Author Affiliations: Center for Health Services Research and Policy, School of Public Health and Health Services, George Washington University Medical Center, Washington, DC.
Adjournment of the Bipartisan Commission on the Future of Medicare without
a proposed solution to Medicare's long-term solvency problems created a small
tempest in Washington. The eye of the hurricane was a proposal to introduce
more market competition into Medicare by converting it into a premium-based
insurance plan. Under the proposal, the federal government would pay a defined
portion of the premium for a standard benefit package, and the beneficiary
would pay the rest.
Smith BM, Rosenbaum S. Potential Effects of the "Premium-Support" Proposal on the Security of Medicare. JAMA. 1999;282(18):1760-1763. doi:10.1001/jama.282.18.1760