Filling the need for trusted information on national health issues

President Donald Trump and the GOP congressional leaders have talked about modernizing Medicare, including a proposal from House Republicans to create a premium-support system for Medicare.  In the wake of passage of the GOP tax bill, which is expected to add to the national debt, there may be a focus on reining in the cost of entitlement programs such as Medicare, which may have significant implications for the Medicare program and its beneficiaries. The Trump administration also has shown interest in prescription drug spending in Medicare as well as in Medicare delivery system reform efforts such as Accountable Care Organizations, bundled payments and medical homes. Medicare Advantage now covers 1 in 3 Medicare beneficiaries and recent trends toward consolidation among insurers could have implications for beneficiaries.
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The Henry J. Kaiser Family Foundation

Do You Have the Facts About Medicare’s Financial Outlook for the Future?

Medicare is likely to be back on the federal policy agenda this year as Congress and President Trump pursue repealing and replacing the Affordable Care Act, and potentially consider options to reduce federal spending. When talking about Medicare, the nation’s federal health insurance program for 57 million people age 65…

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The Henry J. Kaiser Family Foundation

Private Contracts Between Doctors and Their Medicare Patients:  Current Law, Proposed Changes and Implications for Beneficiaries

Under current law, physicians may choose to privately contract with their Medicare patients, though very few do.  Under such arrangements, doctors can charge their Medicare patients any amount they determine is appropriate for their services rather than be bound to Medicare’s set fees and balance billing limits, so long as…

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10 Essential Facts About Medicare’s Financial Outlook

Medicare, the nation’s federal health insurance program for 57 million people age 65 and over and younger people with disabilities, often plays a major role in federal health policy and budget discussions. Medicare is likely to be back on the federal policy agenda as Congress debates repealing and replacing the ACA, and also if policymakers turn their attention to reducing entitlement spending as part of efforts to reduce the growing federal budget deficit and debt. This issue brief presents 10 facts and figures about Medicare’s financial status today and the outlook for the future.

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The Henry J. Kaiser Family Foundation

Where President-elect Donald Trump Stands on Six Health Care Issues

Where does President-elect Donald Trump stand on key health care issues? This snapshot outlines his positions and policy statements during the campaign on issues such as health insurance, the ACA, Medicaid, Medicare, the opioid epidemic, prescription drug costs, and women’s reproductive health.

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The Henry J. Kaiser Family Foundation

An Analysis of the Share of Medicare Beneficiaries Who Would Benefit from an Annual Out-of-Pocket Maximum under Traditional Medicare Over Multiple Years

This analysis examines the share of Medicare beneficiaries who would be helped over time if the program were to add a limit on out-of-pocket spending to traditional Medicare. This analysis was conducted jointly with the Medicare Payment Advisory Commission (MedPAC) in response to a request made during a Feb. 26, 2013 hearing of the House Ways and Means’ Subcommittee on Health.

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The Henry J. Kaiser Family Foundation

Comparison of Medicare Premium Support Proposals

This brief provides a side-by-side comparison of recent proposals to transform Medicare into a premium support program and slow the future growth in Medicare spending. These proposals each would convert Medicare from a defined benefit program, in which beneficiaries are guaranteed coverage for a fixed set of benefits, to a…

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The Henry J. Kaiser Family Foundation

Raising Medicare Premiums for Higher-Income Beneficiaries: Assessing the Implications

As policymakers consider ways to slow the growth in Medicare spending as part of broader efforts to reduce the federal debt or offset the cost of other spending priorities, some have proposed to increase beneficiary contributions through higher Medicare premiums. This issue brief explains provisions of current law that impose income-related premiums under Medicare Part B and Part D, describes recent proposals to modify these requirements, and analyzes the potential implications for the Medicare population.

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The Henry J. Kaiser Family Foundation

Raising Medicare’s Age of Eligibility to 67 Would Achieve Significant Savings, But Shift Costs To 65- and 66-Year-Olds, Other Individuals, Employers and Medicaid, New Analysis Shows

Study Estimates Two in Three People Ages 65 and 66 Would Pay $2,200 More On Average For Health Care in 2014 Than They Would If They Remained in Medicare MENLO PARK, Calif. — Raising Medicare’s eligibility age from 65 to 67 in 2014 would generate an estimated $5.7 billion in…

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The Henry J. Kaiser Family Foundation

The Budget Control Act of 2011: Implications for Medicare

Beginning January 2013, Medicare spending will be subject to automatic, across-the-board reductions, known as “sequestration,” which is slated to reduce Medicare payments to plans and providers by up to 2 percent. This sequestration results from provisions in the Budget Control Act of 2011, which raised the debt ceiling and will…

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The Henry J. Kaiser Family Foundation

Making Ends Meet: The Medicare Generation

This short Kaiser Family Foundation documentary profiles the experiences of three Medicare families trying to pay for their health care costs with other household spending. The families are among 16 featured in a companion report examining the role Medicare now plays in the lives of beneficiaries and the challenges many…

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