| Measuring coverage for seniors in Medicare Part A and estimating the cost of making it universal. | |
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MedLine Citation:
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PMID: 20159846 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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That Medicare is universal for seniors is widely accepted by leading analysts. But in the context of developing detailed policies that seek to cover as many people as possible, it is inaccurate to make Medicare eligibility sound so simple and inclusive. To estimate the number of seniors without full federal Medicare Part A coverage, we examined data for uninsured seniors, seniors with Medicaid and no Medicare coverage of any kind, seniors with Medicare Part B but without Part A, and seniors bought into Part A by their state Medicaid programs. We found that in 2005, 1.6 million seniors--or 5 percent of the elderly U.S. population--were without a full federal Part A premium subsidy. The share of seniors without this benefit was notably higher in the nation's two largest states--California (12 percent) and New York (8 percent). We estimate that reforming Medicare Part A to make the benefit truly universal and fully federal would cost the federal government $6 billion in new spending in federal fiscal year 2011, an increase in baseline federal Medicare expenditures of 1.1 percent. |
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Authors:
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Michael Birnbaum; Elizabeth M Patchias |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Journal of health politics, policy and law Volume: 35 ISSN: 1527-1927 ISO Abbreviation: J Health Polit Policy Law Publication Date: 2010 Feb |
Date Detail:
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Created Date: 2010-02-17 Completed Date: 2010-03-11 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 7609331 Medline TA: J Health Polit Policy Law Country: United States |
Other Details:
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Languages: eng Pagination: 49-62 Citation Subset: IM |
Affiliation:
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United Hospital Fund. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Aged Eligibility Determination Health Care Reform / economics* Humans Insurance Coverage / economics, statistics & numerical data* Medicaid / statistics & numerical data Medically Uninsured / statistics & numerical data Medicare Part A / economics, statistics & numerical data* Medicare Part B / statistics & numerical data State Health Plans / organization & administration United States Universal Coverage / economics* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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