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.
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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.