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Medicare financial status, budget impact, and sustainability--which concept is which?

Foster RS, Clemens MK - Health Care Financ Rev (2005-2006 Winter)

Bottom Line: These debates would be improved if policymakers and the public had a clearer understanding of Medicare and certain commonly cited views of the program's overall status.Each concept is important but needs to be used for its own purpose.This article clarifies the differences among these three views of Medicare and provides examples of each.

View Article: PubMed Central - PubMed

Affiliation: Centers for Medicare & Medicaid Services, Office of the Actuary, Baltimore, MD 21244-1850, USA. richard.foster@cms.hhs.gov

ABSTRACT
Medicare is continually undergoing change, as it must in order to reflect advances in medical technology, new health care delivery systems, financial pressures, and other developments. Modifications to the program are debated by policymakers in Congress and the administration, together with academic experts and others. These debates would be improved if policymakers and the public had a clearer understanding of Medicare and certain commonly cited views of the program's overall status. Three such concepts--the financial status of the Medicare trust funds, the impact of Medicare on the Federal budget, and the long-run sustainability of Medicare--are often confused with each other and are sometimes used interchangeably. Each concept is important but needs to be used for its own purpose. This article clarifies the differences among these three views of Medicare and provides examples of each.

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Related in: MedlinePlus

Average Monthly SMI Cost Sharing and Premiums per Enrollee as a Percent of a Typical Monthly Social Security Benefit and Income: Selected Calendar Years, 2005-2075
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Related In: Results  -  Collection


getmorefigures.php?uid=PMC4194920&req=5

f6-hcfr-27-2-127: Average Monthly SMI Cost Sharing and Premiums per Enrollee as a Percent of a Typical Monthly Social Security Benefit and Income: Selected Calendar Years, 2005-2075

Mentions: Figure 6 compares projected future SMI out-of-pocket health costs and illustrative beneficiary income (Social Security and total). The SMI out-of-pocket costs include the projected average level of Part B plus Part D cost sharing (deductibles and coinsurance) together with the average Part B plus Part D beneficiary premiums. (Part A cost-sharing amounts are not included.) The Social Security benefit shown is based on the projected average amount for retired workers. The total income curve assumes an average amount of additional income in the future (from earnings, private pensions, and/or investments), assuming a continuation of the actual relative relationship in 2002.


Medicare financial status, budget impact, and sustainability--which concept is which?

Foster RS, Clemens MK - Health Care Financ Rev (2005-2006 Winter)

Average Monthly SMI Cost Sharing and Premiums per Enrollee as a Percent of a Typical Monthly Social Security Benefit and Income: Selected Calendar Years, 2005-2075
© Copyright Policy
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC4194920&req=5

f6-hcfr-27-2-127: Average Monthly SMI Cost Sharing and Premiums per Enrollee as a Percent of a Typical Monthly Social Security Benefit and Income: Selected Calendar Years, 2005-2075
Mentions: Figure 6 compares projected future SMI out-of-pocket health costs and illustrative beneficiary income (Social Security and total). The SMI out-of-pocket costs include the projected average level of Part B plus Part D cost sharing (deductibles and coinsurance) together with the average Part B plus Part D beneficiary premiums. (Part A cost-sharing amounts are not included.) The Social Security benefit shown is based on the projected average amount for retired workers. The total income curve assumes an average amount of additional income in the future (from earnings, private pensions, and/or investments), assuming a continuation of the actual relative relationship in 2002.

Bottom Line: These debates would be improved if policymakers and the public had a clearer understanding of Medicare and certain commonly cited views of the program's overall status.Each concept is important but needs to be used for its own purpose.This article clarifies the differences among these three views of Medicare and provides examples of each.

View Article: PubMed Central - PubMed

Affiliation: Centers for Medicare & Medicaid Services, Office of the Actuary, Baltimore, MD 21244-1850, USA. richard.foster@cms.hhs.gov

ABSTRACT
Medicare is continually undergoing change, as it must in order to reflect advances in medical technology, new health care delivery systems, financial pressures, and other developments. Modifications to the program are debated by policymakers in Congress and the administration, together with academic experts and others. These debates would be improved if policymakers and the public had a clearer understanding of Medicare and certain commonly cited views of the program's overall status. Three such concepts--the financial status of the Medicare trust funds, the impact of Medicare on the Federal budget, and the long-run sustainability of Medicare--are often confused with each other and are sometimes used interchangeably. Each concept is important but needs to be used for its own purpose. This article clarifies the differences among these three views of Medicare and provides examples of each.

Show MeSH
Related in: MedlinePlus