Universal Health Insurance Coverage Using Medicare's Payment Rates
Examines the two approaches by which both universal health insurance coverage and greater control over health care costs might be achieved. Both approaches would apply Medicare1s payment rates to all physician and hospital services that are covered, while concurrently extending health insurance to people who are now uninsured. Charts and tables.
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1989 In billions Actual spending includes administrative costs all-payer approach all-payer system Alternative 1 Actual Alternative 1 assumes American Hospital Association Applying Medicare's payment approaches examined billion in 1989 Budget Office estimates calculations CHANGES IN NATIONAL Changes in Spending Congressional Budget Office covered physician covering the uninsured currently uninsured durable medical equipment health care costs health care services hospital services ILLUSTRATIVE CHANGES lower payment rates Medi Medicaid recipients Medicare enrollees Medicare's payment rates Medicare's rates medigap midrange assumptions national health expenditures Office estimates based offset overhead costs overhead expenses patients payer system percent of PHE personal health expenditures physician and hospital physician services potential savings premiums prohibited public insurance rates for physician rates were applied reduce reimbursement residual Medicaid program revenues savings on providers services would increase single-payer system Spending at Medicare spending for covered spending for health spending for physician universal plan volume of services
Page iii - at the request of the Subcommittee on Health of the House Committee on Ways and
Page xi - plan, but they could cover other services. A residual Medicaid program would supplement the universal plan for low-income people, covering their copayments and some services (primarily long-term care) excluded from the universal plan.
Page iii - services. In keeping with CBO's mandate to provide objective and impartial analysis, the study
Page 47 - The magnitude of savings achieved by limiting price increases would depend on allowed increases and the extent to which increases in volume would offset some of the potential savings from price controls.
Page 5 - The Social Security Amendments of 1983 established the Prospective Payment System (PPS) for
Page xi - would be actuarially equivalent to the average benefits that private insurance plans and Medicare currently provide.
Page ii - in the text and tables of this study may not add to totals because of
Page xiii - because providers would no longer have to deal with many different insurers, each with