And that’s without reducing fraud and without any fundamental reform. They almost make it sound easy. All numbers refer to the next 10 years:
- Gradually raising the premiums that beneficiaries pay for physician and other outpatient services to cover 35 percent of the programs’ costs [instead of 25%], while imposing no additional burden on the poorest 18 percent of seniors: $241.2 billion.
- Establishing uniform cost-sharing and restricting Medigap plans [from offering first-dollar coverage]: $92.5 billion.
- Reducing reimbursements to providers for their patients’ unpaid deductibles and co-payments and reducing the overcompensation of teaching hospitals for treating Medicare patients: $46 billion.
- Imposing a 10 percent co-pay — about $600 on average — for each 60-day episode [of home care]: $40 billion.
- Replacing administered prices for such items as durable medical equipment and orthotics with competitive bidding: $38 billion.