Sorry, this item is not available in
Image not available for
Color:
Image not available

To view this video download Flash Player

 


or
Sign in to turn on 1-Click ordering
More Buying Choices
Have one to sell? Sell yours here
Tell the Publisher!
I'd like to read this book on Kindle

Don't have a Kindle? Get your Kindle here, or download a FREE Kindle Reading App.

Bring Market Prices to Medicare: Essential Reform at a Time of Fiscal Crisis (AEI Studies on Medicare Reform) [Paperback]

by Robert F. Coulam, Roger Feldman, Bryan E. Dowd

List Price: $20.00
Price: $19.00 & FREE Shipping on orders over $35. Details
You Save: $1.00 (5%)
o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o o
Only 4 left in stock (more on the way).
Ships from and sold by Amazon.com. Gift-wrap available.
Want it Monday, April 28? Choose One-Day Shipping at checkout. Details
Free Two-Day Shipping for College Students with Amazon Student

Sell Us Your Books
Get up to 80% back when you sell us your books, even if you didn't buy them at Amazon. Learn more

Book Description

December 16, 2009 0844743216 978-0844743219
Medicare is quickly approaching insolvency, in part because the program pays too much for the services it provides. In Bring Market Prices to Medicare, Robert F. Coulam, Roger Feldman, and Bryan E. Dowd propose a groundbreaking solution: Use market-based arrangements to set prices for Medicare plans. The authors contend that the federal government should pay only the cost of the most economical health plan in each market area. To accomplish this, both traditional fee-for-service (FFS) Medicare and private Medicare Advantage (MA) would submit bids for the government's business; the federal contribution to premiums would be set to equal the lowest bid in each market area. This competitive pricing system would penalize plans that bid too high—their beneficiaries would pay higher premiums—providing an incentive for plans to offer their best prices. Meanwhile, low-bidding plans would be rewarded with increased enrollment. Such an approach would reduce Medicare spending by 8 percent, shoring up the program's finances while empowering consumers to make sensible choices about their health care.

Establishing a competitive pricing system for Medicare will have drawbacks as well: Beneficiaries in some markets would have to pay more to stay in the FFS Medicare plan, while others would lose generous supplementary benefits currently offered by private MA plans in areas where these plans are overpaid. Coulam, Feldman, and Dowd contend that the best way to address public and political opposition to this crucial reform is not to downplay its challenges but rather to consider carefully the needs and expectations of beneficiaries and establish a gradual transition that would alleviate most of the disruption beneficiaries might otherwise experience.

Bringing market prices to Medicare is not merely a matter of political strategy or tactics; it will require a fundamental shift in Americans' attitudes toward health care, starting with the realization that Medicare's current payment methods cannot be sustained. A competi


Editorial Reviews

About the Author

Robert F. Coulam is a research professor and director of the Center for Health Policy Research at the Simmons School of Health Sciences in Boston.

Roger Feldman is Blue Cross Professor of Health Insurance and professor of economics in the Division of Health Policy and Management in the School of Public Health, University of Minnesota.

Bryan E. Dowd is a professor in the Division of Health Policy and Management in the School of Public Health, University of Minnesota.

Product Details


More About the Author

Discover books, learn about writers, read author blogs, and more.

Customer Reviews

There are no customer reviews yet.
5 star
4 star
3 star
2 star
1 star
Share your thoughts with other customers
ARRAY(0xa4a3b450)

What Other Items Do Customers Buy After Viewing This Item?


Sell a Digital Version of This Book in the Kindle Store

If you are a publisher or author and hold the digital rights to a book, you can sell a digital version of it in our Kindle Store. Learn more

Forums

There are no discussions about this product yet.
Be the first to discuss this product with the community.
Start a new discussion
Topic:
First post:
Prompts for sign-in
 



Look for Similar Items by Category