General Discussion
In reply to the discussion: Could Obama be a wolf in sheeps clothing? Evidently he is backing cuts to Social Security! [View all]The framework House Speaker John A. Boehner, R-Ohio, proposed Monday includes $600 billion in Medicare and Medicaid savings. Last year Democrats first said they are willing to find $500 billion and then said they would agree to $400 billion in savings from the programs, according to people familiar with the negotiations. In his initial fiscal cliff proposal, President Barack Obama called for health care program savings closer to $400 billion (Reichard, 12/4).
http://www.kaiserhealthnews.org/daily-reports/2012/december/05/fiscal-cliff-and-health-programs.aspx
There are four proposals, contained in both the presidents 2011 deficit-reduction plan and his fiscal 2013 budget, that would increase costs to seniors by $32.9 billion over 10 years. All four proposals would begin in 2017 after Obama leaves office:
Expanded means testing for Medicare Parts B and D Premiums. The administration proposes to increase premiums under Medicare Part B (medical insurance) and D (prescription drugs) for higher-income seniors by 15 percent and freeze the high-income thresholds at current levels until 25 percent of beneficiaries under parts B and D are subject to these premiums. In 2012, only 5.1 percent of Part B enrollees and 3 percent of Part D enrollees pay higher premiums based on income, according to the Kaiser Family Foundation. The current thresholds for higher premiums are $85,000 for individuals and $170,000 for couples. Kaiser estimates that the income thresholds for paying higher premiums by 2035 will be equivalent to about $47,000 for individuals and $94,000 for couples in todays adjusted inflation dollars. Cost to seniors: $28 billion over 10 years (pages 34-35).
Increased Medicare Part B deductible for new beneficiaries. The administration would increase the deductibles paid by new beneficiaries by $25 in 2017, 2019 and 2021. Cost to seniors: $2 billion over 10 years (page 35).
A copay for Medicare home-health care for new beneficiaries. Theres currently no copay. This proposal would create a new copay of $100 for each home health episode. Cost to seniors: $350 million over 10 years (page 35).
Medicare Part B premium surcharge for new beneficiaries who purchase Medigap coverage. The administration would impose a Part B premium surcharge for new beneficiaries who purchase near first-dollar Medigap coverage. Medigap policies cover Medicares out-of-pocket expenses, such as copays and deductibles. The administrations plan says Medigap provides less incentive to make cost-efficient health care decisions. Cost to seniors: $2.5 billion over 10 years (page 35).
http://factcheck.org/2012/12/dueling-fiscal-cliff-deceptions/