PUP 4931r Lecture Notes - Lecture 68: Independent Payment Advisory Board, Public Health, Chemotherapy
16 May 2018
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Supplemental Coverage Medicgap, etc
9 million dual eligible beneficiaries are covered by both medicare and Medicaid;
37 million medicare, 51 million Medicaid.
9 mill both
dual eligibility is a diverse population; 40% under age 65, 51% no mental
impairments, 35% four or more chronic conditions
Medicare Spending
2015: medicare makes 15% fed budget
projected to spend more are more as time passes
Spending Growth
Medicare spending grew over 18% in 2006 due to Part D. That growth is now in
base.
Pptx: IPAB (independent payment advisory board) is required to propose
spending reductions if the 5-year average growth rate in Medicare per capita
spending is projected to exceed the per capita target growth rate, based on
general and medical inflation (2015-2019) or growth in the economy (2020 and
beyond). If there are no Board members appointed when a proposal for spending
reductions is required, the Secretary of Health and Human Services is responsible
for making recommendations to achieve the required spending reductions.
Based on its most recent Medicare spending growth rate projections relative to
the targets, OACT has estimated that the IPAB process will first be triggered in
2017 (Figure 9). This would initiate a three-year cycle ending with spending
reductions implemented in 2019. OACT also projects that spending growth will
exceed the target growth rate in 2022, 2024, and 2025. CBO has projected that
Medicare spending growth will be below the target growth rate for each fiscal
year through 2018, but will exceed the target growth rate in 2019, 2024, and
find more resources at oneclass.com
find more resources at oneclass.com
Document Summary
9 million dual eligible beneficiaries are covered by both medicare and medicaid; 37 million medicare, 51 million medicaid. dual eligibility is a diverse population; 40% under age 65, 51% no mental impairments, 35% four or more chronic conditions. 2015: medicare makes 15% fed budget projected to spend more are more as time passes. Medicare spending grew over 18% in 2006 due to part d. that growth is now in base. If there are no board members appointed when a proposal for spending reductions is required, the secretary of health and human services is responsible for making recommendations to achieve the required spending reductions. Based on its most recent medicare spending growth rate projections relative to the targets, oact has estimated that the ipab process will first be triggered in. This would initiate a three-year cycle ending with spending reductions implemented in 2019. Oact also projects that spending growth will exceed the target growth rate in 2022, 2024, and 2025.
