The debate in Washington over how to find savings in the mammoth Medicare program has been going on for years. In its latest incarnation, the agency that assists Medicare in making policy recommendations – the Medicare Payment Advisory Commission or MedPAC – is focusing on out-of-pocket expenses.
MedPAC commissioners have universally approved a plan for Congress now to consider:
--A limit on out-of-pocket costs.
--Combining deductibles for in-patient and outpatient services.
--Creating flat rate “copayments” for certain services, instead of a percentage of the cost of care called “coinsurance.”
--Charging supplemental insurance plans.