Medicare won't be eliminated, though it looks like Ryan
Posted on: November 12, 2016 at 19:54:48 CT
JeffB
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is looking at reform.
The system needs reform, but we'll have to see what form it takes and if President Trump will be on board with whatever comes out of Congress.
From your WashPo article:
Ryan (R-Wis.) specifically cited the Independent Payment Advisory Board, a body created under the Affordable Care Act that has the power to recommend cuts in the level of government’s payments to providers who participate in Medicare. It is set to start wielding its powers next year, and while Obamacare’s backers say the board is an important tool for reining in health-care costs, conservatives see it as an infringement on the free market that could lead to the rationing of care.
The “Better Way” policy package that Ryan drafted earlier this year with the aid of his fellow House Republicans proposed a broad package of proposed Medicare reforms, ranging from the repeal of the IPAB to expanding the privately managed Medicare Advantage program to a full-blown overhaul of the Medicare system into a “premium support” model.
That would involve transforming Medicare from a largely single-payer federal program to a private model where seniors would be federal subsidies to buy private insurance — similar to the subsidies available to younger Americans who can now buy insurance on the ACA-mandated state marketplaces.
“This reform ensures affordability by fixing the currently broken subsidy system and letting market competition work as a real check on widespread waste and skyrocketing health-care costs,” the GOP plan says. Ryan has included a premium support model as part of the budget proposals he put forth as chairman of the House Budget Committee, calling them necessary to stabilize the nation’s long-term fiscal outlook.