PUP 4931r Lecture Notes - Lecture 69: Otis R. Bowen, Medigap, Medicare Advantage

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Medicare MCCA (1988)
Reagan Jan.1986
Need for universal catastrophic coverage
Private sector
Bowen Commission
MCCA (June 1988)
Inc. home health provisions
Outpatient Rx. Covered
Progressive tax
Redistributive, thus, strong opposition
Repealed Nov. 1989
Pptx: The primary purpose of insurance is to prevent financial ruin of
policyholders.
Otis Bowen (HHS sec.) cap ($2,000) expenses suggestd.
AARP supported the MCCA.
The MCCA was opposed y the drug idustry fearig ost otrol a la ’94,
National Committee to Protect Social Security and Medicare opposed required
beneficiaries to pay for all the new benefits.
Redistributive nature enhanced by progressive premiums. Widespread
misunderstanding about provisions ost did’t kow that ursig hoe care
not covered. Wealthy had no incentive. Congress holds town meetings depth of
citizen opposition revealed bill repealed in Nov. 1989
Medicare 1997 BBA
Standardized HHAs
Cost control measures
Made three options available:
1. trad. Medicare (fee-for-service)
2. Medicare + Choice
Became Medicare Advantage
1. Private contracts/MSAs
Created MedPac
Greatly shaped Medicare’s future***
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Document Summary

Pptx: the primary purpose of insurance is to prevent financial ruin of policyholders. The mcca was opposed (cid:271)y the drug i(cid:374)dustry (cid:894)feari(cid:374)g (cid:272)ost (cid:272)o(cid:374)trol a la "94(cid:895), National committee to protect social security and medicare opposed required beneficiaries to pay for all the new benefits. Widespread misunderstanding about provisions (cid:373)ost did(cid:374)"t k(cid:374)ow that (cid:374)ursi(cid:374)g ho(cid:373)e care not covered. Congress holds town meetings depth of citizen opposition revealed bill repealed in nov. 1989. Pptx: medicare + choice is effectively medicare part c many options available. Give up medigap policies when they make their choice if they decide to go back they may not be able to re-purchase. Allows medicare patients to see whomever they choose not bound by. Medicare fee schedules and managed care elderly (esp. affluent) can spend their own money based on use. National bipartisan commission on the future of medicare (bw what has this done?)

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