Medicare Blog

what some of the debate today over medicare reform policy

by Marisol Hagenes Published 2 years ago Updated 1 year ago
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What was the purpose of Medicare in 1965?

Jun 13, 1995 · The debate over funding health care for the elderly is a debate over control of billions of tax dollars. It also represents a pivotal battle over the direction of federal programs. Medicare is in ...

What is the difference between Medicare and Medicare Advantage?

Oct 03, 2012 · Medicare clearly must be reformed. The only issue under debate is how. A fundamental flaw of the Affordable Care Act is that it diverted more than $700 hundred billion dollars out of a badly...

How can policy makers lower the cost of health care?

Live. •. No health care policy idea has made a bigger splash or generated more buzz lately than “Medicare for All.”. As 2020 presidential campaigns ramp up, several Democratic candidates have voiced support for a single-payer health care system, while critics argue such policies “would bankrupt us for a very long time.”.

How can we improve traditional Medicare?

Jan 01, 2001 · Medicare costs are rising faster than projected revenues. Action to close the emerging deficit is inescapable. We propose converting Medicare from a …

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Abstract

Medicare costs are rising faster than projected revenues. Action to close the emerging deficit is inescapable. We propose converting Medicare from a “service reimbursement” system to a “premium support” system. These changes would resemble many that are now reshaping private employer-based insurance.

Abstract

Medicare costs are rising faster than projected revenues. Action to close the emerging deficit is inescapable. We propose converting Medicare from a “service reimbursement” system to a “premium support” system. These changes would resemble many that are now reshaping private employer-based insurance.

Night One

During the first night of debates, the candidates were asked to raise their hand if they supported abolishing private insurance and creating a single-payer system like Medicare for All. The only hands raised were those of Senator Elizabeth Warren (D-MD) and New York City Mayor Bill de Blasio.

Night Two

Buttigieg promoted choice, saying he would “call it Medicare for all who want it.”

The next Democratic debates

As the pool of Democratic presidential hopefuls is whittled down, each will have to take a firm position on Medicare and healthcare reform. The next Democratic debates will be held in Michigan on July 30 and 31.

What is the Medicare program?

The Medicare program consists of two primary programs: traditional Medicare (a FFS model) and MA, which is based on market-driven health plan competition.

When did Medicare start?

Originating in the Social Security Amendments Act of 1965 (H.R. 6675), Medicare began its life as a traditional FFS health plan with the aim of providing coverage to impoverished elderly Americans in the remaining few years of their life; average life expectancy at birth was 70.5 years. 7.

What is Medicare Advantage?

Medicare Advantage, an alternative that uses defined contribution payments to private companies that administer health care benefits, provides greater financial protections and benefits for consumers while providing the potential for budgetary control in a way that does not exist in traditional Medicare.

When did HMOs become mandatory?

The HMO Act of 1973 required employers with 25 or more employees offering private health insurance to offer an HMO option. The Medicare program was no exception, with the Tax Equity and Fiscal Responsibility Act of 1982 creating a pathway for HMOs in Medicare.

What is MA in healthcare?

MA, as it exists today, represents a series of trade-offs for both beneficiaries and policymakers. Beneficiaries gain limitation on their personal financial liability along with supplemental benefits, both in exchange for some utilization and network controls for health care products and services.

Why was Medicare created?

It was intended to provide basic coverage through one health insurance system, with a defined set of benefits. Reforms to Medicare should honor and maintain its core values to ensure its continued success for future generations.

When did Newt Gingrich say Medicare would be privatized?

In 1995 Newt Gingrich predicted that privatization efforts would lead Medicare to wither on the vine. He said it was unwise to get rid of Medicare right away, but envisioned a time when it would no longer exist because beneficiaries would move to private insurance plans.

What is the Medicare platform?

Medicare Platform: Principles to Improve Medicare for All Beneficiaries Now and In the Future. Improve Consumer Protections and Quality Coverage. Cap out-of-pocket costs in traditional Medicare [1] Require Medigap plans to be available to everyone in traditional Medicare, regardless of pre-existing conditions and age.

When did Medicare extend to disabled people?

In 1972 Medicare coverage was extended to people with significant disabilities. But Medicare’s success in providing access to health care for millions of people is in danger. Ironically, the threat comes from private insurance plans.

Is Medicare a success?

When Medicare was created in 1965 over 50% of everyone 65 or older had no health insurance. Private insurance failed to meet their needs. Medicare, on the other hand, is a success. It increased the number of insured older adults to 95%. In 1972 Medicare coverage was extended to people with significant disabilities. But Medicare’s success in providing access to health care for millions of people is in danger. Ironically, the threat comes from private insurance plans. Funded by windfall subsidies from taxpayer dollars, privatization is jeopardizing the cost-effective, dependable Medicare program.

How much is Medicare spending in 2022?

Medicare spending, which totaled $492 billion in 2012, is expected to hit $895 billion in 2022, according to the Congressional Budget Office. Only 37% of Medicare spending is covered by payroll taxes, which goes to cover hospital coverage.

How much would Medicare save?

The 3% of Medicare beneficiaries who earn $110,000 if single, and $165,000 if married, would pay the full amount. This plan would save roughly $204 billion over five years.

Can seniors get Medicare at 65?

Seniors can enroll in Medicare at 65, but cannot collect their full Social Security benefit until they hit 66. (Those born in or after 1960 must wait until 67 to collect full benefits.) Just how far to raise the Medicare eligibility age remains part of the debate.

What are the issues in health care policy?

Issues in health care policy fall in two broad categories: those related to health care coverage and those related to the underlying cost of health care. Coverage policy addresses where Americans get health insurance, how it is paid for, and what it covers, while policies related to underlying costs seek to reduce overall health care spending by ...

How is health care spending determined?

Health care spending is determined by two factors: how many health care services patients receive and the prices paid for each service. While there is broad agreement that some health care services are unnecessary and that the prices of some services are excessive, there is much less agreement about how to address these excesses .

What is the role of health insurance?

The role of health care coverage is to insulate people from high health care spending burdens and facilitate access to health care. Policies related to coverage include those affecting how Americans get health insurance, how that insurance is paid for, and what insurance does and does not cover. Debates about how to reduce the number ...

How many Americans have health insurance?

More than 90% of Americans have health insurance. About half get coverage from an employer, and a third get coverage from a government program like Medicare or Medicaid. Another 5% buy coverage on the individual market, while 9% are uninsured. Different policymakers see different problems with the way people get coverage today and, correspondingly, propose different solutions.

What are the factors that determine health care spending?

Health care spending is determined by two factors: how many health care services patients receive and the prices paid for each service. While there is broad agreement that some health care services are unnecessary and that the prices of some services are excessive, ...

How does cost sharing affect health insurance?

Increasing cost-sharing also reduces the effectiveness of health insurance in protecting against the costs of illness.

Why are drugs so expensive?

In most cases, the main reason drugs are expensive is because the government grants a time-limited monopoly to inventors of new drugs via patents and related policies. That monopoly allows manufacturers to set high prices, with the goal of encouraging development of new drugs.

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