0
Commentary |

Potential Effects of the "Premium-Support" Proposal on the Security of Medicare

Barbara Markham Smith, JD; Sara Rosenbaum, JD
JAMA. 1999;282(18):1760-1763. doi:10.1001/jama.282.18.1760.
Text Size: A A A
Published online

Extract

Adjournment of the Bipartisan Commission on the Future of Medicare without a proposed solution to Medicare's long-term solvency problems created a small tempest in Washington. The eye of the hurricane was a proposal to introduce more market competition into Medicare by converting it into a premium-based insurance plan. Under the proposal, the federal government would pay a defined portion of the premium for a standard benefit package, and the beneficiary would pay the rest.

The failure of the proposal, known as premium-support, to attract a consensus among the commissioners triggered a promise by its sponsors to introduce it as legislation in Congress. That promise certainly will be kept, although the current budgetary battle may delay the date of introduction.1 Indeed, this proposal will be highlighted as a counterpoint to the president's Medicare proposal in the ongoing Medicare debate. Therefore, an analysis of its likely effects is essential in understanding this proposal and defining a framework for evaluating any alternatives that might emerge.

Topics

medicare

Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours

First Page Preview

View Large
First page PDF preview

Figures

Tables

Interactive Graphics

Video

Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal

References

CME
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s “Cited By” API will populate this tab (http://www.crossref.org/citedby.html).
Submit a Response

Some tools below are only available to our subscribers or users with an online account.

Web of Science® Times Cited: 1

Sign In to Access Full Content

Related Content

Customize your page view by dragging & repositioning the boxes below.

Articles Related By Topic
Related Topics
PubMed Articles
Jobs