Coverage and cost effects of Senators Merkley and Murphy’s Choose Medicare Act

Coverage and cost effects of Senators Merkley and Murphy’s Choose Medicare Act

Collection:
Health Policy and Services Research
Series Title(s):
Urban Institute research report
Author(s):
Simpson, Michael, (Of Urban Institute), author
Holahan, John, author
Contributor(s):
Health Policy Center (Urban Institute), issuing body.
Publication:
Washington, DC : Urban Institute, July 2023
Language(s):
English
Format:
Text
Subject(s):
Health Equity -- economics
Health Expenditures -- statistics & numerical data
Health Policy
Medically Uninsured -- legislation & jurisprudence
Medicare -- legislation & jurisprudence
United States
Genre(s):
Technical Report
Abstract:
This paper examines the coverage and cost impacts of Senators Jeff Merkley and Chris Murphy’s Choose Medicare Act. The Act’s key feature is a public option plan that would be available in the nongroup, small group, and large group markets. The intent is to address the high premiums of plans in areas with concentrated insurance and hospital markets. The plan would begin with improvements in the nongroup market, including tying benchmark premiums to the gold metal tier rather than silver (80 percent actuarial value rather than 70 percent), enhancing Marketplace cost-sharing reductions, and providing a national reinsurance plan. The public option would be introduced in the nongroup and employer insurance markets and would have provider payment rates at or above Medicare rates, but below most commercial rates. In this analysis, we assume that provider payment rates would be set at Medicare plus 15 percent for physicians and other providers and Medicare plus 60 percent for hospitals. We also show the impact of setting provider payment rates at Medicare plus 10 percent for providers and Medicare plus 25 percent for hospitals.
Copyright:
Reproduced with permission of the copyright holder. Further use of the material is subject to CC BY-NC-DC license. (More information)
Extent:
1 online resource (1 PDF file (vi, 27 pages))
NLM Unique ID:
9918697486006676 (See catalog record)
Permanent Link:
http://resource.nlm.nih.gov/9918697486006676