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Posts Tagged ‘medicare budget’

2012 Medicare Part B Premium: $99.90. It should be $300.

Monday, November 7th, 2011

The Medicare Part B monthly premium will be $99.90 in 2012. This will mean a small increase for the majority of Medicare beneficiaries who have been paying $96.40 since 2009. Those who began their Medicare coverage in 2010 or 2011 have been paying $110.50 or $115.40, so their Part B premium will go down.

For people receiving Social Security, the Part B premium is taken out of their monthly check.  Because there was no cost of living adjustment (COLA) in 2010 or 2011, the Part B premium was not raised for those already in the Medicare system.  Starting in January 2012, Social Security recipients will be getting 3.6% more in their check each month. That means $36 for a person receiving $1,000 per month.

PART B PREMIUM SHOULD BE $300.

The bad news for Medicare is that the Part B premium really should be much higher, because $99.90 times 47 million Medicare beneficiaries equals just  25% of the total money spent under Part B.  This means that 75% of Medicare Part B expenditures are paid through the federal government’s general fund.   And this is what politicians are fighting over as they seek to cut the federal budget. Republicans want to cut the amount of general revenue funds that go to Medicare – but how to do that without hurting seniors is the trillion dollar question.

PART A BUDGET IS MOSTLY BALANCED

Medicare Part A covers hospitalization, skilled nursing facility charges, home health care, and hospice. Payroll taxes go directly to the Part A TRUST fund, and tax revenues covered all Part A expenditures up until 2008. Since 2008, the trust fund has had to use some of its surplus saved up from previous years to balance the Part A budget.

PART B BUDGET IS NOT BALANCED

The Part B budget is way out of balance because Part B premium revenues cover only 25% of Part B expenditures.  Part B covers things such as doctor services, lab tests, diagnostic tests, physical therapy, chemotherapy and radiation therapy.

During the Bush Administration, Congress approved higher Part B premiums for Medicare beneficiaries earning more than $85,000 as an individual or $170.000 as a couple. Premiums are based on a sliding scale for income up to $214,000 for an individual and $428,000 for a couple. The highest Part B premium will be $319.70 in 2012.

About 5 percent of Medicare beneficiaries now pay a higher premium based on their income.  Under some budget-cutting plans, 25% of seniors would pay a higher Part B premium in the future.

TO SUMMARIZE: The Part B premium should be $319.70, but 95% of folks on Medicare are getting a 75% discount. This is what the fight over Medicare is all about. And, with baby boomers turning 65 at a rate of 10,000 per day, the number of people covered by Medicare is growing faster than ever before and will make the revenue to expense gap even wider.

Budget Woes: A short course

Saturday, July 30th, 2011

I wanted to share some excellent information I found on the budget, deficits, and more.  If the material goes by too quickly for you, you can go to the website and review the slides at your own pace. Whoever prepared this presentation certainly has a point of view, but does the data lie?

To see the actual slide show presentation go to:  http://www.connectthedotsusa.com/federal-budget.html

CREDIT: Connectthedotsusa.com
CAPTION: Budget Education

Medicare’s Budget Problems: Part D

Tuesday, July 26th, 2011

In 2010, Part D drug coverage made up 13.4% of the Medicare budget, or $68 billion. So even with seniors paying premiums for their Part D plans that ranged from $1o to $90 per month, Medicare still paid out $68 billion in 2010 to subsidize their drug costs.

Bruce Bartlett, who worked in the Treasury Department under Bill Clinton, wrote about the budget busting consequences of Part D in Forbes magazine in 2009.  Excerpts from his column are provided below:

The human capacity for self-delusion never ceases to amaze me, so it shouldn’t surprise me that so many Republicans seem to genuinely believe that they are the party of fiscal responsibility. Perhaps at one time they were, but those days are long gone.

This fact became blindingly obvious to me …. when a Republican president and a Republican Congress enacted the Medicare drug benefit, which former U.S. Comptroller General David Walker has called “the most fiscally irresponsible piece of legislation since the 1960s.”

Recall the situation in 2003. The Bush administration was already projecting the largest deficit in American history–$475 billion in fiscal year 2004, according to the July 2003 mid-session budget review. But a big election was coming up that Bush and his party were desperately fearful of losing. So they decided to win it by buying the votes of America’s seniors by giving them an expensive new program to pay for their prescription drugs.

Recall, too, that Medicare was already broke in every meaningful sense of the term. According to the 2003 Medicare trustees report, spending for Medicare was projected to rise much more rapidly than the payroll tax as the baby boomers retired. Consequently, the rational thing for Congress to do would have been to find ways of cutting its costs. Instead, Republicans voted to vastly increase them–and the federal deficit–by $395 billion between 2004 and 2013.

Bruce Bartlett was a Democratic appointee.  The full Forbes article can be read here.

In the video below, David Walker,  Comptroller General under George W Bush, talked about the budget and deficit consequences of the Part D drug program which began in 2006.