This brief presents the most current data available on the Medicare supplemental insurance (Medigap) market, including enrollment and premiums by state and plan type, analyzes how many beneficiaries have first dollar coverage (particularly Plans C and F), and describes recent Medigap proposals that have emerged as part of efforts to reduce Medicare spending and the national debt.
Featured Medicare’s Future Resources
This issue brief, co-authored by researchers at the Kaiser Family Foundation and the Urban Institute, describes the income, savings, and home equity of current Medicare beneficiaries, considers variations by race, ethnicity and other demographic characteristics, and examines the extent to which income and assets are projected to be higher among the next generation of beneficiaries.
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Related Medicare’s Future Resources
- 10 Essential Facts About Medicare and Prescription Drug Spending
- No Limit: Medicare Part D Enrollees Exposed to High Out-of-Pocket Drug Costs Without a Hard Cap on Spending
- “What is CMMI?” and 11 other FAQs about the CMS Innovation Center
- Web Briefing: The Future of Delivery System Reform in Medicare: Assessing the Evidence and Looking Ahead
- Private Contracts Between Doctors and Medicare Patients: Key Questions and Implications of Proposed Policy Changes
- Turning Medicare Into a Premium Support System: Frequently Asked Questions
- Health Affairs Blog: Medicare Premium Support Proposals Could Increase Costs for Today’s Seniors, Despite Assurances
- Medicare Part D in 2018: The Latest on Enrollment, Premiums, and Cost Sharing
- Medicare’s Income-Related Premiums Under Current Law and Proposed Changes
- An Overview of Medicare
- The Facts on Medicare Spending and Financing
- Medicare Advantage 2017 Spotlight: Enrollment Market Update
- Medicare Advantage: How Robust Are Plans’ Physician Networks?
- Medicare Delivery System Reform: The Evidence Link
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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Juliette Cubanski, Associate Director of the Foundation’s Program on Medicare Policy, testified on Feb. 27, 2013 before the Senate Special Committee on Aging to provide an overview of the Medicare program and Medicare beneficiaries’ costs and service utilization. Testimony (.pdf)
The Medicare program offers health and financial protection to nearly 50 million seniors and younger people with disabilities, though many beneficiaries still face significant out-of-pocket expenses. This analysis examines how much Medicare households spend on health-related expenses compared to other spending priorities and compared to non-Medicare households, the extent to which Medicare households’ health spending as a share of household budgets varies by age and poverty level, and changes in Medicare households’ health spending over time.
Medicare and the Federal Budget: Comparison of Medicare Provisions in Recent Federal Debt and Deficit Reduction Proposals
This brief provides a side-by-side comparison of Medicare provisions included in broad-based packages to reduce the deficit and debt put forward by the President and the Chairmen of the House and Senate Budget Committees. In addition, this brief summarizes Medicare provisions included in other deficit- and debt- reduction proposals released since January 2012 and describes recent activities that pertain to Medicare and the federal budget, including Medicare’s role in the Affordable Care Act (ACA), the fiscal cliff and sequestration.
Healthier and Wealthier, or Sicker and Poorer? Prospects for Medicare Beneficiaries Now and in the Future
This January 2014 briefing, co-sponsored by the Kaiser Family Foundation and the Alliance for Health Reform, examines what is known about the health and economic security of Medicare beneficiaries today, as well as how current and future beneficiaries may be affected by the leading proposals that aim to achieve Medicare savings.
New Interactive Takes a Look at Income and Assets Among Medicare Beneficiaries, Now and in the Future
A small share of the 52.4 million elderly individuals and people with disabilities on Medicare have relatively high incomes, but most are of modest means — with half living on incomes of less than $23,500 last year. Although the majority of beneficiaries have some savings, the value of their assets…
In an effort to simplify Medicare’s cost-sharing requirements, provide beneficiaries with catastrophic protection, and achieve program savings, some have proposed to restructure Medicare’s benefit design. Several recent proposals would create a unified deductible for Medicare Parts A and B, simplify cost-sharing requirements above the deductible, and add an annual limit on beneficiary out-of-pocket spending—a benefit feature typical of larger employer plans, but lacking in traditional Medicare. This issue brief describes the options for adding an out-of-pocket spending limit to Medicare and examines the operational issues that could arise in implementing both a uniform and an income-based out-of-pocket spending limit. Because the implementation of an income-related out-of-pocket maximum would pose somewhat greater complexity for Medicare, the operational issues associated with this approach are discussed in greater detail.
Since 2007, seniors with incomes greater than $85,000 have had to pay higher premiums for Medicare than their counterparts with lower incomes. Six percent of Medicare Part B enrollees are expected to pay higher monthly premiums in 2015, ranging from $147 to $336, depending on their income. Lawmakers on Capitol…
This Issue Brief describes the Medicare Hospital Readmission Reduction Program (HRRP), which penalizes hospitals that have relatively higher readmission rates, analyzes the impact of this program on Medicare patients and hospitals, and discusses several issues that have been raised regarding its implementation.
This policy insight examines the low rate of Medigap coverage among people under age 65 with disabilities on Medicare and the federal law that governs consumer rights and protections related to Medigap open enrollment.