Medicare Blog

why doesn't congress just lower the age for medicare instead of obama care

by Clotilde Mante Published 2 years ago Updated 1 year ago
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How will Medicare change after you turn 65?

CBO anticipates that most people who become eligible for Medicare after age 65 under this option would continue their existing coverage or switch to another form of coverage between age 65 and the new eligibility age. CBO also expects that the number of people without health insurance would increase slightly.

Should the Medicare eligibility age be lowered?

This support seems bipartisan; 85% of Democrats and 69% of Republicans polled approved of the idea. At face value, it seems that lowering the eligibility age could be the perfect solution that provides the most options for individuals who are nearing retirement age.

Should Medicare age be raised by 2 months?

That trend, which results in higher program costs, will almost certainly continue. This option would raise the age of eligibility for Medicare by two months each year, starting in 2020 (people born in 1955 will turn 65 that year), until it reaches 67 for people born in 1966 (who would become eligible for Medicare benefits in 2033).

Will lowering Medicare eligibility age help or hurt the pool?

When analysts first started looking at the impact of changing Medicare's eligibility age, they thought that lowering it would help both the Medicare and private insurance risk pools. That's because the 60- to 64-year-olds would become the youngest, and likely healthiest, members of the Medicare pool.

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Is Congress going to lower the age for Medicare?

Lowering the eligibility age is no longer part of the U.S. Government's budget for Fiscal Year 2022. So, the Medicare eligibility age will not see a reduction anytime in the next year.

Is Congress trying to cut Medicare Advantage?

Most of Congress warns CMS against any Medicare Advantage cuts, calls for benefit flexibility. A large swath of House and Senate lawmakers is pushing the Biden administration not to install any cuts to Medicare Advantage (MA) plans in the coming 2023 rates.

How can I reduce my Medicare spending?

Expand Bundled Payments and Promote New Payment Models – $5 billion to $50 billion. ... Reduce Preventable Readmissions and Unnecessary Complications – Up to $10 billion. ... Reduce Payments to Post-Acute Providers – $25 billion to $75 billion.More items...•

Can you change Medicare plans every year?

Typically, you can only enroll in a different Medicare Advantage Plan or switch between Original Medicare and Medicare Advantage during specific times each year. Make sure to enroll in a timely manner to avoid gaps in coverage when using these enrollment periods.

When will Medicare be below FRA?

Under this option, Medicare’s age of eligibility would be below the FRA until 2033. Implementing this option would reduce federal budget deficits between 2020 and 2026 by $18 billion, according to estimates by the Congressional Budget Office and the staff of the Joint Committee on Taxation (JCT).

Why is the CBO predicting retirement benefits to be less linked to Medicare eligibility age?

CBO also expects future decisions about claiming retirement benefits to be less linked to Medicare’s eligibility age than has historically been the case because of greater access to health insurance through Medicaid and through the nongroup market.

How much of the Medicare savings will be offset by Social Security?

On the basis of its estimates for 2020 through 2026, CBO projects that roughly three-fifths of the long-term savings from Medicare under this option would be offset by changes in federal outlays for Social Security, Medicaid, and subsidies for coverage through the marketplaces as well as by reductions in revenues.

How much will Medicare be delayed in 2026?

By calendar year 2026, the benefits of 3.7 million people would be delayed by 14 months. Total spending on Medicare as a result would be $55 billion lower between 2020 and 2026 than under current law. CBO anticipates that most people who become eligible for Medicare after age 65 under this option would continue their existing coverage ...

How many people will be eligible for Medicare in 2020?

In calendar year 2020, when this option would take effect, about 3.4 million people will become eligible for Medicare coverage on the basis of their age, CBO estimates. Under this option, that group would see its benefits delayed by two months. By calendar year 2026, the benefits of 3.7 million people would be delayed by 14 months.

How much will Social Security be reduced in 2026?

The option also would reduce outlays for Social Security retirement benefits by an estimated $5 billion over the 2020–2026 period because raising the eligibility age for Medicare would induce some people to delay claiming retirement benefits. In CBO’s estimation, the reduction in Social Security spending would be fairly small because raising ...

How many people will be uninsured in 2026?

About 300,000 more people would be uninsured under this option in 2026, CBO estimates, and they thus might receive lower quality care or none at all; others would end up with a different source of insurance and might pay more for care than they would have as Medicare beneficiaries.

Medicare at 50 Act would lower the Medicare age from 65

77% of people support lowering the minimum age for Medicare — including 69% of Republicans. Should Medicare be available for people as young as 50, down from the current 65?

Context

Almost all Democrats want to expand access to government-run health care, but whether to swing for the fences or not is dividing the party.

What the bill does

The Medicare at 50 Act does exactly what its name implies: allow people ages 50 to 64 access to Medicare, down from the current 65 minimum age.

What supporters say

Supporters argue the bill expands one of the most popular government programs and gives potentially tens of millions of Americans more access to it.

What opponents say

Opponents counter that the plan would harm hospitals and in turn the patients they treat, because Medicare reimburses hospitals less than private insurance does.

Odds of passage

The bill has so far attracted 19 Senate cosponsors, all Democrats. It awaits a potential vote in the Senate Finance Committee almost certainly won’t pass in the Republican-controlled chamber.

Why would Congress not have to shop in the ACA?

Without that language, there would have been no question—Congress would never have had to shop in the exchange because they had employer-sponsored coverage.

When was the ACA updated?

Learn about our editorial process. Elaine Hinzey, RD. Updated on July 18, 2021. When it comes to information about the Affordable Care Act (ACA), otherwise known as Obamacare, it can sometimes be tough to separate fact from the fiction.

What is the ACA subsidy?

The ACA provides subsidies (tax credits) to offset the cost of premiums for people who shop for individual market coverage in the exchanges. But in the SHOP exchanges, employers provide subsidies, in the form of employer contributions to the total premium. 14.

How many employees can you have with the ACA?

The ACA allows small employers (up to 50 employees in most states, and up to 100 employees in a handful of states) to enroll in plans through the SHOP exchanges. The Congressional staff obviously far exceeds this limit, and would not be considered a "small group" under any other circumstances.

Is there a penalty for ACA coverage?

Other ACA requirements apply to employers and health insurance carriers, but the requirement for individuals is just to maintain coverage; this requirement is still in effect, despite the fact that there's no longer a federal penalty to enforce it.

Is Congress exempt from Obamacare?

First, to clarify, Congress is not exempt from Obamacare. But let's take a look at how this rumor got started, and the rules—which are actually much more strict than how Obamacare applies to the rest of us—that actually apply to Congress.

Do non-elderly Americans have health insurance?

Since most non-elderly American s have coverage through their employers, 5 they didn't have to make any changes as a result of the Affordable Care Act. As long as they have continued to have employer-sponsored health insurance, they have remained in compliance with the law.

What age group is the youngest in Medicare?

That's because the 60- to 64-year-olds would become the youngest, and likely healthiest, members of the Medicare pool.

Is Biden's plan more controversial?

Easier to implement, maybe, but Biden's latest proposal is also likely to be more controversial. While the few available details pledge that federal funding would come from regular tax revenues rather than from the dwindling Medicare trust fund, Republicans are still likely to oppose such a plan ― strenuously.

Is Joe Biden wading back into the roiling waters of health policy?

In one of his first proposals since becoming the presumptive Democratic presidential nominee, Joe Biden is wading back into the roiling waters of health policy.

Is Kaiser Health News a nonprofit?

But "only doing it for a targeted group will complicate Republicans' message," he says. Kaiser Health News is a nonprofit, editorially independent program of the Kaiser Family Foundation that is not affiliated with Kaiser Permanente. Medicare for All. public option.

Is Medicare a parallel plan?

Most of the previous proposals call for people not to enroll in Medicare itself, but rather a parallel, Medicare-like plan run by the federal government. "The proposals in Congress are totally different," says Tricia Neuman, who heads the Medicare policy program for the Kaiser Family Foundation. "This is so much easier," Neuman says.

Is Biden's Medicare public or private?

In addition, he says, "the Biden Medicare-like public option — as well as other subsidized private plans available to individuals through the Affordable Care Act — would remain available.".

Does Joe Biden want 60 year olds to get Medicare?

Former Vice President Joe Biden at a press conference in Wilmington, Del., in mid-March. His bid this week to allow 60-year-olds to get Medicare "reflects the reality," he says, "that, even after the current crisis ends, older Americans are likely to find it difficult to secure jobs.".

Who proposed the Medicare at 50 Act?

The most prominent proposal is the Medicare at 50 Act sponsored by Senator Sherrod Brown. Asking for the age to be lowered by 15 years may be too much of a stretch; other proposals call for a more moderate age 60 or 62 as the age of eligibility.

What is the earliest age to sign up for Medicare?

Under current law, absent certain exceptions, age 65 is the earliest age you can sign up for Medicare. This age has been set since the inception of Medicare in 1965. The discussion of lowering the age of initial eligibility has come up in the past, but it never had the necessary support to advance through the legislative process.

What does it mean when Medicare is insolvent?

Insolvency means that Medicare wouldn’t be able to fully reimburse hospitals, nursing homes, and home health agencies for promised benefits. If this happens, Medicare patients would be hit hard. There’s no way around this. You cannot cut provider payments for medical services without impacting the beneficiaries of those services.

Is Medicare funding touched by the proposed legislation?

In response to the funding concerns, the Democrats who are sponsoring this bill say that Medicare’s funding wouldn’t be touched under the proposed legislation since those buying the coverage would be required to pay the entire cost. That means whatever the cost is to the government, would also be the cost to the individual.

Is there a difference between Medicare and private insurance?

There is a big difference between the reimbursement rate between a Medicare patient and a patient with private health insurance. There was another Kaiser study that found that private insurers paid nearly double the Medicare rates for the same hospital services.

How would raising the eligibility age affect Medicare?

By shrinking Medicare’s share of the health insurance market, raising the eligibility age would reduce Medicare’s market power and weaken its ability to serve as a leader in controlling health care costs. Medicare has a proven track record of providing low-cost health care to seniors.

What age group would lose Medicare?

They are: 65- and 66-year-olds who would lose Medicare coverage and would, on average, face higher out-of-pocket health care costs. Two-thirds of this group – 3.3 million people – would face an average of $2,200 more each year in premiums and cost-sharing charges. Medicare beneficiaries over age 67, as well as people under age 65 who buy insurance ...

Why is Medicare being advanced?

It is being advanced solely for budgetary considerations – to reduce the rate of growth in Medicare spending – with little regard for the harmful consequences for Medicare beneficiaries who have paid into the program during their working lives and count on receiving Medicare.

What is the National Committee to Preserve Social Security and Medicare?

The National Committee to Preserve Social Security and Medicare opposes any and all proposals that would raise the age of eligibility for Medicare. This change is being advanced solely for budgetary considerations and with little regard to the harmful consequences for Medicare beneficiaries.

How much will Medicare save in 2023?

With respect to savings, increasing the Medicare eligibility age to 67 only benefits the federal government; and a 2013 Congressional Budget Office (CBO) analysis lowered the amount of estimated savings from $113 billion over ten years to $19 billion from 2016 to 2023, or $3 billion per year.

How many people are covered by Medicare?

Medicare is the principal source of health insurance coverage for almost 60 million Americans, including almost 9 million disabled workers who have been receiving Social Security benefits for two years or longer.

When can seniors get medicare?

Since the program’s inception in 1965, America’s seniors have been able to count on receiving Medicare when they reach age 65. But now, some in Washington who are looking for ways to reduce federal spending want to make seniors wait for up to two additional years – to age 67 – in order to qualify for Medicare. ...

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Obamacare Actually Applies More Strictly to Congress

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First, to clarify, Congress is not exempt from Obamacare. But let's take a look at how this rumor got started, and the rules—which are actually much more strict than how Obamacare applies to the rest of us—that actually apply to Congress. Back when the ACA was being debated in Congress in 2009, there were questions abou…
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The Back Story

  • Obamacare is just another name for the Affordable Care Act. So it's simply a law—not an insurance company or type of insurance. It applies to virtually all Americans and is much more far-reaching than just the exchanges. It provides numerous consumer protections and includes substantial assistance to make health coverage more affordable for low-income and middle-inc…
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The Grassley Amendment

  • Section 1312 (d)(3)(D) of the Affordable Care Act, which originated as an amendment that was introduced by Senator Charles Grassley (R, Iowa) says:9 As a result, Congress and congressional staff have been purchasing coverage through DC Health Link's SHOP (small business) exchange since 2014. DC Health Link is the health insurance exchange for the District of Columbia. 10 SH…
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What About Subsidies?

  • The ACA provides subsidies (tax credits) to offset the cost of premiums for people who shop for individual market coverage in the exchanges. But in the SHOP exchanges, employers provide subsidies, in the form of employer contributions to the total premium.14 Where things got messy was the fact that members of Congress were previously benefitting from about $5,000 in annua…
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Keep Employer Contributions, But Enroll Via Exchange

  • When the conundrum became apparent, the Office of Personnel Management (OPM), which runs the FEHBP, stepped in. They ruled in 2013 that Congress and Congressional staff would be able to enroll in D.C. Health Link's SHOP exchange and would still be able to keep their employer contributions to their coverage.17 The ACA allows small employers (up to 50 employees in mos…
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