This Article Reprint (PDF) Submit a response to this article Alert me when this article is cited Alert me when eLetters are posted Alert me if a correction is posted Services E-mail this article to a friend Similar articles in this journal Similar articles in ISI Web of Science Similar articles in PubMed Alert me to new issues of the journal Add to My Personal Archive Download to Citation Manager Reprints & Permissions Citing Articles Citing Articles via HighWire Citing Articles via ISI Web of Science (6) Citing Articles via Google Scholar Google Scholar Articles by McClellan, M. Articles by Skinner, J. Search for Related Content PubMed PubMed Citation Articles by McClellan, M. Articles by Skinner, J. Related Collections Managed Care - Medicare Medicare

Health Affairs, Vol 18, Issue 1, 48-62
Copyright © 1999 by Project HOPE

Journal Article

Medicare reform: who pays and who benefits?

As Medicare's share of federal spending and gross domestic product (GDP) rises, the program may have increasingly important consequences not only for the health of Americans but also for their net income and financial well-being. We use incidence analysis to study payments and benefits in Medicare to various generations and income groups. We find that Medicare actually provides larger net dollar transfers to wealthier beneficiaries, although the "insurance value" of these dollars is greater for low-income households. We then evaluate a range of proposed Medicare reforms with regard to their impact on the distribution of both health care and disposable income.

                      What's this?

This article has been cited by other articles:

				J. B. Baker, A. W. Bazemore, and C. J. Jacobson Jr. Rapid Assessment of Access to Primary Care in Remote Parts of the Developing World Field Methods, August 1, 2008; 20(3): 296 - 309. [Abstract] [PDF]

				R. H. Jerry II Life, Health, and Disability Insurance: Understanding the Relationships J. Law Med. Ethics, June 1, 2007; 35(2_Suppl): 80 - 89. [PDF]

				C. T. Mowbray, K. L. Grazier, and M. Holter Managed Behavioral Health Care in the Public Sector: Will It Become the Third Shame of the States? Psychiatr Serv, February 1, 2002; 53(2): 157 - 170. [Abstract] [Full Text] [PDF]

				B. J. Cuffel and L. McCarter Managed Care: Toward Open-Source Practices in Managed Behavioral Health Psychiatr Serv, July 1, 2001; 52(7): 897 - 899. [Full Text] [PDF]

				R. L. Phillips Jr, E. L. Kinman, P. G. Schnitzer, E. J. Lindbloom, and B. Ewigman Using Geographic Information Systems to Understand Health Care Access Arch Fam Med, November 1, 2000; 9(10): 971 - 978. [Abstract] [Full Text] [PDF]

				K. L. Grazier and H. Pollack Translating Behavioral Health Services Research into Benefits Policy Med Care Res Rev, November 1, 2000; 57(3_suppl): 53 - 71. [Abstract] [PDF]

				M. Genel Advocacy, Politics, and the Betterment of Public Health: 1999 Abraham Jacobi Address Pediatrics, May 1, 2000; 105(5): 1131 - 1136. [Full Text]

				P. W. Newacheck, N. Halfon, and M. Inkelas Commentary: Monitoring Expanded Health Insurance for Children: Challenges and Opportunities Pediatrics, April 1, 2000; 105(4): 1004 - 1007. [Full Text]