Medicare Savings Programs: Analyzing Options for Expanding Eligibility
The Medicare Savings Programs (MSPs) are designed to provide financial assistance to Medicare beneficiaries who do not qualify for full Medicaid coverage. This paper considers changes in eligibility that would better align MSP program rules with those related to receiving low-income subsidies for th...
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Veröffentlicht in: | Inquiry (Chicago) 2009, Vol.46 (4), p.391-404 |
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description | The Medicare Savings Programs (MSPs) are designed to provide financial assistance to Medicare beneficiaries who do not qualify for full Medicaid coverage. This paper considers changes in eligibility that would better align MSP program rules with those related to receiving low-income subsidies for the Medicare Part D drug benefit. These changes would make more people eligible for the MSPs and could encourage greater participation; similar changes were incorporated in recently passed legislation. Our analysis, based on 2006 data from the Health and Retirement Study, shows there is a trade-off between making larger numbers of beneficiaries eligible by eliminating resource requirements and better targeting of individuals with greater health care needs by expanding income standards. |
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This paper considers changes in eligibility that would better align MSP program rules with those related to receiving low-income subsidies for the Medicare Part D drug benefit. These changes would make more people eligible for the MSPs and could encourage greater participation; similar changes were incorporated in recently passed legislation. Our analysis, based on 2006 data from the Health and Retirement Study, shows there is a trade-off between making larger numbers of beneficiaries eligible by eliminating resource requirements and better targeting of individuals with greater health care needs by expanding income standards.</description><identifier>ISSN: 0046-9580</identifier><identifier>EISSN: 1945-7243</identifier><identifier>DOI: 10.5034/inquiryjrnl_46.4.391</identifier><identifier>PMID: 20184166</identifier><identifier>CODEN: INQYAR</identifier><language>eng</language><publisher>United States: Excellus Health Plan, Inc</publisher><subject>Aged ; Analysis ; Asset income ; Beneficiaries ; Demography ; Disabled Persons ; Drugs ; Eligibility ; Eligibility Determination - methods ; Entitlement programs ; Female ; Health care industry ; Health policy ; Health Status ; Humans ; Income ; Insurance coverage ; Insurance premiums ; Laws, regulations and rules ; Legislation ; Low income groups ; Male ; Medicaid ; Medical Assistance - economics ; Medical service ; Medicare ; Medicare - economics ; Medicare - organization & administration ; Medicare Part D - economics ; Modeling ; Older adults ; Pension eligibility ; Public Policy ; Saving ; Studies ; Subsidies ; United States</subject><ispartof>Inquiry (Chicago), 2009, Vol.46 (4), p.391-404</ispartof><rights>2009 Excellus Health Plan, Inc.</rights><rights>COPYRIGHT 2009 Sage Publications, Inc.</rights><rights>Copyright Excellus Health Plan, Inc. Winter 2009/2010</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c594t-1da9e35a07d71a1721d86d6eb7bb3d6fa33cc88c2aa28ba61cd57e5577a439b63</citedby><cites>FETCH-LOGICAL-c594t-1da9e35a07d71a1721d86d6eb7bb3d6fa33cc88c2aa28ba61cd57e5577a439b63</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.jstor.org/stable/pdf/29773443$$EPDF$$P50$$Gjstor$$H</linktopdf><linktohtml>$$Uhttps://www.jstor.org/stable/29773443$$EHTML$$P50$$Gjstor$$H</linktohtml><link.rule.ids>315,781,785,804,27867,27868,27926,27927,58019,58252</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20184166$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Zuckerman, Stephen</creatorcontrib><creatorcontrib>Shang, Baoping</creatorcontrib><creatorcontrib>Waidmann, Timothy</creatorcontrib><title>Medicare Savings Programs: Analyzing Options for Expanding Eligibility</title><title>Inquiry (Chicago)</title><addtitle>Inquiry</addtitle><description>The Medicare Savings Programs (MSPs) are designed to provide financial assistance to Medicare beneficiaries who do not qualify for full Medicaid coverage. This paper considers changes in eligibility that would better align MSP program rules with those related to receiving low-income subsidies for the Medicare Part D drug benefit. These changes would make more people eligible for the MSPs and could encourage greater participation; similar changes were incorporated in recently passed legislation. Our analysis, based on 2006 data from the Health and Retirement Study, shows there is a trade-off between making larger numbers of beneficiaries eligible by eliminating resource requirements and better targeting of individuals with greater health care needs by expanding income standards.</description><subject>Aged</subject><subject>Analysis</subject><subject>Asset income</subject><subject>Beneficiaries</subject><subject>Demography</subject><subject>Disabled Persons</subject><subject>Drugs</subject><subject>Eligibility</subject><subject>Eligibility Determination - methods</subject><subject>Entitlement programs</subject><subject>Female</subject><subject>Health care industry</subject><subject>Health policy</subject><subject>Health Status</subject><subject>Humans</subject><subject>Income</subject><subject>Insurance coverage</subject><subject>Insurance premiums</subject><subject>Laws, regulations and rules</subject><subject>Legislation</subject><subject>Low income groups</subject><subject>Male</subject><subject>Medicaid</subject><subject>Medical Assistance - economics</subject><subject>Medical service</subject><subject>Medicare</subject><subject>Medicare - economics</subject><subject>Medicare - organization & administration</subject><subject>Medicare Part D - economics</subject><subject>Modeling</subject><subject>Older adults</subject><subject>Pension eligibility</subject><subject>Public Policy</subject><subject>Saving</subject><subject>Studies</subject><subject>Subsidies</subject><subject>United States</subject><issn>0046-9580</issn><issn>1945-7243</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>N95</sourceid><sourceid>7TQ</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNp90l9rFDEQAPBFFHutfgOVxYf64p7J5t_Gt6NcVahUUJ_DbDa7lyOXXJNd8frpzXlV21IkkMDkNwkzTFG8wGjOEKHvrL-abNyto3eK8jmdE4kfFTMsKatETcnjYoYQ5ZVkDToqjlNaI4RrIvjT4qhGuKGY81lx_tl0VkM05Vf4Yf2Qyi8xDBE26X258OB21zlYXm5HG3wq-xDL5c8t-G4fXTo72NY6O-6eFU96cMk8vzlPiu_ny29nH6uLyw-fzhYXlWaSjhXuQBrCAIlOYMCixl3DO25a0bak4z0QonXT6BqgblrgWHdMGMaEAEpky8lJ8ebw7jaGq8mkUW1s0sY58CZMSQlCBOa5uCxP_ytZ0zCKG5zh63twHaaYS0-qrpGUFJM9qg5oAGeU9X0YI-jBeBPBBW96m8OLmuWPJRN19vMHfF6d2Vj9YMLprYSVATeuUnDT777fhW9vwXZK1puUt2SH1ZgGmNI9Tg9cx5BSNL3aRruBuFMYqf0cqbtzpKjKc5TTXt00ZWo3pvub9GdwMnh5AOs0hvjvXgpBKCXkF4FJzvs</recordid><startdate>2009</startdate><enddate>2009</enddate><creator>Zuckerman, Stephen</creator><creator>Shang, Baoping</creator><creator>Waidmann, Timothy</creator><general>Excellus Health Plan, Inc</general><general>Sage Publications, Inc</general><general>SAGE PUBLICATIONS, INC</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>N95</scope><scope>XI7</scope><scope>3V.</scope><scope>7RV</scope><scope>7TQ</scope><scope>7WY</scope><scope>7WZ</scope><scope>7X7</scope><scope>7XB</scope><scope>87Z</scope><scope>88C</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8FL</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BEC</scope><scope>BENPR</scope><scope>BEZIV</scope><scope>CCPQU</scope><scope>DHY</scope><scope>DON</scope><scope>DWQXO</scope><scope>FRNLG</scope><scope>FYUFA</scope><scope>F~G</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>K60</scope><scope>K6~</scope><scope>K9.</scope><scope>KB0</scope><scope>L.-</scope><scope>M0C</scope><scope>M0S</scope><scope>M0T</scope><scope>M1P</scope><scope>M2O</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PIMPY</scope><scope>PQBIZ</scope><scope>PQBZA</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>Q9U</scope><scope>S0X</scope><scope>7X8</scope></search><sort><creationdate>2009</creationdate><title>Medicare Savings Programs: Analyzing Options for Expanding Eligibility</title><author>Zuckerman, Stephen ; Shang, Baoping ; Waidmann, Timothy</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c594t-1da9e35a07d71a1721d86d6eb7bb3d6fa33cc88c2aa28ba61cd57e5577a439b63</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Aged</topic><topic>Analysis</topic><topic>Asset income</topic><topic>Beneficiaries</topic><topic>Demography</topic><topic>Disabled Persons</topic><topic>Drugs</topic><topic>Eligibility</topic><topic>Eligibility Determination - 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Academic</collection><jtitle>Inquiry (Chicago)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Zuckerman, Stephen</au><au>Shang, Baoping</au><au>Waidmann, Timothy</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Medicare Savings Programs: Analyzing Options for Expanding Eligibility</atitle><jtitle>Inquiry (Chicago)</jtitle><addtitle>Inquiry</addtitle><date>2009</date><risdate>2009</risdate><volume>46</volume><issue>4</issue><spage>391</spage><epage>404</epage><pages>391-404</pages><issn>0046-9580</issn><eissn>1945-7243</eissn><coden>INQYAR</coden><abstract>The Medicare Savings Programs (MSPs) are designed to provide financial assistance to Medicare beneficiaries who do not qualify for full Medicaid coverage. This paper considers changes in eligibility that would better align MSP program rules with those related to receiving low-income subsidies for the Medicare Part D drug benefit. These changes would make more people eligible for the MSPs and could encourage greater participation; similar changes were incorporated in recently passed legislation. Our analysis, based on 2006 data from the Health and Retirement Study, shows there is a trade-off between making larger numbers of beneficiaries eligible by eliminating resource requirements and better targeting of individuals with greater health care needs by expanding income standards.</abstract><cop>United States</cop><pub>Excellus Health Plan, Inc</pub><pmid>20184166</pmid><doi>10.5034/inquiryjrnl_46.4.391</doi><tpages>14</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Aged Analysis Asset income Beneficiaries Demography Disabled Persons Drugs Eligibility Eligibility Determination - methods Entitlement programs Female Health care industry Health policy Health Status Humans Income Insurance coverage Insurance premiums Laws, regulations and rules Legislation Low income groups Male Medicaid Medical Assistance - economics Medical service Medicare Medicare - economics Medicare - organization & administration Medicare Part D - economics Modeling Older adults Pension eligibility Public Policy Saving Studies Subsidies United States |
title | Medicare Savings Programs: Analyzing Options for Expanding Eligibility |
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