This Article Figures Only Full Text (HTML) 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 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 (7) Citing Articles via Google Scholar Google Scholar Articles by Shea, D. G. Articles by Powell, M. P. Search for Related Content PubMed PubMed Citation Articles by Shea, D. G. Articles by Powell, M. P. Related Collections Health Reform Medicare

DataWatch

Betwixt And Between: Targeting Coverage Reforms To Those Approaching Medicare

Recent Medicare buy-in proposals agree on setting eligibility at age sixty-two but disagree on linking eligibility to loss of employer insurance or ability to pay. We examine arguments for targeting incremental coverage for older Americans in these ways. While access to retiree health insurance is declining, we question whether targeting loss of employer insurance can address many older Americans’ insurance problems. Furthermore, focusing on persons ages sixty-two to sixty-four misses a large group of persons in poor health with limited resources. Efforts to improve coverage for older Americans should consider trade-offs between defining eligibility by age versus ability to pay.

                      What's this?

This article has been cited by other articles:

				J. M. McWilliams, E. Meara, A. M. Zaslavsky, and J. Z. Ayanian Use of Health Services by Previously Uninsured Medicare Beneficiaries N. Engl. J. Med., July 12, 2007; 357(2): 143 - 153. [Abstract] [Full Text] [PDF]

				E. Kelley Health, spending and the effort to improve quality in OECD countries: a review of the data The Journal of the Royal Society for the Promotion of Health, March 1, 2007; 127(2): 64 - 71. [Abstract] [PDF]

				N. O. Buken and E. Buken Emerging Health Sector Problems Affecting Patient Rights in Turkey Nursing Ethics, November 1, 2004; 11(6): 610 - 624. [Abstract] [PDF]

				J. M. McWilliams, A. M. Zaslavsky, E. Meara, and J. Z. Ayanian Health Insurance Coverage And Mortality Among The Near-Elderly Health Aff., July 1, 2004; 23(4): 223 - 233. [Abstract] [Full Text] [PDF]

				J. M. McWilliams, A. M. Zaslavsky, E. Meara, and J. Z. Ayanian Impact of Medicare Coverage on Basic Clinical Services for Previously Uninsured Adults JAMA, August 13, 2003; 290(6): 757 - 764. [Abstract] [Full Text] [PDF]

				V McLoughlin and S Leatherman Quality or financing: what drives design of the health care system? Qual. Saf. Health Care, April 1, 2003; 12(2): 136 - 142. [Abstract] [Full Text] [PDF]

				R. G A Feachem, N. K Sekhri, K. L White, J. Dixon, D. M Berwick, and A. C Enthoven Getting more for their dollar: a comparison of the NHS with California's Kaiser Permanente Commentary: Funding is not the only factor Commentary: Same price, better care Commentary: Competition made them do it BMJ, January 19, 2002; 324(7330): 135 - 143. [Abstract] [Full Text] [PDF]

				J. S. Coyne and P. Hilsenrath The World Health Report 2000: Can Health Care Systems Be Compared Using a Single Measure of Performance? Am J Public Health, January 1, 2002; 92(1): 30 - 33. [Full Text] [PDF]

				D. W. Baker, J. J. Sudano, J. M. Albert, E. A. Borawski, and A. Dor Lack of Health Insurance and Decline in Overall Health in Late Middle Age N. Engl. J. Med., October 11, 2001; 345(15): 1106 - 1112. [Abstract] [Full Text] [PDF]