Experts tell lawmakers: Obama Medicare proposals would hurt long-term care — or maybe not
Experts disagreed on how proposed Medicare cost-sharing increases would affect seniors.
Increasing Part B deductibles could make necessary care, including rehabilitation, unaffordable for low-income seniors, Baker said. He also blasted the increased home health copayment, saying it could lead to unnecessary nursing home admissions.
The subcommittee got a different take from Alice M. Rivlin, Ph.D., a senior fellow in economic studies at The Brookings Institution. While she advocated for a broad restructuring of Medicare as laid out in a report she co-authored, she suggested that cost-sharing for skilled nursing and home care should be on the table.
“Some Medicare-covered services, such as home health, laboratory services, and the first 20 days of a skilled nursing facility stay, have no cost-sharing at all,” she stated in her written testimony. “Private health insurance usually includes some kind of cost-sharing for these services. Just as unrealistically high cost-sharing is counterproductive, the total absence of cost-sharing for some services encourages inappropriate utilization and can help fraud remain undetected.”
The other witness to speak was Joseph Antos, the Wilson H. Taylor Scholar in Health Care and Retirement Policy at the American Enterprise Institute. He came out in support of the White House cost-sharing proposals, saying they are a good starting point to develop bipartisan legislation to slow Medicare spending.