State of the Union: Medicare AEI on the Hill January 25, 2012 Joseph R. Antos, Ph.D. Wilson H. Taylor Scholar in Health Care and Retirement Policy and.

Slides:

Advertisements

Similar presentations

Medicare’s Role Medicare covers 47 million Medicare beneficiaries

Advertisements

Medicare and Deficit Reduction Alliance for Health Reform Inside Deficit Reduction: What it Means for Medicare Tricia Neuman Senior Vice President and.

Health Reform and Medicare: Overview of Key Provisions

THE COMMONWEALTH FUND Source: Commonwealth Fund/Modern Healthcare Health Care Opinion Leaders Survey, February Exhibit 1. Views on the Affordable.

2012 Federal Budget Outlook NIHB January 24, 2012 Joan Huffer Center on Budget and Policy Priorities 1.

Kentucky Chapter HFMA Winter Institute Stephen P. Miller Kentucky Hospital Association January 24, 2013.

Health Reform After SCOTUS Nelson Mullins LLP July 20, 2012 Joseph R. Antos, Ph.D. Wilson H. Taylor Scholar in Health Care and Retirement Policy and Retirement.

Sequestration How Does it Work. Passed the Congress in August 2011 Established the Joint Select Committee on Deficit Reduction It’s the Law! P.L

The Fiscal Cliff and Beyond Joel Packer, Principal, The Raben Group; and Executive Director, Committee for Education Funding.

The Future of Medicare: Democratic and Republican Proposals.

The A – B – C (and D) of Medicare September 12, 2011 Grace-Marie Turner Galen Institute.

The Debt Ceiling Deal: Implications for South Carolina’s Hospitals.

Federal Budget Update: What to Expect in FY 2015 and Beyond NCPHA Spring Conference Raleigh, NC May 13, 2014 Federal Funds Information for States

Health Care Forecasting Conference James Baumgardner Deputy Assistant Director Congressional Budget Office February 25, 2010.

MEDICARE: PAST, PRESENT AND FUTURE James G. Anderson, Ph.D. Department of Sociology & Anthropology.

The Budget Control Act of 2011 The New Debt Deal Presenter: Ann Sullivan, Madison Services Group, Inc. Date: August 2, 2011.

Joseph R. Antos, Ph.D. Wilson H. Taylor Scholar in Health Care and Retirement Policy American Enterprise Institute Health Legislation 2009: A Stimulating.

Health Care Forecasting Conference James Baumgardner Deputy Assistant Director for Health Policy Congressional Budget Office February 19, 2009.

1 Why We Must Start Comprehensive Health Reform, Now Len Nichols, Ph.D. Director, Center For Health Policy Research and Ethics College of Health And Human.

Joseph R. Antos Wilson H. Taylor Scholar in Health Care and Retirement Policy American Enterprise Institute Health Reform: Déjà Vu All Over Again? Health.

Health Care Reform 2009 – implications for you and your patients December 1, 2009.

Medicare spending is 14% of the federal budget Total Federal Spending in 2013: $3.5 Trillion MEDICARE Medicaid Net interest Social Security Defense Nondefense.

Joseph R. Antos, Ph.D. Wilson H. Taylor Scholar in Health Care and Retirement Policy American Enterprise Institute Health Legislation 2008: Waiting for.

A Presentation of the Colorado Health Institute 303 E. 17 th Avenue, Suite 930 Denver, Colorado (Twitter)

Source: Congressional Budget Office, The Budget and Economic Outlook: 2014 to 2024, p. 58, February 4, Note: CBO estimate of $115 billion reflects.

California Health Advocates (c) The Impact of Health Reform on Medicare California Medicare Coalition (CMC) Conference Call May 5, 2010 Presented.

Medicare Improvement for Patients and Providers Act of 2008 Preliminary Summary of Beneficiary and Plan Provisions July 14 th,

Obama Administration Outline/Proposal Broad Outline Only Would retain employer based health insurance system Includes a “play or pay” model Creates a.

What Wonders Have They Wrought? The Patient Protection and Affordable Care Act.

Objective of this presentation To encourage you to consider practical future planning questions and begin (or continue) developing a plan for your future.

Health Care Costs and the Long-Term Fiscal Imbalance Colorado Human Services Directors Association June 6, 2012.

Medicare 101 Module 1B. Medicare 101 9/6/20152 Medicare 101 Introduction to Medicare Original Medicare Medicare Supplement Insurance (Medigap) Medicare.

Deficit Negotiations and the Supercommittee Ron Haskins October 19, 2011.

THE CONCORD COALITION Generational Outlook: The Federal Budget Now and in the Future presented by Joshua.

Issues and Challenges Facing Medicare Mark L. Hayes.

The Long-Term Budget Outlook in the United States and the Role of Health Care Entitlements Presented by Donald Marron Georgetown Public Policy Institute.

 The Affordable Care Act 2013 Update This publication has been created by the Area Agency on Aging, Region One with Financial assistance, in whole or.

Exhibit 1. “Medicare Extra” Benefits vs. Current Medicare Benefits Current Medicare benefits*“Medicare Extra” Deductible Hospital: $1024/benefit period.

Medicare 101 Module 1B. Medicare 101 9/18/20152 Medicare 101 Introduction to Medicare Original Medicare Medicare Supplement Insurance (Medigap) Medicare.

Medicare, Medicaid, and Health Care Reform Todd Gilmer, PhD Professor of Health Policy and Economics Department of Family and Preventive Medicine 1.

Income Tax – a percentage of gross income Who collects it? (Federal/State/Local) Sales Tax – on items purchased Who collects it? (State/Local) TAXES.

K A I S E R C O M M I S S I O N O N Medicaid and the Uninsured Figure 0 Robin Rudowitz Associate Director Kaiser Commission on Medicaid and the Uninsured.

Mike Lane Director, Health Care Finance Policy The Hospital & Healthsystem Association of Pennsylvania State & Federal Legislative Update Keystone AAHAM.

Deficit vs. Debt Deficit: how much more Government spends than it receives in tax revenue over 1- year Debt: total amount Government owes (has borrowed.

THE COMMONWEALTH FUND Figure 1. Insurance Reform Proposals as of December 2009 Senate (H.R. 3590) 12/24/09 House of Representatives (H.R. 3962) 11/7/09.

Percent of total Medicare population: NOTE: ADL is activity of daily living. SOURCES: Income and savings data from Urban Institute/Kaiser Family Foundation.

Return to Tutorials Tricia Neuman, Sc.D. Director, Medicare Policy Project Vice President, Kaiser Family Foundation For KaiserEDU June 2009 Medicare 101:

Health Care Reform Update Early Treatment for HIV Summit Greg White Johnson & Johnson July 21, 2009.

State Network Council Meting Salina, KS August 29, 2011 View from Washington.

Board and Employee Insurance Advisory Committee Meeting July 29, 2015.

National Academy of Social Insurance 17 th Annual Conference Washington, D.C. January 28, 2005 Is There a Better Way to Reduce Growth in Medicare Spending?

© Mark McClellan. All rights reserved. No part of this presentation may be reproduced or transmitted in any form or by any means without permission in.

Alliance for Health Reform/Kaiser Family Foundation Washington, DC July 16, 2007 Medicare Advantage: Restructure Payments for Results Joseph Antos, Ph.D.

1 Medicare Reform: Implications for Pharmaceutical Manufacturers G. Lawrence Atkins, PhD Schering-Plough Corporation January 14, 2004.

Inside Deficit Reduction: What it Means for Medicare Karen Davis President The Commonwealth Fund Alliance for Health.

MEDICARE PART D July MEDICARE PART D: OVERVIEW Part D provides prescription drug coverage for Medicare beneficiaries. Prescription drug plans compete.

What would you buy if you had… $1 million? $1 billion? $17 trillion?

LEADERSHIP FLY-IN Washington, D.C. June 26-28, 2012 US GAPP LEADERSHIP FLY-IN Washington, D.C. June 26-28, 2012 US GAPP.

Issues and Challenges Facing Medicare

Challenges and Changes

Residency Fellowship in Health Policy Fall 2018

Policy Options and Distribution of 10-Year Impact

System Improvement Provisions of the Affordable Care Act

Projected Savings and Effectiveness of System Reform Provisions in House and Senate Reform Bills 2010–2019 (in billions) CBO Estimate of Budget Savings,

Path Estimate CBO Estimate OMB Estimate

Path Estimate CBO Estimate OMB Estimate

Drug pricing in Medicare

Payment and System Reform Savings from ACA Provisions, 2010–19

Projected Savings and Effectiveness of System Reform Provisions in Comprehensive Reform Law 2010–19 (in billions) CBO Estimate of Budget Savings, Affordable.

Advocacy to Protect Social Insurance

Presentation transcript:

State of the Union: Medicare AEI on the Hill January 25, 2012 Joseph R. Antos, Ph.D. Wilson H. Taylor Scholar in Health Care and Retirement Policy and Retirement Policy American Enterprise Institute

2 Budget drives Medicare policy …and the budget outlook is dire

3

Budget Control Act Provisions Sequester: $1.06 T non-interest; 50% defense, 50% nondefense; 2% maximum Medicare cut; Medicaid exempt Medicare sequester = $11 B in 2013, $123 B over 9 years WH proposal: Medicare $248 B, Medicaid $72 B 4 Debt ceiling and the BCA 2012 Impact2013 and Beyond Ceiling Increase$900 billion$1.2 – 1.5 trillion Deficit Reduction$917 billion$1.2 trillion or more* Last chance to prevent automatic cuts

House Budget ResolutionPPACA + Budget + BCA Repeal parts of PPACA, retain savings Raise Medicare eligibility to 67 Medicare premium support for age 65 in 2022 Subsidized MSA for low-income Medicare Provider payment cuts, FFS Medicare Medicare Advantage cuts Drug rebate Increase premiums/high income (2017) Home health copay (2017) Medigap surcharge (2017) New Medicare payment methods (episode- based, pay for performance) ACOs Independent Payment Advisory Board (IPAB) Center for Medicare and Medicaid Innovation 5 Ryan vs. Obama: Medicare

SGR – No permanent solution 27.4% reduction delayed 2 months, $3.6 B cost Another fight in the fall? Cost, Cliff Short Term Fixes 0% update in % 0% update in % MEI update in % MEI update in % "Permanent" Fixes 0% update297.6 MEI update

SGR pay-fors MedPAC proposal realigns FFS payments – Freeze primary care; cut specialist care 5.9% through 2014, then freeze – $200 B over 10 years Pay-fors: spread the pain – Reduce updates and payments to hospitals, home health, SNF, DME, other services – Add home health copay – Prior authorization for imaging – Part D rebates for dual eligibles 7 Cuts used for SGR cannot be used to reduce the budget deficit

Bending the curve? ACOs Center for Medicare and Medicaid Innovation Independent Payment Advisory Board – Target GDP + 1% growth Past experiments did not work (CBO) – Disease management, care coordination: spending unchanged or increased – 3 of 4 payment demos saved little or no money [See 8

Premium support Key changes in Wyden-Ryan – Traditional FFS Medicare remains an option – Full competitive bidding between MA and FFS – Spending target GDP + 1% – Other savings provisions unspecified Some form of premium support expected in 2013 House budget resolution 9