Medicare Blog

what is the truth about the obama's proposal to reduce medicare coverage for seniors?

by Karolann Bins Published 2 years ago Updated 1 year ago

How does Obamacare affect Medicare?

Obamacare works on the premise that those who can afford a greater share of healthcare’s financial burden will do so through higher premiums. In general, Medicare remains largely unaffected by this premise. However, there are always exceptions to the rule.

How does Medicare Advantage coverage change if the government cuts funding?

Additionally, Medicare Advantage beneficiaries may see some changes in their coverage due to cuts in Medicare Advantage’s funding. While your insurer may be given incentives to offer you more coverage, the insurer may decide to drop unfunded coverage from your plan instead.

What does Obamacare mean for seniors and their care?

But the primary goal of Obamacare is to help maximize the efficiency of the organization, while helping to protect the people it serves. Lower-income seniors will still be able to get the help they need to offset the cost of care, while people with higher incomes can expect to contribute a greater percentage of their resources to the system.

Are Medicare Advantage plans becoming more popular among seniors?

Aside from traditional Medicare, seniors have the option to enroll in a Medicare Advantage plan. Since the passage of the ACA in 2010, membership in [hnd word=”Medicare Advantage”] has increased by 42 percent, reflecting the popularity of MA plans among Medicare beneficiaries.

What happens to Medicare if Obamacare is repealed?

If the A.C.A. is struck down, Medicare beneficiaries would have to pay more for preventive care, like a wellness visit or diabetes check, which are now free. They would also have to pay more toward their prescription drugs.

What did Obamacare do to Medicare?

Medicare Premiums and Prescription Drug Costs The ACA closed the Medicare Part D coverage gap, or “doughnut hole,” helping to reduce prescription drug spending. It also increased Part B and D premiums for higher-income beneficiaries. The Bipartisan Budget Act (BBA) of 2018 modified both of these policies.

What was the goal of Obama's healthcare reform bill?

The primary objective of health care reform is to provide healthcare coverage for all (currently uninsured) Americans universally and to decrease the costs of health care services and coverage.

What was Obama's stance on healthcare?

President Obama promised that he would make quality, affordable health care not a privilege, but a right. After nearly 100 years of talk, and decades of trying by presidents of both parties, that's exactly what he did. Today, 20 million more adults gained access to health coverage.

How does the Affordable Care Act affect the elderly?

"The ACA expanded access to affordable coverage for adults under 65, increasing coverage for all age groups, races and ethnicities, education levels, and incomes."Under the ACA, older adults' uninsured rate has dropped by a third, indicators of their health and wellness have improved, and they're now protected from ...

Can I choose Obamacare instead of Medicare?

Generally, no. It's against the law for someone who knows you have Medicare to sell you a Marketplace plan. But there are a few situations where you can choose a Marketplace private health plan instead of Medicare: If you're paying a premium for Part A.

What's wrong with Obamacare?

The ACA has been highly controversial, despite the positive outcomes. Conservatives objected to the tax increases and higher insurance premiums needed to pay for Obamacare. Some people in the healthcare industry are critical of the additional workload and costs placed on medical providers.

What are some problems with the Affordable Care Act?

The Problem: Affordability The ACA set standards for “affordability,” but millions remain uninsured or underinsured due to high costs, even with subsidies potentially available. High deductibles and increases in consumer cost sharing have chipped away at the affordability of ACA-compliant plans.

Why did Obama introduce the Affordable Care Act?

Originally, he wanted to improve quality and lower the costs of health care without a “mandate” that required all people to have medical insurance and without a health insurance penalty.

Is Obamacare the same as Affordable Care Act?

Are Obamacare and the Affordable Care Act the Same Thing? Yes, Obamacare and the Affordable Care Act (ACA) are the same thing. The health care reform law was nicknamed after President Barack Obama, who formally signed the ACA in March 2010.

Is Obamacare socialized healthcare?

No, Obamacare is not socialized medicine. Obamacare is another name for the Affordable Care Act, although people also often use the term Obamacare to refer to health plans sold through the health insurance exchange in each state.

What do people think about Obamacare?

In 2015, 53% of Americans did not approve of Obamacare, however a more recent poll shows that only 30% of Americans believe the entire act should be repealed.

Is Medicare going to increase for seniors?

Beyond the current law, the President’s latest budget proposal would increase seniors’ costs even more. So, notwithstanding “progressive” politicians’ rhetorical promise to “keep Medicare as we know it,” the Obama Administration is formally committed to increasing seniors’ out-of pocket costs, while the President and his allies in Congress have already enacted major Medicare payment reductions that threaten their access to care. Beyond the payment reductions to hospitals, skilled nursing facilities, and home health care agencies, many seniors will also experience a reduction in their Medicare Advantage benefits or even a loss of their existing plan.

Is Obama's budget a long term plan?

President Obama’s latest budgetary scheme is not a serious prescription for long-term Medicare reform. While it tweaks Medicare’s administrative payment systems, it simply retains the current structure and provides for more cost shifting to seniors.

When will Obama impose Medicare Part B?

His 2013 budget proposal introduces a $25 increased Part B deductible for new beneficiaries in 2017, 2019, and 2021 and a $100 copayment for home health services in certain cases.

How much is Obamacare cutting?

Obamacare already mandates $716 billion in Medicare payment cuts over the next 10 years, but these cuts are not targeted at specific instances of “waste, fraud, and abuse.” Rather, they are across-the-board changes in Medicare payment formulas for hospitals, nursing homes, home health agencies, hospice agencies, and Medicare Advantage plans.

How much did Obamacare spend on the Donut hole?

Obamacare spends an estimated $48 billion closing the “donut hole,” the congressionally created gap in drug coverage in which beneficiaries must pay 100 percent of the total costs up to a specific “catastrophic” threshold ($4,750 in 2013). When that threshold is reached, the insurance resumes payment.

Is Medicare going to be higher for seniors?

Today’s seniors are facing higher Medicare costs. Over the next five years, current law, as amended by the Patient Protection and Affordable Care Act (PPACA, also known as “Obamacare”), and President Obama’s budget proposals guarantee higher costs for today’s seniors.

Medicare Advantage Rates

Aside from traditional Medicare, seniors have the option to enroll in a Medicare Advantage plan. Since the passage of the ACA in 2010, membership in [hnd word=”Medicare Advantage”] has increased by 42 percent, reflecting the popularity of MA plans among Medicare beneficiaries.

Long-term Benefits for Beneficiaries

If you’re wondering whether your Medicare plan qualifies as minimum essential coverage under the law, then don’t worry. Medicare Part A counts as minimum coverage, so you won’t have to enroll in any additional insurance to meet the law’s requirement. However, Part B alone does not count as minimum coverage.

Questions About Obamacare And Its Effect on Medicare

Obamacare seeks to reform the healthcare industry in America by providing better coverage and legal protections to millions of citizens, but the goal of the Affordable Care Act can sometimes get lost in translation when it comes to programs like Medicare.

Medicare Funding and Cost Distribution

Before we go over the changes to Medicare, we’ll take a brief look at Medicare as it exists right now in the United States. For starters, you might be interested in knowing how Medicare gets funded and who operates the program. The U.S.

Wasteful Medicare Spending Comes To An End

What happens to the $716 billion savings that are taken from wasteful Medicare spending? In essence, the money will be redistributed back into the program to help fund various aspects of Medicare. From Advantage plans to prescription drug costs, the redistributed funds will help offset the cost of care for senior citizens in America.

Improvements To Medicare Under Obamacare

You may have been given bad information when it comes to the impact of the Affordable Care Act on Medicare, and we want to highlight some of the positives of Obamacare in relation to your current or future coverage. For one thing, Obamacare does not replace Medicare at all.

Does Obamacare Impact Medicare Part C?

Many people have expressed concern about Medicare Part C, also known as Medicare Advantage. Medicare Part C is an alternative to traditional or “original medicare” and in a short period of time, approximately less than ten years, medicare part C has become the primary preferred way that anyone over the age of 65 manages their healthcare benefits.

How does Obamacare help people?

In many ways, the Affordable Care Act improves the standard of care that those with insurance receive. And, it helps to prevent the spread of diseases and other medical conditions to people without insurance. Medicare beneficiaries, in particular, gain valuable advantages, like being able to afford brand name prescription drugs or getting yearly colonoscopies to detect early forms of cancer. Obamacare seeks to help people stay healthier for longer by making better coverage an affordable option; this goal extends to Medicare beneficiaries. And despite the emphasis on better medical treatments and prevention, the new standard of healthcare doesn’t affect how you sign up for or receive your Medicare benefits.

What are the benefits of Medicare under the ACA?

One of the benefits included under minimum essential coverage is the ability to see your doctor for yearly screenings and wellness checkups.

What is a Medicare Part D coverage gap?

If you have Medicare Part D prescription coverage, then you may be familiar with the concept of the coverage gap or “donut hole.” The coverage gap happens when a person reaches the limit for covered prescriptions, but has to wait until he gets to the other side of the “donut” or coverage period to get covered prescriptions again.

Is Demetrius a Medicare beneficiary?

As a Medicare beneficiary for the last five years, Demetrius is already familiar with what Medicare covers and how his medical claims get filed. Demetrius is fairly healthy, but he does need to visit the doctor more frequently than some men his age, because he has a family history of diabetes and stroke.

Does Obamacare affect Medicare?

One of the biggest concerns among Medicare beneficiaries is that Obamacare will alter their existing coverage, so that they won’t enjoy the same benefits as before. In reality, the Affordable Care Act seeks to strengthen health insurance across the board, including Medicare.

When did the Affordable Care Act change?

The Affordable Care Act (ACA), also known as Obamacare, made significant changes to the healthcare industry in the United States starting in 2010. Several of these changes centered on the social insurance policy of Medicare, including the way that Medicare is administered and distributed. Sorting through Medicare policies can be challenging enough, ...

Will Medicare premiums rise?

However, Medicare premiums are not expected to rise significantly as a result of the Affordable Care Act. You will probably find that you pay the same amount for your health insurance as you did prior to the implementation of Obamacare. As mentioned above, we’ll discuss the change in premiums in a later section.

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