Duplicate threads deserve duplicate responses.
The Medicare Advantage experiment with privatization has been a money pit for the last decade. How many ways is administration after administration going to find to prop up these private insurers to make their service and product look as appealing to seniors as fee-for-service Medicare?
Quality bonuses are a nice idea until they become a tool for papering over the deficiencies of privatization. The GAO is correct, this should be canceled. And if the administration is correct that overpaying private insurers is the only way to ensure quality, then perhaps we ought to re-examine the entire Medicare Advantage program. Before the Ryans of the world double down on it.
Do we need to reform the system or not? Wheres Obama's plan to do so?
The Democratic Party's
plans for comprehensive Medicare reforms have already been presented. And debated. And passed. (P.S. Medicare spending growth
has now fallen to historic lows).
Indeed, NPR had a story today looking at the mess that would result if those comprehensive reforms were inexplicably voided ("
If The Health Care Overhaul Goes Down, Could Medicare Follow?"):
Rosenbaum says there could be an even bigger problem: Medicare might be looking at hundreds, if not thousands, of policies that are suddenly null and void. She says it's not at all clear that the agency has the authority to go back to the policies that were in effect before the law was passed.
"This is a conversation that's happening between the Supreme Court and Congress," she says. Medicare officials would "have to sit there and wait to see what Congress wants to do."
What makes it an even bigger potential mess, says Mendelson, is that the health law has fundamentally changed almost every aspect of the way the Medicare program now does business. And undoing that would be almost unimaginably difficult.