In today's Social Security and Medicare business model, children and grandchildren pay six dollars of current taxes to provide six dollars of current benefits for their parents and grandparents. If we convert to a business model which uses compound interest so every generation pre-funds their...

This article draws attention to the long-term implications of Congress' 1997-1998 budget resolution to Medicare's increased charges. Because Congress has only dealt with Medicare's short-term problems, the author contends, Medicare's long-term problems have become increasingly worse. Medicare is...

This paper examines the question of whether wealthy middle-class families are sheltering large sums of money in abusive financial arrangements in order to qualify for Medicaid benefits for nursing home patients, possibly endangering the fiscal integrity of the program. This paper argues that the...

The recent final rule on Medicaid managed care establishes the minimum medical loss ratio (MLR) requirement for Medicaid managed care and contains several provisions to strengthen delivery and payment reforms and improve efficiency and quality of care. Accordingly, this research examines the...

During each annual election period, from November 15 to December 31, individuals enrolled in valid Medicare prescription drug plans (PDPs) can switch to another plan. Those who are eligible for Medicare Part D but are not enrolled can also register. The number of PDPs available increased 31...

This paper examines the amount of savings Medicare beneficiaries are projected to need to cover program deductibles, premiums and other health expenses in retirement. For the purposes of this study, health expenses include premiums for Medicare Parts B and D, premiums for Medigap Plan F, and...

This article explores the role of the Social Security Disability Insurance (DI) and Supplemental Security Income (SSI) cash benefit programs in providing access to public health insurance coverage among working-aged people with disabilities, using a sample of administrative records spanning 84...

This paper investigates the effects of the Medicaid expansion provision of the Affordable Care Act (ACA) on households' financial health. Our findings indicate that, in addition to reducing the incidence of unpaid medical bills, the reform provided substantial indirect financial benefits to...

On March 18, Congress enacted the Families First Coronavirus Response Act, the first economic relief bill in response to the pandemic. It mandates that state Medicaid programs cover diagnosis and testing for COVID-19 at no cost to beneficiaries and includes a temporary, conditional 6.2...

The difficulties that Medicaid beneficiaries face accessing medical care are often attributed to the program's low reimbursement rates relative to other payers. There is little evidence, however, as to the actual effects of Medicaid doctor payment rates on access and health outcomes for...