Medicare FFS and Inefficient Health Care Delivery. Markets Not Madness: Medicare Reform That Works American Enterprise Institute April 16, 2013. James C. Capretta Visiting Fellow. Medicare’s Size and Influence. Size and payment systems Percentage of total health spend Regulatory influence.
Markets Not Madness: Medicare Reform That Works
American Enterprise InstituteApril 16, 2013
James C. CaprettaVisiting Fellow
Private Health Insurance
Source: Medicare Payment Advisory Commission and NHE Accounts, 2010
3% of 19-64 Year Olds Claims Were Paid by Medicare
Approximately 37% of all personal health expenditures were associated with elderly patients or younger patients with Medicare coverage.
Source: National Health Expenditure Accounts, 2004 Gender and Age Tables, http://www.cms.gov/Research-Statistics-Data-and-Systems/Statistics-Trends-and-Reports/NationalHealthExpendData/Downloads/2004GenderandAgeTables.pdf
Other Public Coverage
Medigap + Retiree Wrap-Around
Source: Medicare Payment Advisory Commission analysis of MCBS, Cost and Use Files, 2005
Source: “Factors Underlying the Growth in Medicare Spending on Physician Services,” Congressional Budget Office, Background Paper, June 2007, p. 15
Source: “A Data Book: Healthcare Spending and the Medicare Program,” Medicare Payment Advisory Commission, June 2012, p. 146
All MA Plans Bidding Above FFS Costs
Source: “Transforming Medicare Into a Premium Support System: Implications for Beneficiary Premiums,” Gretchen Jacobson, Tricia Neuman, and Anthony Damico, Kaiser Family Foundation, October 2012
Medicare HMO penetration rate
Annual Spending Per FFS Enrollee
Source: “Managed Care and Medical Expenditures of Medicare Beneficiaries,” Michael Chernew, Philip DeCicca, and Robert Town, August 2007.