American College of Physicians: Internal Medicine — Doctors for Adults ®

Advertisement

Policy briefs

From the March ACP Observer, copyright 2006 by the American College of Physicians.

ACP touts Medicare 'buy in' to extend coverage

The College has released a new position paper, outlining an ambitious plan to extend health care coverage through Medicare to adults age 55-64.

While nondisabled adults under age 65 are currently not eligible for Medicare, the ACP paper points out that half of all adult Americans in this age range make less than 200% of the federal poverty level--and that 2.6 million people in this age category are uninsured.

The paper, entitled "Developing a Medicare Buy-in Program," argues that covering these individuals would save taxpayers money in the long run by ensuring that chronic disease is managed outside hospitals and by providing key preventive services.

The paper focuses on four key points:

  • Financing. ACP advocates for financing the plan through higher payroll taxes and other federal revenue sources, or by linking premiums to income.

  • Subsidies for lower-income recipients. The paper argues that a buy-in should initially target Americans age 55-64 whose income falls between 100% and 200% of the federal poverty level.

  • Eligibility. The paper proposes making all adults age 55-64 eligible for a Medicare buy-in plan, regardless of their insurance status.

  • Enrollment. The College recommends that any such program should provide enrollees with the full menu of Medicare benefits, including new prescription drug coverage.

The paper is online.

ACP calls for changes in Part B drug-buying program

The College has urged the Centers for Medicare and Medicaid Services (CMS) to modify its final rule on a new alternative to purchasing drugs administered in physician offices.

Under the new competitive acquisition program, which will take effect this July, drug manufacturers--not physicians--will bill Medicare to be reimbursed for those drugs.

In a January letter to the CMS, the College pointed out several modifications that need to be made to the rule. Those include establishing a minimum 30-day claims-billing period after drugs have been administered, instead of the 14-day period now included in the rule; and paying physician practices more to cover administrative costs.

The letter is online.

Top

[PDF] Acrobat PDF format. Download Acrobat Reader software for free from Adobe. Problems with PDFs?

This is a printer-friendly version of this page

Print this page  |  Close the preview

Advertisement

Share

 
 

Internist Archives Quick Links

Internal Medicine Meeting 2015 Digital Presentations

Internal Medicine Meeting 2015 Digital Presentations

Choose from over 170 recorded Scientific Program Sessions and Pre-Courses. Available in a variety of packages and formats so you can choose the combination that works best for you.

See all available packages or preview sessions.

Medical Student Text

IM Essentials Now Available in Print or Online

IM Essentials Now Available in Print or Online

Check out sample pages from IM Essentials Text and IM Essentials Questions.