by cracking down on fraud, reduce the deficit & save the program but keeps age at 65. When I buy a house listed for 500K and negotiate the price down to 300K because of repairs I argue it needs or because I promise to buy all my houses in the future through this guy. It’s not a cut to the house? The house is still the same house I just saved myself 200K on the purchase so that’s what BO did, add 716 billion $ in savings to medicare by cracking down on waste and fraudulent claims, while not just keeping benefits but enhancing the same medicare benefits, then adding years to Medicare. So Dems added those savings back into medicare to save seniors money on preventative care & free prescription drugs (Closing the donut hole as they call it), so seniors now get their prescription drugs without out of pocket costs. Of course Ryan Myth have to frame the 716 billion dollar savings from Obama as a cut because that’s what their plan actually does –which is cut medicare funds for seniors/benificiaries. Dems are crazy if they don’t get a clue & frame the argument themselves for what it is: Dems don’t cut medicare, they add savings to medicare whereas Ryan Myth do cut it so that’s why they have to frame the argument as a cut & pretend Dems are cutting too. Dems are not cutting, they’re saving $ so big difference. Dems better start setting the narrative instead of letting Rethugs set the narrative thereby arguing on their turf. Wise up, Dems, this is your program, we all know it so don’t let the wolf argue to the baby sheep that he’s their best protector for them over over their own mother. Dems are not Myth who would eat his young (He promised to repeal O’Romneycare & increase waste spening blowing up the deficit), Dems are proud of medicare, ss medicaid and welfare reform. Dems are the “socialists” who have always argued for medicare and so-called socialist programs or are rethugs embracing “socialism” now? Seriously this argument is so stupid from Rethugs to make, I’m surprised they’re not being laughed at by the few serious reporters around. This argument is so surreal from rethugs it doesn’t pass the giggle test, all it takes is one swift attack from Dems and they’re out of the water. Dems need to bring out those 2010 TV ads where Rethugs used their moms to reassure voters they would protect medicare and promised they would never vote against medicare…and what did they do as soon as they were elected? They made liar put of their own moms as 98% of rethugs voted to support Ryan’s budget which cuts medicare into a voucher coupon program that places cost burden on seniors, requiring seniors to come out of pocket for $6500 to cover medicare expenses. In addition, Ryan Myth re-opens the donut hole so seniors have to start coming out of pocket on prescription drugs again which are now covered for seniors due to the 716 billion $ savings BO added into medicare with health care, medicare reform. So BO, the “socialist” big spender adds savings to a program, lowering the gov’t spending and the deficit VS Ryan Myth who want to make gov’t bigger by adding waste, pork, fraud claims to favor the millionaire insurance company owners but Bo’s the “socialist” big spender & Ryan Myth are the fiscal hawks? Yea, right, tell us another funny story boys. Dems need to go hard with this, in lockstep. Rethugs are going to be forceful, bold since they’re desperately lying but Dems have truth on their side, so we need to be bolder & never let up on driving this truth home. Shame them with those TV ads where they pimped out their own sweet innocent moms & made liars out of their own moms, as soon as they were elected. Anybody who would make a liar out of their own moms would do anything, even sell out their own country to a group of oligarch billionaires who want to go to war with Iran.
Video: WFG NEW TRADITIONAL MEDICARE SUPPLEMENT PLANS VIDEO 4.wmv
Top 5 Reasons Why Medicare Voucher Reform Is Stupid
In the health-care industry, competition hasn’t produced the savings that economists expected, and instead has led to other problems, such as gaps in coverage. Remember the rise of H.M.O.s, another idea that was supposed to revolutionize health care and drive down costs? Part of the problem is the advance of costly treatments. But a bigger problem is that private insurers, rather than haggling with doctors and hospitals, try to make money by limiting the procedures they cover and by aggressively managing their risk pools—that is, taking on fewer sick people. This problem can be addressed through vigorous oversight, but that’s not an easy thing to implement, especially when half of Congress is controlled by a party that breaks out in hives at the very idea of government regulation.
FAQ: Decoding The $716 Billion In Medicare Reductions
Ryan’s plan also calls for an overhaul of the program, offering beneficiaries a set amount of money that they would use toward buying a private plan or traditional Medicare. Democrats have argued that such a fundamental change could undermine the traditional Medicare program, because private plans might tailor their coverage to attract healthier beneficiaries, leaving sicker beneficiaries in traditional Medicare. Critics of Ryan’s plan also predict it will force seniors to eventually pay more for their health care because the federal payments will be capped at the rate of gross domestic product plus half a percentage point, an amount that may not keep up with the increase in medical costs. Under Ryan’s plan, insurers would have to provide benefits that are at least equal the value of those offered in traditional Medicare.
Can hospice function under Medicare premium support?
How common is it for MA patients to elect hospice as compared to traditional Medicare? MA patients are more likely to choose hospice than are beneficiaries in traditional Medicare, though the gap has been shrinking (47.8% of MA decedents v. 43% FFS in 2010; 30.9% MA v. 20.5% FFS in 2000 p. 288; longstanding p.141-143). MA plans have a financial incentive to encourage hospice selection because it pushes end-of-life costs to traditional Medicare, though a study testing whether making hospice a part of the capitation payment for MA* concluded that it would only save traditional Medicare a modest amount of money. However, this study focused on enrollment in hospice during the last month of life, which covers around two-thirds of users, using data from the 1990s. Since then, the expansion of hospice in Medicare has grown steadily, primarily through increased use of hospice by older beneficiaries, and via an increase in the use of hospice by persons with non-Cancer terminal diagnoses (like CHF and dementia). This means the tails of one side of the distribution (long users) have gotten a lot longer (90th percentile 150 days in 2000, 250 days in 2010 while the 25th percentile stay has been 5-6 days for 20 years. There is a literature on the correlates of hospice choice that partially line up with the correlates of MA advantage selection that I will post on later (urban, white, higher education and higher income are all more likely to choose MA, and hospice, even within traditional Medicare).
Why Ryan’s Medicare Plan is Harmful to Those Over 55
As Think Progress explained, the incentives are strong for the private insurers to “cherry pick” the healthiest seniors and leave older and less healthy seniors in traditional fee-for-service Medicare. As the traditional Medicare population gets disproportionately less-healthy, costs go up, meaning that even more younger, healthier Medicare beneficiaries use their government vouchers to buy private health insurance. As the cycle continues, traditional Medicare would be driven into a death spiral. Medicare as we know it would soon end for everyone – including those over the age of 55 – and private insurers would be fully in charge of care for our seniors.
Ryan’s “premium support” proposal for Medicare: Myths and facts
2. Myth: Expanding private plans in Medicare will reduce Medicare’s costs. Fact: Private Medicare Advantage plans have raised Medicare costs. Private insurers profit by selectively enrolling the healthy and shunning the sick, as documented in a New England Journal of Medicine article subtitled “The healthy go in and the sick go out.” Hence, they collect premiums paid by the Medicare program, and provide little care. As a result, the Congressional Budget Office estimates that Medicare Advantage plans cost Medicare 12 percent more per enrollee than the traditional program. New research from the National Bureau of Economic Research indicates that the true cost of private plans to Medicare may be much higher than the CBO estimate. Since Medicare launched a new risk adjustment scheme based on 70 diagnostic codes in 2004, overpayments to private plans have increased dramatically and accounted for $30 billion in excess spending, or 8 percent of total Medicare spending, in 2006 alone. Since then the overpayments have likely risen as the proportion of Medicare recipients in private plans has jumped from 16 percent to 24 percent.
Brad DeLong: Who’s on First? Medicare Edition
Mitt Romney: Paul Ryan Medicare Plan And Mine Are The Same, ‘If Not Identical': Presumptive GOP nominee Mitt Romney said Wednesday his Medicare plan was “close to identical” to that of his vice-presidential choice, Rep. Paul Ryan…. “Actually, Paul Ryan and my plan for Medicare, I think, is the same, if not identical — it’s probably close to identical,” he told Green Bay station WBAY. Ryan, as a House member, in 2011 proposed shifting Medicare entirely to a voucher-like system, then tweaked the proposal in 2012 to offer traditional Medicare alongside private plans….
Paul Ryan’s Medicare plan would ‘pave Paradise’
I believe that there is much that can be improved in the current Medicare program without destroying its basic social insurance framework. There are ways to manage the care of people with chronic illness more effectively; there are a number of ways to pay providers differently so that they are not incented to provide more care instead of better care; there are ways to save money through tougher action on fraud and abuse; and there are options to increase the eligibility age or have higher income seniors pay even more than they do now that could save money for Medicare without changing its basic structure.
Wyden’s Medicare collaboration with Ryan puts him center stage for 2012
Jeff – I think we all agree that these programs need some adjustment but like everything else the devil is in the details. Social Security is an easy fix…right now the eligibility is gradually increasing up to 67 done thanks to President Reagan. The age should continue to increase gradually until it reaches 70. Additionally, lift the $106,000 cap on income possibly to $250,000 or more. That’s all that needs to be done for SS. Now Medicare….increase the FICA contribution that we all pay. Believe me I would pay a little more out of my paycheck in heartbeat to get the great benefit that Medicare offers seniors. If Americans knew how good the benefits were, no one would complain about a few dollars more out of your paycheck. But no, that would be too easy. Republicans have to give wealthy individuals yet another tax break on top of the two they already have. In order to achieve that they have to tell the American people what dire straits Medicare is in and the only way….the only way….we can fix it is to reduce benefits drastically for all those Americans under the age of 55. BULL S**T. They are trying to sell the American people a load of it. Republicans have no interest in saving Medicare. They’ve been trying to get rid of it since its’ inception in the ’60s. Don’t let these people fool you. Once the Republican camel has his nose under the tent……Medicare will be a wistful memory….these people have no shame and Paul Ryan is the biggest cheerleader for the “I’ve got mine” crowd. He loves enriching the 1% and has no use for the middle class or the working poor. In his world view, they are not the important people.