title: Medicare extra: a comprehensive benefit option for Medicare beneficiaries.
abstract: The proposed Part E, Medicare Extra, outlined in this paper adds a comprehensive benefit option to Medicare, eliminating the need for beneficiaries to purchase a private drug plan and Medigap supplemental coverage. Financed by a budget-neutral beneficiary premium, it has the advantages of greater simplicity, efficiency, and value without adding to federal costs. Beneficiaries now enrolled in Medigap plans would save money, as could employers by choosing a lower-cost alternative to current retiree health plans. Eliminating some of the excess payments to Medicare Advantage plans would yield savings that could be used to help finance premium subsidies for low-income beneficiaries.
authors.affiliation: Commonwealth Fund, New York City, USA. kd@cmwf.org
authors.forename: Karen
authors.initials: K
authors.lastname: Davis
authors.forename: Marilyn
authors.initials: M
authors.lastname: Moon
authors.forename: Barbara
authors.initials: B
authors.lastname: Cooper
authors.forename: Cathy
authors.initials: C
authors.lastname: Schoen
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D006801:Humans; D007342:Insurance Benefits; D007356:Insurance, Pharmaceutical Services / Q000191:economics; D006278:Medicare / Q000458:organization & administration*; D014481:United States