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Robert Reischauer (1997), now with the Urban Institute, has summarized several alternative big-idea approaches to solving...

Robert Reischauer (1997), now with the Urban Institute, has summarized several alternative big-idea approaches to solving the Medicare insolvency 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 traditional Medicare 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 Administration system.

In your words, briefly describe how these policy proposals may affect consumers, providers, and the total cost of Medicare.

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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 , by establishing new risk stabilization programs and enhancing consumer enrollment assistance .

4. many of non elder U.S 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. it comes to track the current medicare program it comes to provider participation and using medicare provider payment ratwws to leverange overall saving in health spendig

6. by these proposals extended to federal financing to states andmeke federalize coverage for all low in come adults

7. fo peoplle with disabilities and hogh health care needys to get these services in to plan benefit package

8.cost will decresee

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