barack Obama. Read The National Commission on Fiscal Responsibility and Reform. “There are plenty of good policy reasons for change to take place,” said Johnson.

When will Social Security be depleted?

The trustees estimated in its most recent report that, if policymakers take no further action, Social Security’s combined Old-Age and Survivors Insurance (OASI) and Disability Insurance (DI) trust fund reserves will be depleted in 2035. And that means Social Security, after 2035, could pay about three-quarters of scheduled benefits using its tax ...

Why did Biden oppose the Medicare expansion?

Biden opposed that effort, saying the nation could not afford it . He wanted to retain the private health insurance system , which covers 180 million people. To expand coverage, Biden has proposed two major initiatives. In addition to the Medicare eligibility change, he wants Congress to approve a government-run health plan ...

What is Biden's proposal?

Biden’s proposal is a nod to the liberal wing of the Democratic Party, which has advocated for Sen. Bernie Sanders’ (I-Vt.) government-run “Medicare for All” health system that would provide universal coverage. Biden opposed that effort, saying the nation could not afford it.

How many people will be added to Medicare if the age is 60?

Lowering the age to 60 could add as many as 23 million people to Medicare, according to an analysis by the consulting firm Avalere Health.

What did Jacob Hacker say about expanding Medicare?

Jacob Hacker, a Yale University political scientist, noted that expanding Medicare would reduce the number of Americans who rely on employer-sponsored coverage. The pitfalls of the employer system were highlighted in 2020 as millions lost their jobs and workplace health coverage.

What is the age limit for Medicare?

Of his many plans to expand insurance coverage, President-elect Joe Biden’s simplest strategy is lowering the eligibility age for Medicare from 65 to 60. But the plan is sure to face long odds, even if the Democrats can snag control of the Senate in January by winning two runoff elections in Georgia.

What is the eligibility age for Medicare?

The eligibility age has been set at 65 since Medicare was created in 1965 as part of President Lyndon Johnson’s Great Society reform package.

What does Hacker say about slim margins?

Hacker said that slim margin would make it difficult for Democrats to deal with many health issues all at once. “Congress is not good at parallel processing,” Hacker said, referring to handling multiple priorities at the same time. “And the window is relatively short.”.

What is the second big change Biden wants to implement?

The second big change Joe Biden wants to implement would lower prescription drug prices. For context, Medicare spent $796.2 billion in 2019, $97.1 billion of which was attributed to prescription drugs. The first and most direct method of reducing prescription drug prices would be to allow the federal government to negotiate on behalf of Medicare.

What age range is Biden's proposed public health option?

Goldwein does note that Biden's proposed inclusion of a public health option could prove more appetizing for folks in the 60-to-64 age range, which would bring down the $200 billion cost estimate. Image source: Getty Images. 2. Allow the federal government to negotiate for lower prescription drug prices.

How many people are covered by Medicare?

Signed into law 55 years ago, the Medicare program today covers more than 62 million Americans, many of whom are senior citizens aged 65 and older. The traditional Medicare program consists of Part A (hospital insurance), Part B (outpatient services), and Part D (prescription drug coverage). Meanwhile, Part C refers to Medicare Advantage, an alternative program run by for-profit insurance companies that provides some perks that aren't available with traditional Medicare, like vision, dental, and hearing care.

How much is the HI Trust funding shortfall?

Over the long term, which is defined as the next 75 years, Medicare's HI Trust is facing a $4.6 trillion funding shortfall. Without some assistance from lawmakers, Medicare and its more than 62 million beneficiaries could see some big changes very soon -- and they probably won't be for the better.

What age can you add to Medicare?

Adding even a few million additional members between the ages of 60 to 64 could help lower aggregate program costs. Another consideration is that persons aged 60 to 64 will have less medical care cost risk than older patients in the Medicare program.

How much money will the government save by negotiating drug prices?

According to the Congressional Budget Office, allowing the federal government to negotiate directly with drugmakers on price would save the program an estimated $456 billion between 2023 and 2029.

Will the HI Trust pay out 90% of Medicare?

Once gone, the HI Trust will only be able to pay out 90% of Part A expenses, which could mean one of the most valuable perks of Medicare -- i.e., the fact that a large number of physicians accept Medicare insurance -- could go out the window. By 2044, HI Trust outlays would again drop to only 78% of Part A expenses by 2044.

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Drawbacks

  • Curiously, although this entitlement expansion is a core component of his agenda, Biden’s budget contains neither a description of its specifics nor an estimate of its projected costs. While some consequences of this proposal are obviously unknown, certain are undeniable. For example: 1. It would crowd-out the existing private and employer-based health coverage of millions of America…
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Impact on Medicare

  • As the Medicare Boards of Trustees have repeatedly warned, Medicare is already facing enormous financial challenges. These start with the impending insolvency of the Medicare hospital insurance (HI) trust fund in 2026, at which time the program will no longer be able to pay for all its promised benefits. Nonetheless, the bigger problem is Medicare’s cost growth, which i…
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Who Would Be Impacted?

  • According to Avalere, a prominent Washington, DC–based health policy research firm, opening the Medicare program to persons between the ages of 60 and 64 could shift an estimated 24.5 million persons from existing health insurance coverage into the Medicare program.4Massey Whorely et al., “Medicare Expansion Could Have a Mixed Impact on Premiums,” Avalere Health, Insights an…
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Increasing Incentives to Drop Employer Coverage

  • If a Medicare expansion proposal were crafted to include persons enrolled in group coverage, of course employers would be strongly tempted to stop covering older workers. Ending group coverage would secure significant short-term financial benefits for businesses or corporations, especially with the elimination of coverage for older workers and their spouses. Health care utili…
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Social Policy in Search of A Problem

  • New taxpayer subsidies for the Medicare expansion would be targeted to Americans ages 60 to 64, or, under the Sanders’ proposal, those 55 to 64. As noted, this is an age cohort that enjoys a higher median household income than either younger working families or current Medicare beneficiaries.11Semega et al., “Income and Poverty in the United States: 2019.”Not only woul…
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Worsening Medicare’s Financial Condition

  • Medicare, serving 61.2 million beneficiaries, is the nation’s largest payer for health care benefits and services. Beneficiaries’ premiums cover only 15 percent of the program’s total cost; taxpayers cover the rest.12Davis, “Medicare Financial Status.” Based on Biden’s budget submission for FY 2022, compared to last year’s spending of $884 billion, the total (gross) cost of the program is pr…
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Other Potential Consequences

  • Among other things, the Biden proposal is likely to encourage early retirement, thus further reducing labor force participation within a group of highly experienced workers.19“Extending Medicare benefits to non-disabled adults younger than 65, either by lowering the eligibility age or by allowing near elderly adults to buy into the Medicare program, could encourage some worker…
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Conclusion

  • Although the Biden Administration’s Medicare expansion proposal is devoid of detail, it is certain to reduce Americans’ enrollment in private health insurance coverage and significantly increase taxpayer costs. In tandem with the Biden Administration’s proposal to deploy a “public option”—a new government health plan to compete against private health plans on an unlevel playing field…
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