Expanding Medicare and Employer Plans to Achieve Universal Health Insurance

Research output: Contribution to journalArticle

Abstract

This article presents a proposal for expanding Medicare and employer-based health insurance plans to achieve universal health insurance. Under this proposed health care financing system, employers would provide basic health insurance coverage to workers and dependents, or pay a payroll tax contribution toward the cost of their coverage under Medicare. States would have the option of buying all Medicaid beneficiaries and other poor individuals into Medicare by paying the Medicare premiums and cost sharing. Other uninsured individuals would be automatically covered by Medicare. Employer plans would incorporate Medicare’s provider payment methods. This proposal would result in incremental federal governmental outlays on the order of $25 billion annually. These new federal budgetary costs would be met through a combination of premiums, employer payroll tax, income tax, and general tax revenues. The principal advantage of this plan is that it draws on the strengths of the current system while simplifying the benefit and provider payment structure and instituting innovations to promote efficiency.

Original languageEnglish (US)
Pages (from-to)2525-2528
Number of pages4
JournalJournal of the American Medical Association
Volume265
Issue number19
DOIs
StatePublished - May 15 1991

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Health Insurance
Medicare
Income Tax
Cost Sharing
Healthcare Financing
Costs and Cost Analysis
Insurance Coverage
Taxes
Medicaid
Delivery of Health Care

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Expanding Medicare and Employer Plans to Achieve Universal Health Insurance. / Davis, Karen.

In: Journal of the American Medical Association, Vol. 265, No. 19, 15.05.1991, p. 2525-2528.

Research output: Contribution to journalArticle

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