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Thoughts on the Medicare Buy-In

Lots of discussion surrounding the Medicare buy-in proposal, and there is a general consensus that the provision must include subsidies or some type of risk adjustment in the Exchange in order to keep the program from becoming a bad-risk pool. Some conservative Democrats are expressing reservations about the idea, though no concrete decisions will be made until the CBO score is released. Read ITUP’s thoughts on the Medicare Buy-In for California, as well as Jonathan Cohn’s Ten Question About the Public Option Compromise. The Office of the Actuary for Medicare has also released its cost estimate of the Senate bill, showing a short-term increase in health spending (due to the newly insured getting the care they actually need) and a long-term reduction in cost growth.

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