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Medicare reform can no longer be ignored: Warnings from the 2019 ...

医保改革再也不能被忽视:从2019年医疗保险受托人报告警告

【作       者】:

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【机       构】: 美国企业公共政策研究所
【承研机构】:

【原文地址】: https://www.aei.org/research-products/report/medicare-reform-can-no-longer-be-ignored-warnings-from-the-2019-medicare-trustees-report/
【发表时间】:

2019-09-04

摘要

Abstract

The latest annual Medicare trustees report highlights the program’s growing fiscal challenge and reflects policymakers’ ongoing failure to prepare Medicare for the future. Program spending on a per-beneficiary basis rose sharply in 2018 and is anticipated to accelerate with the influx of baby boomers turning age 65 and rising health care costs. Medicare’s Hospital Insurance (or Part A) trust fund becomes insolvent in 2026, but the program is already in trouble from a budget perspective. More than $300 billion in general tax revenue was needed in 2018 to help fund $740 billion in Medicare spending. Bipartisan legislation will be needed to put the program on a sound basis for future generations. One starting point could be proposals advanced in the president’s budget and other reforms to improve the functioning of traditional fee-for-service Medicare. Adopting premium support, which converts the current uncapped subsidy to a defined contribution, would eliminate the fee-for-service incentives that drive up spending unnecessarily. Such a reform is controversial but less dramatic than many think.

Medicare reform can no longer be ignored: Warnings from the 2019 Medicare trustees report

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