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Transforming Medicare into a Premium Support System: Implications for Beneficiary Premiums

This study illustrates why geography would matter for Medicare beneficiaries under a premium support system that relies on a competitive bidding process envisioned under several key Medicare reform proposals. It examines potential changes in the premiums paid by Medicare beneficiaries under a payment approach that caps federal contributions per beneficiary…

Repealing the Affordable Care Act: Implications for Medicare Spending and Beneficiaries

A number of Republican proposals to repeal the 2010 health reform law, the Patient Protection and Affordable Care Act (ACA), include the elimination of the law’s Medicare provisions. This Data Note reviews the impact of repealing those provisions for Medicare beneficiaries and program spending. If the ACA were repealed, Medicare…

Medicare Part D Spending Trends: Understanding Key Drivers and the Role of Competition

This brief commissioned by the Foundation examines factors that contributed to Medicare’s lower-than-expected spending on prescription drugs under the Medicare Part D drug benefit that started in 2006. Since its launch, Medicare has spent about 30 percent less on Part D benefits than the Congressional Budget Office originally projected. Some…

Prescription Drug Procurement and the Federal Budget

This brief commissioned by the Foundation considers areas where Medicare faces limited opportunity for market-based competition and price negotiation to drive down drug spending. These areas include drug purchasing for low-income people enrolled in Part D plans who face minimal cost-sharing requirements, and purchasing certain unique drugs, such as biologicals,…

Five Key Questions About Medicaid And Its Role in State/Federal Budgets and Health Reform

This fact sheet highlights key issues about Medicaid, including the structure, financing and purpose of the program, its role for low-income beneficiaries, its share of the federal budget and state budgets, and the significant implications of the coverage expansion under the Affordable Care Act. Fact Sheet (.pdf) Related chartpack: Five…

2012 Survey of Americans on the U.S. Role in Global Health

The 2012 Survey of Americans on the U.S. Role in Global Health is the fourth in a series that aims to examine the American public’s views, knowledge and opinions of U.S. efforts to improve health for people in developing countries.

Program Integrity: Preventing Health Care Fraud and Abuse

Headlines regularly call attention to pockets of fraudulent activity in the health care arena – scams that amount to millions and potentially billions of dollars. The stories typically focus on catching the crooks but not so much on efforts to prevent fraud, waste and abuse in health care programs. Both…

The President’s Budget Request: What Does It Mean For U.S. Global Health Efforts?

On Tuesday, February 21, the Kaiser Family Foundation held a live webcast to assess President Obama’s fiscal year 2013 budget proposal and potential implications for global health. The webcast featured a panel of global health policy experts who analyzed the Administration’s proposal and how it compares to current funding levels,…

Inside Deficit Reduction: What Now?

The Budget Control Act of 2011 tasked members of a “Super Committee” to find at least $1.2 trillion in deficit reduction over the next decade. Members did not reach an agreement by the November 23 deadline and as a result automatic spending cuts to defense and entitlement programs are set…