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The unique needs of Medicare beneficiaries. 医疗保险受益人的独特需求。
Medicare brief Pub Date : 2004-10-01
Reginald D Williams
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引用次数: 0
The unique needs of Medicare beneficiaries. 医疗保险受益人的独特需求。
Medicare brief Pub Date : 2004-10-01 DOI: 10.2139/SSRN.607963
Reginald D Williams
{"title":"The unique needs of Medicare beneficiaries.","authors":"Reginald D Williams","doi":"10.2139/SSRN.607963","DOIUrl":"https://doi.org/10.2139/SSRN.607963","url":null,"abstract":"Medicare beneficiaries have a distinctive combination of needs and circumstances that make providing appropriate health care services for them a greater challenge than for the working age population. Medicare beneficiaries generally have poorer health status, lower literacy levels, and suffer from more chronic conditions than the general population. More than half have arthritis and high blood pressure. Many Medicare beneficiaries are not totally independent, with forty-five percent needing help with at least one of the key activities of every day living, such as eating, bathing, shopping, using the telephone, or balancing a checkbook. Medicare beneficiaries also have an increased likelihood of financial insecurity; nearly sixty percent have annual incomes below $20,000, compared to only fourteen percent of the working-age population. Given the complex needs and circumstances of many Medicare beneficiaries, managing their health and navigating the health care system can be challenging. Choosing physicians, understanding doctors' orders, deciding among complex treatment options, or choosing a drug discount card are more difficult for them than for the general population. Decreased mobility hampers their ability to travel to health care facilities. Others do not use the telephone easily because they cannot hear or see well. Many do not have computers or know how to use the internet to find valuable information. For all these reasons, many beneficiaries need appropriate services and supports to ensure that Medicare is meeting their needs.","PeriodicalId":80295,"journal":{"name":"Medicare brief","volume":"226 1","pages":"1-8"},"PeriodicalIF":0.0,"publicationDate":"2004-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78474029","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: 3
Restructuring Medicare: a synthesis of the NASI Medicare projects. 重组医疗保险:NASI医疗保险项目的综合。
Medicare brief Pub Date : 2003-04-01 DOI: 10.2139/ssrn.555629
Reginald D Williams
{"title":"Restructuring Medicare: a synthesis of the NASI Medicare projects.","authors":"Reginald D Williams","doi":"10.2139/ssrn.555629","DOIUrl":"https://doi.org/10.2139/ssrn.555629","url":null,"abstract":"This Medicare brief highlights the findings and recommendations of the National Academy of Social Insurance (NASI) Medicare study panels. These reports grapple with the most important policy challenges facing Medicare and its future, including financing, delivery of health services, and the administration of Medicare. Although each study panel had a specific charge, unifying themes emerge. This brief summarizes the findings of each study panel and identifies the common themes found among them.","PeriodicalId":80295,"journal":{"name":"Medicare brief","volume":"8 1","pages":"1-8"},"PeriodicalIF":0.0,"publicationDate":"2003-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81978516","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
Restructuring Medicare: a synthesis of the NASI Medicare projects. 重组医疗保险:NASI医疗保险项目的综合。
Medicare brief Pub Date : 2003-04-01
Reginald D Williams
{"title":"Restructuring Medicare: a synthesis of the NASI Medicare projects.","authors":"Reginald D Williams","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This Medicare brief highlights the findings and recommendations of the National Academy of Social Insurance (NASI) Medicare study panels. These reports grapple with the most important policy challenges facing Medicare and its future, including financing, delivery of health services, and the administration of Medicare. Although each study panel had a specific charge, unifying themes emerge. This brief summarizes the findings of each study panel and identifies the common themes found among them.</p>","PeriodicalId":80295,"journal":{"name":"Medicare brief","volume":" 9","pages":"1-8"},"PeriodicalIF":0.0,"publicationDate":"2003-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22358129","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
Supplemental health insurance for Medicare beneficiaries. 医疗保险受益人的补充健康保险。
Medicare brief Pub Date : 1999-11-01
T Rice, J Bernstein
{"title":"Supplemental health insurance for Medicare beneficiaries.","authors":"T Rice,&nbsp;J Bernstein","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Because Medicare leaves beneficiaries at risk for significant health care costs, most need to obtain some form of supplemental coverage to protect themselves against the financial burden of illnesses. Close to nine out of ten Medicare beneficiaries age 65 or older now have some health coverage that provides additional benefits beyond standard Medicare Part A and Part B. The most common types of supplementation are insurance coverage offered by former employers, policies that individual beneficiaries purchase, benefits offered by Medicare managed care plans and assistance provided through the Medicaid program. This supplementation is expensive--to beneficiaries, employers, states, and to the federal government. The availability and extent of financial protection offered by supplemental coverage provided by former employers and through managed care also appears to be increasingly unstable. Structural reform of the Medicare program needs to include a broad reexamination of the basic benefits package and of the potential benefits and costs of public and private supplementation of the health insurance coverage promised to beneficiaries.</p>","PeriodicalId":80295,"journal":{"name":"Medicare brief","volume":" 6","pages":"1-15"},"PeriodicalIF":0.0,"publicationDate":"1999-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21947308","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
Should higher income beneficiaries pay more for Medicare? 高收入受益人是否应该为医疗保险支付更多费用?
Medicare brief Pub Date : 1999-05-01
J Bernstein
{"title":"Should higher income beneficiaries pay more for Medicare?","authors":"J Bernstein","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>As Medicare cost increase, policymakers are searching for equitable ways to secure the program's financial base. Proposals that would require higher-income Medicare beneficiaries to pay a higher proportion of the program's costs are designed to increase beneficiaries' contribution without placing an unacceptable financial burden on those least able to afford it. Designing and implementing such a policy involves difficult tradeoffs in terms of revenue gains, burden on beneficiaries, and political support for Medicare over the long term.</p>","PeriodicalId":80295,"journal":{"name":"Medicare brief","volume":" 2","pages":"1-13"},"PeriodicalIF":0.0,"publicationDate":"1999-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21755336","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
Individualizing Medicare. 有个性的医疗保险。
Medicare brief Pub Date : 1999-05-01
D J Chollet
{"title":"Individualizing Medicare.","authors":"D J Chollet","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Despite the enactment of significant changes to the Medicare program in 1997, Medicare's Hospital Insurance trust fund is projected to be exhausted just as the baby boom enters retirement. To address Medicare's financial difficulties, a number of reform proposals have been offered, including several to individualize Medicare financing and benefits. These proposals would attempt to increase Medicare revenues and reduce Medicare expenditures by having individuals bear risk--investment market risk before retirement and insurance market risk after retirement. Many fundamental aspects of these proposals have yet to be worked out, including how to guarantee a baseline level of saving for health insurance after retirement, how retirees might finance unanticipated health insurance price increases after retirement, the potential implications for Medicaid of inadequate individual saving, and whether the administrative cost of making the system fair and adequate ultimately would eliminate any rate-of-return advantages from allowing workers to invest their Medicare contributions in corporate stocks and bonds.</p>","PeriodicalId":80295,"journal":{"name":"Medicare brief","volume":" 3","pages":"1-10"},"PeriodicalIF":0.0,"publicationDate":"1999-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21755338","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
A Medicare prescription drug benefit. 医疗保险处方药福利。
Medicare brief Pub Date : 1999-04-01
M E Gluck
{"title":"A Medicare prescription drug benefit.","authors":"M E Gluck","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Even though almost two-thirds of Medicare beneficiaries have some coverage for outpatient prescription drugs, pharmaceuticals are a major part of their out-of-pocket expenses and threaten the financial security of growing numbers of beneficiaries. Because pharmaceuticals are an integral part of modern health care, some have proposed adding a drug benefit to Medicare. Such proposals pose difficult questions of design, cost, and administration. A drug benefit could add between 7 and 13 percent per year to Medicare costs over the next decade. If such a benefit were added to Medicare, policymakers would have to decide who should bear these costs and whether subsidies should be provided to help lower income beneficiaries pay the portion of the costs borne by participants.</p>","PeriodicalId":80295,"journal":{"name":"Medicare brief","volume":" 1","pages":"1-13"},"PeriodicalIF":0.0,"publicationDate":"1999-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21755335","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
The economic status of the elderly. 老年人的经济地位。
Medicare brief Pub Date : 1999-01-01
R L Clark, J F Quinn
{"title":"The economic status of the elderly.","authors":"R L Clark,&nbsp;J F Quinn","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The economic status of the elderly improved greatly since the 1960s. This is true in terms of poverty rates, real cash income and broader income measures that include in-kind benefits. Yet, many older Americans remain at risk of economic deprivation, especially the less educated, those living alone, and the oldest old. Most elderly Americans rely heavily on Social Security and Medicare for their economic well-being.</p>","PeriodicalId":80295,"journal":{"name":"Medicare brief","volume":" 4","pages":"1-12"},"PeriodicalIF":0.0,"publicationDate":"1999-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21755179","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
The financing needs of a restructured Medicare program. National Academy of Social Insurance study panel on Medicare financing. 重组后的医疗保险计划的融资需求。国家社会保险学会医疗保险融资研究小组。
Medicare brief Pub Date : 1999-01-01
{"title":"The financing needs of a restructured Medicare program. National Academy of Social Insurance study panel on Medicare financing.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Through the Bipartisan Commission on the Future of Medicare and other efforts, policy makers have begun to redesign Medicare to meet long-term challenges that include an aging population, rising per capita health care costs, and an inadequate benefit package. However, no proposal as of yet fully addresses Medicare's financing needs. Without any changes, revenues from taxpayers to the program would need to more than double in 2030 over 1998 levels in order to support current benefits. Expanding Medicare to cover prescription drugs or to address other inadequacies in benefits would make Medicare's financing needs even greater. The Breaux/Thomas premium support proposal to the Bipartisan Commission would have required about 80 percent more in revenues from taxpayers in 2030 than Medicare needed in 1998. Although it is important to ensure that Medicare operate as efficiently as possible, this analysis suggests that any comprehensive discussion about Medicare's future must include the need for new revenues.</p>","PeriodicalId":80295,"journal":{"name":"Medicare brief","volume":" 5","pages":"1-12"},"PeriodicalIF":0.0,"publicationDate":"1999-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21755182","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
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