- Medicare Advantage
The drop in health care utilization during the coronavirus pandemic has contributed to higher gross margins and lower medical loss among many private insurance plans. Findings suggest that health insurers in most markets have become more profitable during the pandemic.
Medicare’s Finances Have Gotten Much Worse in Recent Years, Foreshadowing Tough Choices for November’s WinnersThis Policy Watch post discusses the latest Medicare Hospital Insurance trust fund solvency projections, which show the extent to which the COVID-19 pandemic has hurt Medicare’s financial outlook, and foreshadow the tough choices facing the next President and Congress.
- Part D Medicare covers more than 60 million Americans, but gaps in coverage and high cost-sharing requirements can make health care difficult to afford. We examined policy options to make Medicare more affordable, including the likely cost & how many people would be helped.
- Physician Opt-OutDespite changes in law that have made it easier for physicians to opt-out of the Medicare program, only 1 percent of all non-pediatric physicians have formally done so in 2020. The share varies specialty, and is highest for psychiatrists, at 7.2 percent. If a public option moves forward, and if current opt-out rules apply to both Medicare and the public option, physicians may be even less likely to opt out to retain their patients and revenue.
- BasicsMedicare plays a key role in providing health care and financial security to more than 60 million older people and younger people with disabilities.
- federal budgetMedicare spending was 15 percent of total federal spending in 2018. Benefit payments totaled $731 billion that year.
- income and assetsHalf of all Medicare beneficiaries had incomes below $26,200 per person in 2016 and savings below $74,450.
- medicare part d
- quizTake this quiz to find out how much you know about Medicare, the people it serves, the benefits it covers, and its financial status.