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The only man in the Presidential race to have ACTUALLY cut medicare, to the tune of 700+ billion dollars.....*BILLION DOLLARS* is Obama.
So, go vote for the only man who is ensuring that medicare will not be here for your children and grandchildren.
You are right. It is also a good start to saving medicare for our children and grandchildren.The only man in the Presidential race to have ACTUALLY cut medicare, to the tune of 700+ billion dollars.....*BILLION DOLLARS* is Obama.
So, go vote for the only man who is ensuring that medicare will not be here for your children and grandchildren.
Ryan's plan will not even effect folks already on medicare and will not affect those over 55 yrs of age I think...
You are right. It is also a good start to saving medicare for our children and grandchildren.The only man in the Presidential race to have ACTUALLY cut medicare, to the tune of 700+ billion dollars.....*BILLION DOLLARS* is Obama.
So, go vote for the only man who is ensuring that medicare will not be here for your children and grandchildren.
Ryan's plan will not even effect folks already on medicare and will not affect those over 55 yrs of age I think...
Sensible, bold, and......ohhh nooosss....compassionate!
The liberal death trifecta!
President Obama’s plan is to make the program solvent by reducing payments to health care providers
The framers of the ACA perceived broad provider-payment reform as the best prospect for slowing the long-term spending trend. But they needed scoreable savings, and they could ill afford to alienate backers by forcing through major payment reforms at the same time. The ACA planted the seeds for accountable care organizations (ACOs), bundled payment for episodes of care, patient-centered medical homes, and incentives for reducing readmissions. Now those seeds offer a way forward.
In site visits and interviews conducted for our ongoing qualitative research, the Center for Studying Health System Change found strong provider interest in payment reform and efforts to prepare for it, with the prospect of increasing constraint on Medicare payment rates cited as motivation. We see a combination of reformed delivery of care and broader units of payment as having the potential to allow providers to generate savings through steps that are less threatening to quality of care and access than are cuts in payment rates. More concretely, payment on the basis of shared savings or partial capitation can reward providers for delivering care more efficiently. This approach is preferable to merely paying providers less and less for business as usual.
There is a historical precedent for harsh, simple-minded cuts setting the stage for broad-based payment reform. Up until the early 1980s, Medicare reimbursed hospitals for costs incurred, subject to ceilings. The Tax Equity and Fiscal Responsibility Act of 1982 substantially tightened those limits, leaving hospitals with no upside — they could not earn a profit by reducing costs — and a growing downside for those whose costs exceeded the limits. The next year, legislation was passed, with the support of the hospital industry, replacing cost reimbursement with the inpatient prospective payment system (IPPS), with rates initially calibrated to leave Medicare outlays unchanged. Hospitals then had the opportunity to reduce costs per admission by shortening lengths of stay and to earn a positive margin in the process.
The IPPS is generally viewed as a major policy success: it encouraged hospitals to seek efficiencies, and when they found those efficiencies, it allowed the federal government to share in the savings. Should ACOs and other reforms prove effective, they will provide broader opportunities to increase the efficiency of delivery beyond shortening lengths of stay, such as managing chronic disease more effectively so as to keep beneficiaries out of the hospital in the first place. But our current challenge is more complex than the one faced in the early 1980s. Broadening the unit of payment will require reaching across different types of providers and helping to stitch together real delivery systems in places where now there are none.
More: The Difference Between Barack Obama And Paul Ryans Medicare Plans | TPMDC
By Sahil Kapur
Lost in the back and forth between the Obama and Romney campaigns over whos the real Medicare cutter is a critical difference between visions: President Obamas plan is to make the program solvent by reducing payments to health care providers, while Rep. Paul Ryan achieves his savings by transforming Medicare into a voucher-like system.
Theres only one president that I know of in history that robbed Medicare $716 billion to pay for a new risky program of his own that we call Obamacare, Romney said in a CBS interview Sunday evening.
The claim is central to Romneys strategy of deflecting attacks on his vice presidential picks plan to remake Medicare. But it papers over important facts, one of which is Ryans budget blueprints which Republicans overwhelmingly voted for in 2011 and 2012 include the same cuts hes slamming.
The Medicare cuts, passed in the Affordable Care Act, come in the form of reimbursement reductions to hospitals, Medicaid prescription drugs and private insurance plans under Medicare Advantage. The Congressional Budget Office projects that theyll extend the solvency of Medicare by eight years.
AARP, the seniors lobby and chief gatekeeper of Medicare benefits, endorsed the Affordable Care Act despite its cuts, arguing that they wouldnt affect seniors access to care. The law expanded benefits by closing the prescription drug coverage gap known as the doughnut hole. The hospital and drug industries also endorsed the legislation, believing that the additional customers via the coverage expansion would more than make up for the cuts.
Obama and Ryan agree that Medicare per-beneficiary cost growth needs to be capped at per-capita GDP plus 0.5 percent. But they disagree on what to cut in order to get there.
Ryans plan under the Path To Prosperity would end Medicare as an insurance program that directly pays medical bills for the elderly. It would be replaced with a fixed subsidy which seniors may use to buy competing private and public insurance policies on an exchange. If the value of the subsidy does not keep up with the growth of health care costs, seniors would make up the cost and pay higher medical bills.
The Congressional Budget Office projects that Ryans plan would raise seniors out-of-pocket expenses by $6,500 per year.
Wow, did you get that one wrong.
Obama's plan is to cut gobs of money from Medicare, use it to pay for Obamacare, and still claim he is saving money.
"I believe in an America where millions of Americans believe in an America that's the America millions of Americans believe in. That's the America I love." –Mitt Romney (January 2012)
Yep.You are right. It is also a good start to saving medicare for our children and grandchildren.Ryan's plan will not even effect folks already on medicare and will not affect those over 55 yrs of age I think...
Sensible, bold, and......ohhh nooosss....compassionate!
The liberal death trifecta!
Sucks for Lakhota's rhetorical bullshit... the truth has no agenda.
The Ryan Medicare voucher plan would allow private health insurance companies to cherry pick the most healthy seniors, leaving least healthy seniors in government Medicare - which would make it unsustainable and wreck it. Hence, leaving the least healthy seniors out in the cold. Sooo, the video showing granny being thrown off the cliff still applies.
The Agenda Project: Granny Off the Cliff - YouTube
