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Medicare finances: findings of the 2008 Trustees Report. 医疗保险财务:2008年受托人报告的调查结果。
Medicare brief Pub Date : 2008-03-01
Paul N Van de Water
{"title":"Medicare finances: findings of the 2008 Trustees Report.","authors":"Paul N Van de Water","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Each year Medicare's Board of Trustees issues a report that describes the financial condition of the Medicare program in the near term and over the next 75 years. Similar to recent trustees reports, the 2008 report projects that Medicare's Hospital Insurance Trust Fund will be depleted in 2019, at which time scheduled income will cover 78 percent of expenditures. Looking at these projections, some observers contend that Medicare must be fundamentally restructured in order to put the program--and the overall federal budget--on a sound fiscal course. Others point out that Medicare spending has grown at about the same rate as spending for private health insurance and argue that it is impossible to limit spending on Medicare without also slowing the growth of private health care costs or abandoning equal access to care for the aged and disabled.</p>","PeriodicalId":80295,"journal":{"name":"Medicare brief","volume":" 18","pages":"1-7"},"PeriodicalIF":0.0,"publicationDate":"2008-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"27385950","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Medicare finances: findings of the 2007 Trustees report. 医疗保险财务:2007年受托人报告的调查结果。
Medicare brief Pub Date : 2007-04-01
Paul N Van de Water
{"title":"Medicare finances: findings of the 2007 Trustees report.","authors":"Paul N Van de Water","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Each year Medicare's Board of Trustees issues a report that describes the financial condition of the Medicare program in the near term and over the next 75 years. Similar to recent trustees reports, the 2007 report projects that Medicare's Hospital Insurance Trust Fund will be depleted in 2019, at which time scheduled income will cover 79 percent of expenditures. For the first time, the trustees have issued a \"Medicare funding warning,\" which means that more than 45 percent of Medicare will be financed by general (non-dedicated) revenues within the next seven years. Looking at these projections, some observers contend that Medicare must be fundamentally restructured in order to put the program--and the overall federal budget--on a sound fiscal course. Others point out that Medicare spending has grown at about the same rate as spending for private health insurance and argue that it is impossible to limit spending on Medicare without also slowing the growth of private health care costs or abandoning equal access to care for the aged and disabled.</p>","PeriodicalId":80295,"journal":{"name":"Medicare brief","volume":" 17","pages":"1-7"},"PeriodicalIF":0.0,"publicationDate":"2007-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"26754939","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Medicare, the national quality infrastructure, and health disparities. 医疗保险，国家质量基础设施，以及健康差距。
Medicare brief Pub Date : 2006-10-01
Lawrence P Casalino
{"title":"Medicare, the national quality infrastructure, and health disparities.","authors":"Lawrence P Casalino","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>What can Medicare do to improve quality and reduce disparities in clinical care? Increasing the cultural competence of individual physicians and their use of evidence-based guidelines will be useful--but insufficient. What is needed are organized care management processes that will support physicians and medical teams in their clinical decision-making, assist patients in managing their own illnesses, and provide clinicians with feedback on their performance. Medicare should therefore seek to strengthen both the capabilities of medical groups to improve the quality of care and their incentives to do so. Unless carefully designed, however, incentives to improve quality--such as pay for performance and public reporting--could increase disparities, for example, by directing additional resources to providers who are already performing at a high level. Medicare should be alert to this possibility when devising incentives for quality and should carefully study the effects of incentives on disparities. If general efforts at quality improvement do not succeed in reducing disparities, targeted measures will be required.</p>","PeriodicalId":80295,"journal":{"name":"Medicare brief","volume":" 14","pages":"1-7"},"PeriodicalIF":0.0,"publicationDate":"2006-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"26305590","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Improving Medicare's data on race and ethnicity. 改善医疗保险的种族和民族数据。
Medicare brief Pub Date : 2006-10-01
A Marshall McBean
{"title":"Improving Medicare's data on race and ethnicity.","authors":"A Marshall McBean","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Medicare's databases provide a rich source of information about the program's 43 million beneficiaries. These data have played an important role in documenting racial, ethnic, and socioeconomic disparities in health and health care. Because they derive largely from administrative records that have been collected over many years using varying standards, however, they are not fully adequate for monitoring and reducing disparities. The Centers for Medicare & Medicaid Services (CMS) has supported a number of initiatives to improve the quality of its data on race and ethnicity. Yet analyses of 2002 Medicare administrative data show that only 52 percent of Asian beneficiaries and 33 percent of both Hispanic and American Indian/Alaska Native beneficiaries were identified correctly. As CMS moves to reduce disparities, and as researchers strive to explain how and why disparities occur, further improvements in Medicare's data are essential. Health care organizations also need data on the race and ethnicity of the people they serve in order to improve the quality of care for minorities. This brief provides some recommendations for further efforts.</p>","PeriodicalId":80295,"journal":{"name":"Medicare brief","volume":" 15","pages":"1-7"},"PeriodicalIF":0.0,"publicationDate":"2006-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"26305594","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Strengthening Medicare's role in reducing racial and ethnic health disparities. 加强医疗保险在减少种族和族裔健康差距方面的作用。
Medicare brief Pub Date : 2006-10-01
{"title":"Strengthening Medicare's role in reducing racial and ethnic health disparities.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The National Academy of Social Insurance's Study Panel on Medicare and Markets found significant racial, ethnic, and income-related disparities in preventive care, primary care, and essential medical and surgical treatments for Medicare beneficiaries and called for immediate remedial actions. In response to that charge, the academy convened a Study Panel on Medicare and Disparities to identify steps that Medicare can take to reduce disparities. The panel, chaired by Bruce C. Vladeck, included academics, health care practitioners, health plan administrators, and executives of health care companies and provider associations or alliances. This brief summarizes the panel's report. The full report is available on the academy's website, www.nasi.org. The Robert Wood Johnson Foundation provided the primary financial support for this project. Additional funding was provided by The California Endowment and the Joint Center for Political and Economic Studies.</p>","PeriodicalId":80295,"journal":{"name":"Medicare brief","volume":" 16","pages":"1-4"},"PeriodicalIF":0.0,"publicationDate":"2006-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"26387481","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Medicare finances: findings of the 2006 trustees report. 医疗保险财务:2006年受托人报告的调查结果。
Medicare brief Pub Date : 2006-05-01
Paul N Van de Water, Joni Lavery
{"title":"Medicare finances: findings of the 2006 trustees report.","authors":"Paul N Van de Water,&nbsp;Joni Lavery","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Medicare helps pay medical expenses for 37 million Americans age 65 and older and 6 million persons with disabilities. The benefits are financed primarily by dedicated taxes on wages and self-employment income, premiums paid by beneficiaries, and payments from general revenues. According to the 2006 report of Medicare's trustees, Medicare's Hospital Insurance (HI) program is not adequately financed. The HI trust fund is projected to start drawing down its reserves in 2010. Its reserves will be depleted in 2018, at which time scheduled income will cover 80 percent of estimated expenditures. The Supplementary Medical Insurance program is adequately financed but will require continuing increases in both premiums and general revenue contributions. Medicare spending is growing rapidly because of increases in the cost and use of medical services. Total Medicare expenditures are projected to grow from 2.7 percent of gross domestic product (GDP) in 2005 to 9.0 percent of GDP in 2050.</p>","PeriodicalId":80295,"journal":{"name":"Medicare brief","volume":" 13","pages":"1-8"},"PeriodicalIF":0.0,"publicationDate":"2006-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"26011959","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Payment and participation: a renaissance for Medicare's private health plans? 支付和参与:医疗保险私人健康计划的复兴?
Medicare brief Pub Date : 2005-05-01 DOI: 10.2139/SSRN.720081
Reginald D Williams
{"title":"Payment and participation: a renaissance for Medicare's private health plans?","authors":"Reginald D Williams","doi":"10.2139/SSRN.720081","DOIUrl":"https://doi.org/10.2139/SSRN.720081","url":null,"abstract":"The Medicare Prescription Drug, Improvement and Modernization Act of 2003 (MMA, Public Law 108-173) provides about $14 billion over 10 years in new federal funding to encourage private plans to participate in Medicare Advantage.1 Historically, private plan participation in Medicare has fluctuated. Continuing changes in Medicare's funding policies and program requirements have hindered private health plans from meeting conflicting expectations. Over time, Congress established multiple goals for private plans: containing costs, improving benefits, and increasing plan participation and beneficiary enrollment in an effort to increase health care choices. Proponents of private plans tout the recent funding increase as the needed jumpstart to the program; skeptics claim that these new payments are excessive. Despite polarizing views about their potential, the history of Medicare's private health plans indicates that rising health care costs and constraints in Medicare payments result in private health plan withdrawal from Medicare. Early signs indicate that private health plans are interested in participating in Medicare Advantage, but only time will tell whether Congress will continue supporting higher payment levels to plans, and whether the plans' interest will be sustained. It also remains to be seen if the competitive bidding model adopted by the MMA will provide beneficiaries with more benefits at lower premiums.","PeriodicalId":80295,"journal":{"name":"Medicare brief","volume":"26 1","pages":"1-11"},"PeriodicalIF":0.0,"publicationDate":"2005-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87904471","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Payment and participation: a renaissance for Medicare's private health plans? 支付和参与:医疗保险私人健康计划的复兴?
Medicare brief Pub Date : 2005-05-01
Reginald D Williams
{"title":"Payment and participation: a renaissance for Medicare's private health plans?","authors":"Reginald D Williams","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":80295,"journal":{"name":"Medicare brief","volume":" 12","pages":"1-11"},"PeriodicalIF":0.0,"publicationDate":"2005-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25265723","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Medicare and communities of color. 医疗保险和有色人种社区。
Medicare brief Pub Date : 2004-11-01
Reginald D Williams
{"title":"Medicare and communities of color.","authors":"Reginald D Williams","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":80295,"journal":{"name":"Medicare brief","volume":" 11","pages":"1-9"},"PeriodicalIF":0.0,"publicationDate":"2004-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"24803347","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Medicare and communities of color. 医疗保险和有色人种社区。
Medicare brief Pub Date : 2004-11-01 DOI: 10.2139/SSRN.720082
Reginald D Williams
{"title":"Medicare and communities of color.","authors":"Reginald D Williams","doi":"10.2139/SSRN.720082","DOIUrl":"https://doi.org/10.2139/SSRN.720082","url":null,"abstract":"Medicare and Communities of Color originates from topics in The Role of Private Health Plans in Medicare: Lessons from the Past, Looking to the Future, the final report of the Study Panel on Medicare and Markets convened by the National Academy of Social Insurance. The brief also updates information from the Kaiser Family Foundation's 1999 brief, Faces of Medicare: Medicare and Minority Americans. Medicare and Communities of Color is a factual presentation highlighting principal issues in Medicare's interaction with people of color. A National Academy of Social Insurance study panel is examining how Medicare can be a leader in reducing racial and ethnic health disparities among its beneficiaries and the rest of the health system.","PeriodicalId":80295,"journal":{"name":"Medicare brief","volume":"117 1","pages":"1-9"},"PeriodicalIF":0.0,"publicationDate":"2004-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86813404","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 5
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