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Title: State Medicare Impact Profile

Citation Type: Miscellaneous

Publication Year: 2006

Abstract: In 2004, Medicare provided health insurance coverage to over 42 million elderly and disabled Americans and accounted for $295 billion, representing almost one fifth of the $1.9 trillion spent on health care in the U.S. The new prescription drug benefit, passed as part of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (MMA), will add additional costs to the program – $724 billion between 2006 and 2015.1 Growth in health care costs, increasing numbers of older people, fewer workers to support the Medicare and Social Security programs, and an increasing federal deficit all point to ongoing reform of the Medicare program. And while these decisions will be made in the U.S. Congress, the incidence of these changes is felt more directly and more significantly at the state and local levels. Surprisingly, there is little information available that assesses these impacts at the state level, and there has been limited discussion about state impacts at the national level. In this report on the pilot State Medicare Impact Profile project, we present a unique contribution to discussions about Medicare reform policy from a state policy perspective. We provide comparative data across five states (Florida, Minnesota, North Dakota, Pennsylvania, and Washington) on key policy issues to assess the impact that Medicare policy has on each state. Given the comprehensive changes to the Medicare program included in the MMA, the growth in the numbers of Medicare beneficiaries, and increasing health care costs, the time is critical to better understand the state and local impact of these important national decisions. The State Medicare Impact Profile, which was prepared by the State Health Access Data Assistance Center (SHADAC) for the Mayo Clinic Health Policy Center, is the first systematic look at the impact of Medicare reform from a state policy and local market perspective. We assess four recent Medicare reform topics: 1) the transition of low‐income Medicare beneficiaries enrolled in Medicaid to the new Medicare prescription drug program; 2) the introduction of high‐income means . . .

Url: http://www.shadac.org/sites/default/files/Old_files/MedicareImpactProfile_Oct2006.pdf

User Submitted?: No

Authors: Blewett, Lynn; Spencer, Donna; Jarosek, Stephanie; Christianson, Jon; Hamilton, James A; Foote, Susan Bartlett; Beebe, Timothy

Publisher: Mayo Clinic Health Policy Center

Data Collections: IPUMS USA

Topics: Other, Population Health and Health Systems

Countries:

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