How to Fix Medicare

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  • Format: Paperback
  • Copyright: 2008-07-01
  • Publisher: Aei Pr
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Should Medicare pay for patient expenses the way automobile insurers pay for car-repair bills?

Author Biography

Roger Feldman is the Blue Cross Professor of Health Insurance and Professor of Economics at the University of Minnesota.

Table of Contents

List of Illustrationsp. vii
Acknowledgmentsp. ix
Introductionp. 1
History of Medicare Physician Payment Policyp. 6
Goal and Flaws of Medicare Physician Payment Policyp. 9
Not-So-Real Reformsp. 14
Balance Billingp. 14
Physician Diagnosis-Related Groupsp. 17
Capitationp. 18
Global Budgetsp. 22
Real Reform-Medicare Indemnitiesp. 26
Introduction to Indemnitiesp. 26
Why Aren't Indemnities Used in Medical Insurance?p. 30
Long-Term Care Indemnitiesp. 33
Indemnity Health Insurance in Koreap. 35
My Proposalp. 36
The Primary Argument for Indemnity Insurancep. 37
How to Design a Medicare Indemnityp. 38
How Much Risk Is There, and How Much Is Acceptable?p. 43
Costly Verificationp. 47
Must the Indemnity Be Spent on Medical Care?p. 48
Medicare Supplementary Insurance Must Gop. 53
Physician Market Power and Indemnitiesp. 56
Evidence of Market Powerp. 56
Three Steps toward a Competitive Marketp. 60
Let's Give It a Try: A Demonstration of Indemnitiesp. 64
What Medical Conditions Should Be Covered?p. 65
How Should the Indemnity Be Set?p. 65
How Should Risk Be Managed?p. 66
Should Beneficiaries Be Paid to Participate in the Demonstration?p. 68
Should the Indemnity Be Restricted?p. 70
Conclusionp. 71
Appendixesp. 73
A Model of Efficient Physician Pricesp. 73
Why Did Medicare Physician Payment Reform Take So Long?p. 79
Lessons from the Cash and Counseling Demonstration and Evaluationp. 83
Notesp. 87
Referencesp. 97
About the Authorp. 107
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