ASPE ISSUE BRIEF Medicare Beneficiary Savings and the Affordable Care Act February 2012
1 “Health disparities: A case for closing the gap.” Office of Health Reform, Department of Health and Human Services, 2009. (Accessed at http://www.healthreform.gov/reports/healthdisparities/ ).
Today, most nonelderly women are covered by health insurance offered by employers. However, women are more likely than men to be covered as family members through their spouse’s employer. 14 That means that women’s coverage is often dependent on their spouse’s circumstances. Depending on their coverage, women can lose their health ins
Today, many insurance companies in the individual market charge women higher premiums than men. A 25-year-old woman enrolled in a health plan — one that does not cover maternity care — may pay as much as 81 percent more than a 25-year-old man enrolled in the same plan. 13 Similarly, a 40-year-old non-smoking woman pays up to 57 percent
Women represent 56.9 percent of Americans aged 65 years and over, almost all of whom participate in Medicare. 8 The 24.7 million women who have coverage through Medicare can now receive additional preventive services without cost-sharing, including an annual wellness visit, a personalized prevention plan, mammograms, and bone mass measurement f
The Affordable Care Act helps to make prevention affordable by requiring most private health insurance plans to cover recommended prevention and wellness benefits without cost-sharing. 3 Insurers must now cover mammograms, screenings for cervical cancer, prenatal care, flu and pneumonia shots, and regular well-baby and well-child visits with no
Starting in 2014, 8.7 million more women who currently buy coverage in the individual market will gain maternity coverage, as part of the Affordable Care Act’s requirement for plans to cover essential health benefits. 2 Currently, 62 percent of individual market enrollees do not have maternity coverage.
Compared with other Americans, Latinos are less likely to receive preventive care and more likely to have chronic diseases such as diabetes, cancer, and HIV/AIDS. 12,13 The Affordable Care Act helps to make prevention affordable and accessible by requiring most health insurance plans to cover prevention and wellness benefits with no cost-sharin
Estimates from the RAND COMPARE microsimulation model suggest that 5.4 million Latinos who would otherwise be uninsured will gain coverage by 2016 under the Affordable Care Act. 6 The Affordable Care Act expands Medicaid coverage to include Americans with family incomes at or below 133 percent of federal poverty guidelines (currently $30,657 fo
The Affordable Care Act helps to address health disparities by making prevention more affordable and accessible, requiring many health insurance plans to cover recommended prevention and wellness benefits with no cost-sharing (such as a co-payment or deductible). 16 The services that many insurers are now required to cover with no cost-sharing in
Under the Affordable Care Act, young adults ages 19-25 can be covered under their parent’s employer-sponsored or individually purchased health insurance. 10 In the first nine months after this provision took effect (October 2010 to June 2011), the number of young adults in this age group with health insurance increased by 8.3 percent. 11 T
Compared with other Americans, African Americans are less likely to receive preventive care and more likely to have chronic diseases such as diabetes and certain cancers. 12,13 Heart disease and stroke account for the largest proportion of disparities in life expectancy between African Americans and non-Latino Whites, despite the existence of p
Under the Affordable Care Act, young adults ages 19-25 can be covered under their parent’s employer-sponsored or individually purchased health insurance. 6 In the first nine months after this provision took effect (October 2010 to June 2011), the number of young adults in this age group with health insurance increased by 8.3 percent. 7 An
Estimated Savings of $5,000 to Each Medicare Beneficiary from Enactment Through 2022 Under the Affordable Care Act. Methods
This memo was prepared by analysts in the Office of the Assistant Secretary for Planning and Evaluation (ASPE) in consultation with the Office of the Actuary (OACT) of the Centers for Medicare & Medicaid Services (CMS).
Estimated Savings of $5,000 to Each Medicare Beneficiary from Enactment Through 2022 Under the Affordable Care Act. Summary
The Affordable Care Act, enacted in 2010, makes many changes to strengthen Medicare and provide better benefits to seniors, while slowing cost growth. As a result, average Medicare beneficiary savings in traditional Medicare will be approximately $5,000 over the 2010 to 2022 period (see Table 1). Beneficiaries who have high prescription drug spend
Estimated Savings of $5,000 to Each Medicare Beneficiary from Enactment Through 2022 Under the Affordable Care Act
This report provides estimates of Medicare Parts A, B, and D savings from the Affordable Care Act to seniors and people living with disabilities enrolled in traditional Medicare. The Affordable Care Act will favorably affect beneficiary expenditures in four ways: lowering part B premiums growth, lowering beneficiary copayments and coinsurance grow