Question

Robert Reischauer (1997), a current public trustee of the OASI, DI, and HI trust funds, has summarized several alternative big idea approaches to solving the Medicare problem:

1. Replace the existing Medicare program with a program in which beneficiaries get a large deductible. Medicare policy; once the annual deductible is satisfied, the beneficiary has full coverage.

2. Replace the existing Medicare program with a voucher program in which Medicare gives each beneficiary a subsidy to buy private health insurance.

3. Replace the existing Medicare program with a redefined set of core covered services and allow private insurers to bid with Medicare to provide these services. Allow beneficiaries to purchase supplemental coverage if they choose.

4. Keep the existing Medicare program but cut prices to providers and raise copays, deductibles, and premiums to beneficiaries.

5. Replace the existing Medicare program with a government run program similar to the current Veterans Affairs System.*

Any of these, of course could be undertaken in the context of higher taxes and changes in the age of eligibility as well. Discuss some of the advantages and disadvantages of each approach from the point of view beneficiaries and taxpayers.

*I need number 5 answered for this question.*

Answer 1

Affects of policy proposals on consumers, providers, and the total cost of medicare.

1.medicare limits the eligibility based on citizenship and immigration status, which benefiting lawfully.

These proposals will cause the mixing the public and private sources of coverage  it will make the public plan an option for states, and expanding the coverage.

2. these proposals affect the affordability of coverage for consumers by affordability issues in the market place by enhancing premium and cost sharing for current eligible clients . in this financial burden of health care for people covered under the current medicare program , by this proposal negotiate lower the prices of drugs.

3. it Will change the market place dynamics and premiums, by this proposals include provisions to stabilize or strengthen market places generally, establishing new risk stabilization programs and enhancing consumer enrollment assistance.

4 many of non elder us population have job based benefits by replacing With proposals make coverage that meets minimum standards it will limit the ability of individual to shift from job based coverage into public plan.

5.The Current medicare program  comes to provider participation and using medicare provider payment overall saving in health spending.

6.By these proposals extended to federal financing to states and make federalize coverage for all low in come adults.

7.The people with disabilities and high health care need to get these services in to plan benefit package.

8.cost will decrease.