A Prescription for a Modern Medicare Program

2005 ◽  
Vol 353 (26) ◽  
pp. 2733-2735 ◽  
Author(s):  
Peter B. Bach ◽  
Mark B. McClellan
Keyword(s):  
Diabetes ◽  
2021 ◽  
Vol 70 (Supplement 1) ◽  
pp. 482-P
Author(s):  
BOON PENG NG ◽  
SAMUEL D. TOWNE ◽  
JACQUELINE B. LAMANNA ◽  
KIYOUNG KIM

1998 ◽  
Vol 28 (1) ◽  
pp. 29-46
Author(s):  
Jonathan Oberlander

There is growing enthusiasm for transforming Medicare into a voucher system. Advocates claim vouchers would increase the health care choices available to Medicare beneficiaries, reduce the regulatory burden on the federal government, and promote the benefits of fair market competition. In addition, some analysts contend vouchers are the only feasible solution to Medicare's short-term financing problems and the long-term “crisis” of the retirement of the baby-boom generation. The author argues against these claims. Vouchers would not work as advertised by proponents because of the limitations of risk-adjustment methods and unrealistic assumptions about consumer choice. Moreover, the elderly and disabled Medicare population is ill-suited to cope in a competitive insurance system. Implementation of vouchers would therefore pose a threat to both the health of beneficiaries and the stability of the Medicare program. The implications of this analysis for Medicare reform are discussed.


2016 ◽  
Vol 1 (1) ◽  
pp. 250-265 ◽  
Author(s):  
Kimberly Proctor ◽  
Samuel C. Haffer ◽  
Erin Ewald ◽  
Carla Hodge ◽  
Cara V. James
Keyword(s):  

2004 ◽  
Vol 94 (2) ◽  
pp. 357-361 ◽  
Author(s):  
Katherine Baicker ◽  
Amitabh Chandra
Keyword(s):  

2004 ◽  
Vol 140 (4) ◽  
pp. 269 ◽  
Author(s):  
Diane E. Campbell ◽  
Joanne Lynn ◽  
Tom A. Louis ◽  
Lisa R. Shugarman
Keyword(s):  

1995 ◽  
Vol 14 (4) ◽  
pp. 47-61 ◽  
Author(s):  
Stuart M. Butler ◽  
Robert E. Moffit
Keyword(s):  

2018 ◽  
Vol 10 (1) ◽  
pp. 153-186 ◽  
Author(s):  
Mark Duggan ◽  
Jonathan Gruber ◽  
Boris Vabson

There is considerable controversy over the use of private insurers to deliver public health insurance benefits. We investigate the consequences of patients enrolling in Medicare Advantage (MA), privately managed care organizations that compete with the traditional fee-for-service Medicare program. We use exogenous shocks to MA enrollment arising from plan exits from New York counties in the early 2000s and utilize unique data that links hospital inpatient utilization to Medicare enrollment records. We find that individuals who were forced out of MA plans due to plan exit saw very large increases in hospital utilization. These increases appear to arise through plans both limiting access to nearby hospitals and reducing elective admissions, yet they are not associated with any measurable reduction in hospital quality or patient mortality. (JEL G22, I11, I12, I13, I18)


PEDIATRICS ◽  
1992 ◽  
Vol 89 (4) ◽  
pp. 778-780
Author(s):  
PHILIP R. LEE ◽  
PAUL W. NEWACHECK

Physician payment under Medicaid has been a cause of growing concern among physicians because of the low levels of reimbursement in relation to private payors and the Medicare program in many states. This is particularly important to physicians caring for children because of the growing dependence of poor children on Medicaid and the evolution of Medicaid policies since the mid 1980s. Beginning in the mid 1980s Congress began legislating a series of laws that expanded Medicaid eligibility for poor and near poor children. This series of legislation culminated with the Omnibus Budget Reconciliation Acts of 1989 and 1990. These acts required all states to establish minimum Medicaid income eligibility thresholds at 133% of the federal poverty level for children less than 6 years of age and then subsequently to phase-in coverage, 1 year at a time, for all children through 18 years of age with family incomes less than 100% of poverty level.


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