Special Needs Plans: Availability and Enrollment September 9, 2011 Report Special Needs Plans are a form of Medicare Advantage plan authorized to provide a managed care option for beneficiaries with significant or relatively specialized care needs, including Medicare beneficiaries who are dually eligible for Medicare and Medicaid, beneficiaries living in nursing homes or other institutions, and beneficiaries with severe chronic…
Pulling It Together: Are We Headed for a Government Takeover of Health Care? July 29, 2011 Perspective Remember the “government takeover of the health care system” argument that critics of the health reform law have used? Well, last week the Office of the Actuary in the Centers for Medicare and Medicaid Services published the latest projections of health spending in the journal Health Affairs. Attention focused mainly…
Medigap Reforms: Potential Effects of Benefit Restrictions on Medicare Spending and Beneficiary Costs July 20, 2011 Report As part of several debt-reduction and Medicare-reform proposals, some policymakers propose to prohibit Medicare supplemental insurance policies (known as Medigap) from covering all of enrollees’ out-of-pocket Medicare costs, which some believe leads to higher use of services and higher Medicare spending. Such changes would expose Medigap enrollees – currently about…
Raising Medicare’s Age of Eligibility to 67 Would Achieve Significant Savings, But Shift Costs To 65- and 66-Year-Olds, Other Individuals, Employers and Medicaid, New Analysis Shows July 18, 2011 News Release Study Estimates Two in Three People Ages 65 and 66 Would Pay $2,200 More On Average For Health Care in 2014 Than They Would If They Remained in Medicare MENLO PARK, Calif. — Raising Medicare’s eligibility age from 65 to 67 in 2014 would generate an estimated $5.7 billion in…
Raising the Age of Medicare Eligibility: A Fresh Look Following Implementation of Health Reform July 18, 2011 Report Several major deficit-reduction and entitlement reform proposals include raising Medicare’s age of eligibility from 65 to 67 as a way of improving Medicare’s solvency. This Kaiser Family Foundation report estimates the expected effects of such a change on the federal budget, as well as on affected seniors’ out-of-pocket costs, employers,…
An Overview of Changes in the Federal Medical Assistance Percentages (FMAPs) for Medicaid July 1, 2011 Issue Brief The joint federal-state financing of the Medicaid program works through a matching mechanism known as the Federal Medical Assistance Percentage (FMAP). This mechanism determines the federal and state shares of Medicaid costs based on a state’s per capita personal income relative to the national average. While the FMAP formula has…
Preventing Chronic Disease: The New Public Health June 10, 2011 Event There is a groundswell of activity in local communities to support healthier lifestyles and help people make long-lasting and sustainable changes that can reduce their risk for chronic diseases. A number of provisions in the health reform law are aimed directly at improving population health by addressing conditions where Americans…
The Nuts and Bolts of Medicare Premium Support Proposals June 8, 2011 Issue Brief In April 2011, as part of its 2012 budget resolution, the U.S. House included a proposal to reduce Medicare spending by transforming the program into a system sometimes called “premium support” or vouchers. Such an approach also has been a central element of other proposals by national leaders seeking to…
The Role of Medicare and Beneficiaries in the Deficit-Reduction Debate June 1, 2011 Event This Kaiser Family Foundation briefing examined how Medicare reform options now under consideration might work and their implications for beneficiaries and taxpayers. As context for understanding the potential effects of reforms, the briefing looked at the current and projected income and assets of people on Medicare, out-of pocket health care…
How Much Skin in the Game is Enough? The Financial Burden of Health Spending for People on Medicare May 30, 2011 Report How Much ” Skin in the Game ” is Enough? The Financial Burden of Health Spending for People on Medicare Medicare extends health security and financial protection to seniors and younger people with disabilities. However, premiums, relatively high cost-sharing requirements, and gaps in the benefit package result in some beneficiaries…