Building Back a Better Medicare Program

2021 ◽  
Author(s):  
John McDonough ◽  
Sherry Glied
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):  

2005 ◽  
Vol 353 (26) ◽  
pp. 2733-2735 ◽  
Author(s):  
Peter B. Bach ◽  
Mark B. McClellan
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)


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