The Medicare proposals in House Budget Committee Chairman Paul Ryan’s new budget are essentially the same as those in last year’s Ryan budget, our new paper explains. Three particularly important provisions are:
This would shift substantial costs to Medicare beneficiaries — especially for low-income beneficiaries also eligible for Medicaid. The Ryan plan would eliminate the supplemental benefits and help with premium and cost-sharing they now get through Medicaid without providing an adequate replacement.
Adopting premium support would also likely lead to the demise of traditional Medicare by making its pool of beneficiaries smaller, older, and sicker — and increasingly costly to cover.