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Kaiser: Medicare Reform Ideas

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There are 150 cost-cutting ideas, totaling $9.4 trillion in spending cuts over the next decade. Find them here, “Policy Options to Sustain Medicare for the Future,” summarized by Timothy Taylor:

There are 150 cost-cutting ideas, totaling $9.4 trillion in spending cuts over the next decade. Find them here, “Policy Options to Sustain Medicare for the Future,” summarized by Timothy Taylor:

  1. Raise the age of Medicare eligibility from 65 to 67 ($113 billion over 10 years)
  2. 10% coinsurance payment on all home health episodes ($40 billion over 10 years)
  3. Restrict first-dollar Medigap coverage ($53 billion over 10 years)
  4. Increasing premiums for Part B and Part D: for example, raise Part B premiums by 2% per year until they cover 35% of total Part B expenses ($231 billion over 10 years)
  5. Increase Medicare payroll tax by 1 percentage point for all workers ($651 billion over 10 years)
  6. Require manufacturers to pay a minimum rebate on drugs covered under Medicare Part D for beneficiaries receiving low-income subsidies ($137 billion over 10 years).
  7. Repeal provisions in the Affordable Care Act that would close the Part D coverage gap by 2020 ($51 billion over 10 years)
  8. Reduce and restructure graduate medical education payments to hospitals ($69 billion over 10 years)
  9. Rebase SNF and home health payment rates: for example, reducing payment updates for post-acute care by 1.1 percentage points ($45 billion over 10 years)
  10. Adopt traditional tort reforms at the Federal level ($40 billion to $57 billion over 10 years)
  11. Establish a combined deductible, uniform coinsurance rate, and a limit on out-of-pocket spending, along with Medigap reforms ($93 billion over 10 years)
  12. Set Federal contributions per beneficiary at the average plan bid in a given area, including traditional Medicare as a plan, weighted by enrollment ($161 billion over 10 years)

 

  

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