Here's a hint: It ain't Paul Ryan.
From the National Constitution Center via Yahoo News:
Understanding Paul Ryan’s Medicare reform plan in three minutes
Mitt Romney’s newly announced running mate, Paul Ryan, wants historic changes to Medicare. Here are the key points and arguments.
Ryan is leading the GOP effort to overhaul government spending in his role as a representative in the House from Wisconsin.
The latest version of his plan, “Path To Prosperity,” was released in March 2012. The plan is a blueprint for government spending controls, with Medicare as a key component.
Link: Read the full Ryan plan
The Ryan plan doesn’t end Medicare, but it is a huge reform effort.
The proposed plan seeks to lower costs to taxpayers by using a system of payments given indirectly to seniors, who would in turn use the money to buy health insurance.
The Ryan plan calls them premium-support payments. Opponents call them vouchers.
The free market would then force
insurance prices lower, according to the theory, through competition
among insurers, while cutting costs to the federal government.
Factcheck.org and the Kaiser Family Foundation have breakdowns of the Ryan’s “Path To Prosperity” plan from March 2012.Under Ryan’s plan, seniors currently in Medicare stay in the existing system. But in 2023, people over 65 would pick an insurance plan in a new Medicare exchange system, with Medicare competing with other insurers for their business.
The government would send money, called a premium-support payment, directly to the insurer picked by the consumer.
If the consumer picks a plan more
expensive than the government premium payment they receive, the
consumer must pay the difference out of pocket. If the consumer picks a
cheaper plan, they pocket the difference in the form of a rebate check.
The Ryan plan set the premium payment to consumers at the cost of the second-least expensive government-approved plan.
The federal government will
determine the minimum level of benefits that all plans must offer. The
premium-support payment is capped at the growth of GDP, plus 0.5
percent. The subsidy will be adjusted based on the income level of the
consumer.
After 2022, seniors are
guaranteed they can enroll in any plan offered by the new exchanges and
Medicare despite their health status or age.
In Ryan’s March 2012 plan, there
is no limit of out-of-pocket costs incurred by seniors, and the plan
doesn’t address prescription drug costs.
A key part of the plan is killing off the Obama administration’s Affordable Care Act.
The plan picks up out-of-pocket
costs for seniors who qualify for both Medicare and Medicaid. Other
seniors who don’t qualify for Medicaid also will have their
out-of-pocket costs covered, based on their income level.
The Ryan plan also would gradually raise the eligibility age to 67 by 2034 and return the Medicaid program to the control of states, through the administration of block grants.
A sticking point with the health
care industry will be the scenario where annual costs exceed the cap on
premium payments based on GDP.
Some health care providers fear
that doctors, insurance companies, and hospitals will pay the difference
if Congress doesn’t authorize additional subsidies.
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