Issues and Challenges Facing Medicare. Mark L. Hayes. Solvency. Source: OACT Analysis, “Projected Medicare Expenditures under an Illustrative Scenario with Alternative Payment Updates to Medicare Providers (August 5, 2010). Mandated Payment Reductions. Projected Spending.
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Mark L. Hayes
Source: OACT Analysis, “Projected Medicare Expenditures under an Illustrative Scenario with Alternative Payment Updates to Medicare Providers (August 5, 2010).
$10,000 or less
SOURCE: Kaiser Family Foundation analysis of the CMS Medicare Current Beneficiary Survey Access to Care File, 2006.
Actual updates in physician payment relative to SGR formula, 2007 through May 2010
Unprecedented authority to recommend reductions in Medicare spending
Spending Varies Considerably Across the U.S.
Source: Congressional Budget Office, Geographic Variation in Health Care Spending, February 2008.
General Spectrum of Payment Systems Today
Do as little as possible in as many different settings as possible
Do as much as possible for as many patients as possible
Do as little as possible for as many patients as possible