The Future of Medicare (Part A) Suitable health care would not be possible for the elderly population in America without the assistance of Medicare Part A. Medicare did not come about easily. Currently Medicare spending is more than what is being collected, questioning future solvency. There are many challenges with sustaining Medicare into the future. Medicare’s past struggles, present outcomes, and future challenges confirm that a national health plan is ever evolving to meet the needs of the current population and spending inflation.
The inception of Medicare started in 1915 with the first introduction of a health insurance bill to state government (Oberlander, 2015). The bill faced opposition from the initial conception. …show more content…
An analysis of tax increases may provide some options. Employees pay into the trust at a 1.45 percent payroll tax, employers contribute to the trust at a rate of 1.45 percent payroll tax. This has been the tax rate since 1987; the rate has not evolved with the economy (Moon, 2015). Increasing payroll tax by one percentage point would add $346 billion dollars to the trust by 2019. Another option, implementing a ‘sin tax’ on cigarettes and alcoholic beverages would contribute an additional $49 billion dollars. Other options for increased support to the Medicare trust fund, is to increase beneficiary …show more content…
On October 1, 2013 CMS has implemented a two midnight rule. If a patient is not in the hospital over two midnights the claim will not be eligible for payment under Medicare Part A (Pahuja, 2014). The physician must document and prove necessity for a two night stay. The American Hospital Association and three hospitals have sued Medicare based on ethical standards of RAC. The claim is that RAC auditors are paid based on the funds recovered from hospital audits. The push to pay auditors a flat fee, eliminating the unsubstantiated over riding of a physician decision in order to increase the amount of dollars
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Since its establishment in 1965 we have seen Medicare change as people’s needs change however being a federal program these changes do have an incredible amount of lag time. One of the first major changes to Medicare occurred in 1972 when President Nixon signed the Social Security Amendments of 1972 which extended coverage to individuals under age 65 with long-term disabilities, expanded benefits to include some chiropractic services and speech and physical therapy. During this time we see the American public growing tired of the Vietnam Conflict and lack of support and care for those returning Marines and soldiers with severe disabilities. As the protests escalate and the peace initiatives fail a key piece of legislation is signed showing government support and a willingness to extend health care benefits to this growing and vocal population of veterans (The Vietnam War, 1999). Also included in this Amendment is the encouragement of the use of Health Maintenance Organizations, President Nixon’s administration caught in the scandal of Watergate and pending hearings appeased the left and proposed the HMO Act, which Congress passed in 1973 (Phillips, 2003).
The baby-boomer generation is aging and adding more beneficiaries’ at an increasing rate than ever before and is estimated to impact the federal deficit by over 17% by 2020. Many other countries have National Healthcare that provides better care at a much lower cost. Medicare was the motivation for a universal healthcare plan and a program for the U.S. could have a positive impact. (Starr, 2011).
Life expectancy has increased over the last century. With this greater survival rate, there needs to be an increase in the rate of spending for Medicare. Despite what one does to improve their health behavior, the need for medical care cultivates as one ages. This need will continue to increase significantly as medicine continues to modernize.
The Patient Protection and Affordable Care Act (Obamacare) had mame dramatic changes in the field of the health care system, especially in Medicare, that will seriously take effect in American seniors. Indeed, much of the health law’s new spending is financed by spending reductions in the Medicare program. In addition to the provider payment reductions, Obamacare significantly reduces payments to Medicare Advantage (MA) plans by an estimated $156 billion from 2013 to 2022.( Elmendorf, letter to Speaker Boehner). About 27 percent of all Medicare beneficiaries are enrolled in MA plans, a system of regulated and private plans competing against each other as an alternative to traditional Medicare. MA plans are attractive to beneficiaries because they offer more generous and comprehensive coverage than traditional Medicare by capping out-of-pocket costs and offering drug coverage to a rasonable
Many proposals to reorganize Medicare could increase the financial and health risks faced by the vulnerable elderly. Turning Medicare into a premium-support system a voucher set randomly at the value of the second-least-expensive insurance plan could shift costs to elderly households. Increasing the Medicare eligibility age from 65 to 67 will leave many Americans ages 65 and 66 without insurance. The basic idea of part A Medicare payment is simple. The patient pays a deductible that approximately equal to the cost of the first day in the hospital;
As this baby-boomer generation continues to age there will be profound effects on the way that money is spent on health care and insurance. With approximately 77 million people turning 65 over the next several years, the amount of government spending on Medicare will greatly increase (Gigante, 2012). Thus, the demand for medical care associated with the aging population will so
The problem of rising healthcare costs is to be addressed because of its nation-wide significance. Predictions given by economic analyst suggest that funding for Medicare will run out of money and will not be operate-able by the year 2024 if government remains the major payer for healthcare and the costs of Medicare continue to rise. Government will not be able to continue financing the healthcare system on its own (Gersh, 2011).
However, there is enough fund to pay for 75% of the health care costs of the Medicare beneficiaries till 2024. The eight year extension in the fund of the Medicare is due to the ACA. The Center for Medicare Advocacy (n.d.) stated that the Medicare is working and it is s sound and cost-effective success. Further, it mentioned about Rep. Ryan and some other candidates’ proposal to change Medicare and developing an individual voucher system. It believes that this proposal will not only impact the current Medicare beneficiaries, but also their
It is important that we all understand the basics of the Medicare and Medicaid programs as we will all eventually come of age where it is necessary to seek their assistance. The purpose of this paper is to give a brief history of how the program came about, the various plans for each program, issues that affect cost and access to the programs, how the political arena is affected and finally a conclusion with final thoughts on the total information.
In the last 10 years funding of Medicare and Medicaid has been on the decline each year. According to the Heritage Foundation (2017) “The law cuts an estimated $716 billion from Medicare over ten years. However, these "savings" are not set aside to preserve Medicare's future” This is a significant amount of resources that were cut from the people in need of these subsidized programs ; and these cuts have resulted in less health care coverage for Medicaid recipients. The cuts have also resulted in poor service for the elderly covered under
Medicare is an example of a socialism insurance coverage in the United States. It was created back in 1965 when President Lyndon B. Johnson signed the law into place for the system known as “Original Medicare (CMS Program History, cms.gov).” Original Medicare consists of hospital coverage (Part A) and physician/outpatient coverage (Part B). These benefits have evolved through time with the expansion in eligibility in 1972. The largest change to Medicare occurred in 2003 with the passing of the Medicare Prescription Drug Improvement and Modernization Act. The act created two new parts to Medicare. Part D is the prescription drug benefit to Medicare, a benefit lacking in traditional Medicare. Part C is a combination of Parts A & B but it is administered by a Health Maintenance Organization that contracts with Medicare beneficiaries. Part C may offer additional services
Medicare is facing a fiscal crisis that threatens its sustainability. The need for significant Medicare reform is increasingly urgent as 76 million baby boomers are expected to retire over the next two decade. According to the 201 Medicare Trustees Report, the Hospital Insurance trust fund will be depleted in 2024. This translates to $27 trillion in unfunded liabilities over the next 75 years. Current projections indicate that health care costs will increase by more that 70 percent over the next ten years and will continue thereafter to consume an increasingly greater portion of personal income.
Due to the upcoming presidential election, the two major political parties, and their candidates, have been focusing on the primary problems that the nation will face. Chief among those problems is the future of Medicare, the national health-insurance plan. Medicare was enacted in 1965, under the administration of Lyndon B. Johnson, in order to provide health insurance for retired citizens and the disabled (Ryan). The Medicare program covers most people aged 65 or older, as well as handicapped people who enroll in the program, and consists of two health plans: a hospital insurance plan (part A) and a medical insurance plan (part B) (Marmor 22). Before Medicare, many Americans didn't have health
The growing concern regarding the financial security of Medicare is one of particular interest to the nearly 72 million baby boomers that become eligible for this government-assisted, and tax-payer bolstered, program over the next two decades. According to the U.S. Census Bureau (2010), there will be a rapid increase in baby-boomers between 2010 and 2030, as the entire baby boomer population move into the 65 years and over category (p.3). Political and financial revisions must be made to ensure the security of Medicare as the numbers of individuals paying into this program are soon to be surpassed by the number of individuals drawing-off this program (U.S. Census Bureau, 2010). The elderly are also at a disadvantage with transportation to health care visits, picking up prescriptions, and rehabilitation services. There needs to be an establishment of access not only to primary care providers, hospitals, and rehabilitation services, but access to other aspects of the health care system for the elderly population.
After four decades of failure to enact a universal healthcare program, advocates decided to refine their approach in the 1950s, and the strategy that ultimately led to the passage of Medicare and Medicaid was formulated. Wilbur Cohen and I.S. Falk recognized that a health insurance plan focused on Social Security beneficiaries would be much easier to sell than a plan for all Americans. By limiting its benefits to the elderly, Medicare could be portrayed as a program for people who met two important criteria: they had greater need for healthcare coverage and they were especially deserving of public assistance. Because of their age, seniors have relatively high medical costs--when Medicare was passed, average healthcare expenses for people sixty-five or older were twice the average expenses for younger persons. (Orentlicher, D. (2012).