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CBO: Preliminary Analysis of the Rivlin-Ryan Health Care Proposal

A Long-Term Plan for Medicare and Medicaid, Alice Rivlin and Paul Ryan, November 17, 2010

  • Preliminary Analysis of the Rivlin-Ryan Health Care Proposal, November 17, 2010: “Congressman Ryan and his staff recently provided specifications for a proposal that would substantially change federal payments under the Medicare and Medicaid programs. Although an extensive analysis of that proposal is not feasible in the time available, CBO has conducted a preliminary analysis of its major provisions — the results of which are summarized here.
    • Key Feature of the Proposal: MEDICARE – People who turn 65 in 2021 or later years would not enroll in the current Medicare program but instead would receive a voucher with which to purchase private health insurance. Although the voucher system would not be implemented until 2021, the amount of the voucher would be calculated by taking the average federal cost per Medicare enrollee in 2012 (net of enrollee premiums) and growing that amount at the annual rate of growth in GDP per capita plus one percentage point.”
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