Category: Medicare

  • Medicare for Fall – elections in Colorado may push the states do what the feds can’t | Jordan Shields, Partner

    April 3, 2020

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    Colorado lawmakers are preparing a vote on a state-sponsored health plan that would compete with private insurance and offer lower premiums. The governor has the idea of reducing health care costs at the top of his agenda, creating an Office of Saving People Money on Health Care. Colorado follows in the wake of Washington, which already has a public option, and joins Delaware, Massachusetts and New Mexico who have their own proposals. Colorado’s
    state-sponsored plan would start in 2022 and target the 7% of the population that buys their own health insurance, with premiums 11-17% below market. The state will target hospital costs in a transparent manner, replacing carrier negotiations, and also limit carrier profits and their budget for administrative expenses. Hospitals are not happy and have proposed their own idea that would limit total health care spending without interfering in the privately negotiated rates between insurers and hospitals.

  • It may work unless it doesn’t – NBER Paper shows pitfalls of Medicare for All

    January 6, 2020

    Tags:

    A recent study by three high-level economists shows some of the flaws in the current Medicare system, which means placing a large bet on Medicare for All may be problematic.  Main points:

    1. Medicare provides more generous access to providers and new treatments than public programs in other developed countries.
    2. Three major shifts make a uniform design less efficient today than when Medicare began in 1965: rising income inequality, a dramatic expansion of expensive medical technology and the mounting economic costs of the plan with tax financing of the system.
    3. The recommendation is not just a blanket “Medicare for Everyone,” but a base system that everyone can use (less generous than current Medicare) with the option of “topping up” for a private insurance plan as a supplement, with individuals choosing their own coverage.

  • Medicare for Fall – elections in Colorado may push the states do what the feds can’t | Jordan Shields, Partner

    April 3, 2020

    Tags: ,

    Colorado lawmakers are preparing a vote on a state-sponsored health plan that would compete with private insurance and offer lower premiums. The governor has the idea of reducing health care costs at the top of his agenda, creating an Office of Saving People Money on Health Care. Colorado follows in the wake of Washington, which already has a public option, and joins Delaware, Massachusetts and New Mexico who have their own proposals. Colorado’s
    state-sponsored plan would start in 2022 and target the 7% of the population that buys their own health insurance, with premiums 11-17% below market. The state will target hospital costs in a transparent manner, replacing carrier negotiations, and also limit carrier profits and their budget for administrative expenses. Hospitals are not happy and have proposed their own idea that would limit total health care spending without interfering in the privately negotiated rates between insurers and hospitals.

  • It may work unless it doesn’t – NBER Paper shows pitfalls of Medicare for All

    January 6, 2020

    Tags:

    A recent study by three high-level economists shows some of the flaws in the current Medicare system, which means placing a large bet on Medicare for All may be problematic.  Main points:

    1. Medicare provides more generous access to providers and new treatments than public programs in other developed countries.
    2. Three major shifts make a uniform design less efficient today than when Medicare began in 1965: rising income inequality, a dramatic expansion of expensive medical technology and the mounting economic costs of the plan with tax financing of the system.
    3. The recommendation is not just a blanket “Medicare for Everyone,” but a base system that everyone can use (less generous than current Medicare) with the option of “topping up” for a private insurance plan as a supplement, with individuals choosing their own coverage.

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