medicare
How much did most beneficiaries pay in 2011 for medicare coverage?
$96.40/mo $115.40/mo- New recipients $369/mo for higher income
What does Part A: Hospital Insurance cover?
Semiprivate room, skilled nursing facility, some home health care, and hospice care
Who qualifies for duel eligibility?
The sickest and poorest
What is Medicare?
a federal gov't program for persons 65 yo and older, some persons who are disabled, and persons with end-stage renal disease.
what will happen to medicare income, expenditures, and year end trust funds assets in the future
income: increase Expen: increase ending assets: increase
what will happen to medicare HI(Part A) income, expenditures, and year end assets
income: increase expenditures: increase ending assets; decrease
What are Medicare Advantage plans?
Health plans offered by private insures that provide basic Medicare-covered benefits.
What type of service has the highest percent of medicare's share of national health expenditures
Home Health Care
What does Medicare Part A consist of?
Hospital Insurance
What year is the HI trust fund expected to be exhausted?
2024
By 2030, what percent of the population will be on medicare?
22%
When looking at the characteristics of the medicare population. What % of the population is made up of people with Fair/poor health?
28
When looking at the characteristics of the medicare population. What % of the population is made up of people with Cognitive/mental impairment?
29
When looking at the characteristics of the medicare population. What % of the population is made up of people with 3+ chronic conditions?
45
What % of Medicaid spending on duel eligible people was spent on nursing homes?
70%
Who pays for Medicare part B (medical insurance)?
73% from transfers from the general fund 25% from primiums 2% from interest income
Who pays for Medicare part D (Rx drugs)?
76% from transfers from the general fund 14% payments from states 10% from premiums
How many people in 2008 were eligible for both Medicaid and Medicare?
8.9 million
Who pays for Medicare part A (hospital insurance)?
86% from payroll taxes The employee and employer each contribute 1.45% of wages for Medicare payroll taxes.
What service accounted for the second largest percentage of Medicare expenditure for 2010?
Managed Care 23%
What does Medicare Part B consist of?
Medical Insurance
What does Medicare Part C consist of?
Medicare Advantage
What plan was passed in 1997?
Medicare advantage plan
What did the Medicare advantage plan do?
Created new managed care and other health plan choices for beneficiaries. Provided additional benefits (vision, preventive dental) Reduce cost sharing Reduce Part B premiums
The number of Medicare advantage enrollees as a percent of Medicare beneficiaries ________ from 2008 to 2010
Increased
The number of Medicare recipients ___________ every year.
Increases
What service accounted for the largest percentage of Medicare expenditure for 2010?
Inpatient Hospital Care 28%
Duel Eligible people account for a ______ amount of medicaid and medicare spending.
Large
What state has the highest percent of Medicare advantage enrollees as a percent of Medicare Beneficiaries?
Oregon
What does Medicare Part B: Medical Insurance cover?
Physician services (except routine physicals), lab services, outpatient hospital services, physical and occupational therapists, and some home health services.
What does Medicare Part D consist of?
Prescription Drugs
Who offers Medicare Advantage plans?
Private Insurers
In the future, as the number of beneficiaries increases what will happen to the number of workers per beneficiary?
decrease
