Keckley Report June 22, 2020
In a letter to Vice President Pence and House Speaker Pelosi last week, the Medicare Payment Advisory Commission conveyed its annual report to Congress: “Medicare and the Health Care Delivery System.”
In the 227-page report, the commissioners warned that “unless substantial changes are made to the way Medicare pays for services and to how beneficiary care is organized and delivered, the cost of the Medicare program will remain on an unsustainable trajectory.”
Their concern is well-founded. From its founding as part of President’s Johnson’s Great Society program in 1965, Medicare has evolved slowly and expanded predictably. Initially, it covered 19 million seniors and low-income children under 6 for hospital care. Today, its covers 63 million including the disabled, individuals with...
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