The distributional consequences of a Medicare premium support proposal.
نویسندگان
چکیده
This article analyzes the distributional consequences of enacting a particular premium support proposal known as Breaux-Frist I. Under the proposal, the federal government would contribute a certain amount toward the purchase of Medicare coverage, based on the premiums charged by different health plans. Beneficiaries could choose something akin to the traditional fee-for-service option or a privately sponsored ealth plan such as a health maintenance organization. The article simulates the expected distributional impacts in three areas: among beneficiaries who choose to retain fee-for-service coverage, between different geographic areas, and according to various beneficiary characteristics. We find that the legislation would result in increased premiums for beneficiaries remaining in the Medicare fee-for-service program as a result of unfavorable selection; lead to a geographic redistribution in premium payments, with those living in areas with high levels of Medicare expenditures paying more; and a much lower financial burden than is the case now for near-poor beneficiaries who do not have full Medicaid coverage. Finally, the article discusses how these results compare to those that may occur under the premium support demonstration project, beginning in 2010, established under the Medicare Prescription Drug, Improvement, and Modernization Act of 2003.
منابع مشابه
The financing needs of a restructured Medicare program. National Academy of Social Insurance study panel on Medicare financing.
Through the Bipartisan Commission on the Future of Medicare and other efforts, policy makers have begun to redesign Medicare to meet long-term challenges that include an aging population, rising per capita health care costs, and an inadequate benefit package. However, no proposal as of yet fully addresses Medicare's financing needs. Without any changes, revenues from taxpayers to the program ...
متن کاملA Premium Support System for Medicare: Analysis of Illustrative Options
Over the past two decades, numerous proposals have been advanced for the establishment of a premium support system for Medicare. Under such a program, beneficiaries would purchase health insurance from one of a number of competing plans, and the federal government would pay part of the cost of the coverage. The various proposals have differed in many respects, including the way in which the fed...
متن کاملCould Improving Choice and Competition in Medicare Advantage be the Future of Medicare?
About 30 percent of Medicare beneficiaries enroll in private Medicare Advantage (MA) plans but do so at a relatively high-cost. This paper explores the advantages and challenges of introducing competitive bidding among MA plans (Plan One) or among MA plans and Fee-for-Service (Plan Two or Premium Support). We conclude that competitive bidding could reduce the cost of Medicare, especially in den...
متن کاملMedicare and premium support: a social work perspective.
Now welcome, the most inspiring book today from a very professional writer in the world, medicare and premium support a social work perspective national health line. This is the book that many people in the world waiting for to publish. After the announced of this book, the book lovers are really curious to see how this book is actually. Are you one of them? That's very proper. You may not be r...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
عنوان ژورنال:
- Journal of health politics, policy and law
دوره 29 6 شماره
صفحات -
تاریخ انتشار 2004