Options for Change under Medicare: Impact of a Cap on Catastrophic Illness Expense
نویسندگان
چکیده
This study analyzes the total deductibles and coinsurance Medicare beneficiaries accrued in 1980. The study shows that Part B services accounted for 70 percent of all liability and Part A for 30 percent. Only 21 percent of enrollees exceeded $270 in liability from Part A and Part B combined. In 1980, if every enrollee had paid a surcharge of about $70, all liability over $270 could have been capped--without any additional program outlays. Similarly, projections for 1984 indicate that a surcharge of $98 could cap all liability over $800. For Part B alone, a surcharge of $113 could cover all liability over $200.
منابع مشابه
Changes in drug coverage generosity and untreated serious mental illness: transitioning from Medicaid to Medicare Part D.
IMPORTANCE More than 1 in 5 disabled people with dual Medicare-Medicaid enrollment have schizophrenia or a bipolar disorder (ie, a serious mental illness). The effect of their transition from Medicaid drug coverage, which varies in generosity across states, to the Medicare Part D drug benefit is unknown. Many thousands make this transition annually. OBJECTIVES To determine the effect of trans...
متن کاملImpact of Resource-Based Practice Expenses on the Medicare Physician Volume
In 1999, Medicare implemented a resource-based relative value unit (RVU) system for physician practice expense payments, and increased the number of services for which practice expense payments differ by site. Using 1998-2004 data, we examined RVU growth and decomposed that growth into resource-based RVUs, site of service, and service quantity and mix. We found that the number services with sit...
متن کاملFailures of medicare part d delivery and recommendations for improvement.
mularies and benefits to include a full range of treatment options then in use by prescription drug plans. Mandates imposed by the MMA included a requirement that Part D was to provide the most clinically appropriate medications at the lowest achievable cost for all Part D beneficiaries. The MMA also required CMS to acknowledge the specific needs of individuals who were already stabilized with ...
متن کاملThe impact of Medicare prescription drug coverage on the use of antidementia drugs
BACKGROUND Cholinesterase inhibitors and memantine are prescribed to slow the progression dementia. Although the efficacy of these drugs has been demonstrated, their effectiveness, from the perspective of patients and caregivers, has been questioned. Little is known about whether the demand for cholinesterase inhibitors and memantine are sensitive to out-of-pocket cost. Using the 2006 implement...
متن کاملThe Relationship Between Ruminating the Catastrophic Consequences of Bodily Changes and Positive Reappraisal and Practical Problem-Solving Strategies in Individuals With Illness Anxiety Disorder
Introduction: Cognitive emotion regulation is suggested to contribute to Illness Anxiety Disorder (IAD). Reappraisal and suppression are essential ER strategies with controversial data about their roles in IAD. Relevant studies are mostly limited to exploring these two strategies in individuals without such disorder. Therefore, we aimed to study the role of emotion regulation in the psychopatho...
متن کامل