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1.59 MB
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Presentation slidedeck / report page
File Size:
1.59 MB
Summary
This document contains pages 323 and 324 from the 'USA Inc.' report produced by Kleiner Perkins (KP CB). The slides discuss 'Policy Option #5' regarding the restructuring of Medicare and Medicaid. It lists specific policy options proposed by the CBO (Congressional Budget Office) to reduce the federal budget deficit, including raising the Medicare eligibility age and modifying tax codes related to health insurance. The document bears a 'HOUSE_OVERSIGHT' Bates stamp, indicating its inclusion in a congressional investigation.
Organizations (6)
Key Quotes (3)
"Consider / Implement CBO’s 26 policy options that could reduce annual budget deficit by up to 38% over the next 10 years"Source
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Quote #1
"Raise the age of eligibility for Medicare to 67"Source
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Quote #2
"Replace the income tax and payroll tax exclusion with a refundable credit"Source
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Quote #3
Full Extracted Text
Complete text extracted from the document (1,751 characters)
Restructure Medicare & Medicaid: Policy Option #5
Consider / Implement CBO’s 26 policy options that could reduce annual budget deficit by up to 38% over the next 10 years
KP CB www.kpcb.com USA Inc. | What Might a Turnaround Expert Consider? 323
Restructure Medicare & Medicaid: CBO Policy Options—
Regulate Private Health Insurance Market; Modify Tax Code;
Modify Insurance Eligibility; Improve Efficiency
Regulate Private Health Insurance Market; Modify Tax Code;
Modify Insurance Eligibility; Improve Efficiency
Policy Options
Gov. Future Deficit Reduction (%)¹
Gov. Future Deficit Reduction (%)¹
Require large employers to either pay government for providing insurance or offer employees basic insurance coverage
0.7%
0.7%
Replace the income tax and payroll tax exclusion with a refundable credit
8.8%
8.8%
Replace the income tax exclusion for employment-based health insurance with a deduction
8.0%
8.0%
Reduce the tax exclusion for employment-based health insurance and the health insurance deduction for self-employed individuals
6.6%
6.6%
Raise the age of eligibility for Medicare to 67
1.2%
1.2%
Convert Medicare and Medicaid “Disproportionate Share Hospital Payments” into a block grant
1.2%
1.2%
Consolidate Medicare and Federal Medicaid payments for graduate medical education costs at teaching hospitals; set consolidated payment equal to:
• Adjusted IME³ payments using a 2.2% adjustment factor + DGME⁴ and Medicaid GME² funding inflated by the CPI-U⁵ minus 1 percentage point
0.8%
0.8%
• 90% total mandatory GME² funding inflated by the CPI-U minus 1 percentage point
0.4%
0.4%
Note: 1) As % of Cumulative Total Government Deficit from 2010 to 2019 2) Graduate Medical Education 3) Indirect Medical Education 4) Direct Graduate Medical Education 5) Consumer price index for all urban consumers Source: CBO
KP CB www.kpcb.com USA Inc. | What Might a Turnaround Expert Consider? 324
HOUSE_OVERSIGHT_021003
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