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There is increasing interest in expanding Medicare health insurance coverage in the U.S., but it is not clear whether the current program is the right foundation on which to build. Traditional Medicare covers a uniform set of benefits for all income groups and provides more generous access to providers and new treatments than public programs in other developed countries. We develop an economic framework to assess the efficiency and equity tradeoffs involved with reforming this generous, uniform structure. We argue that three major shifts make a uniform design less efficient today than when Medicare began in 1965. First, rising income inequality makes it more difficult to design a single plan that serves the needs of both higher- and lower-i.
AHA.ORG 11/15/2019 17:20
Rules issued on disclosure of hospital and health plan negotiated rates. gdiesing. Nov 15, 2019. requiring hospitals to disclose payer-specific negotiated rates, along with a that would impose new requirements on private insurers in the individual and group markets to publicly disclose negotiated rates and out-of-network allowed amounts, and give their enrollees real-time, personalized access to cost-sharing information. Specifically, the Centers for Medicare & Medicaid Services’ final rule will require hospitals to post a list of five types of standard charges — now defined as gross charges, payer-specific negotiated rates, the de-identified minimum and maximum negotiated rates and discounted cash price — for all items and services in a machi.

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