Commonwealth Fund October 16, 2025
Gretchen Jacobson, Kristen Kolb, Caitlin M. Burbank, Faith Leonard, David C. Radley

How Medicare Is Working for Its Beneficiaries

Introduction

Why a State Medicare Scorecard?

Medicare, established 60 years ago, provides health care coverage for more than 68 million Americans, including nearly all adults age 65 and older as well as 7 million younger people with disabilities.1 Over the decades, the federally administered program has been a pioneer of change in U.S. health care, often serving as a testing ground for reforms in how health care is delivered and paid for. Advocates for national health insurance, meanwhile, often point to Medicare as a potential model.

The importance of Medicare to the nation’s health and health care system is why it’s critical that we understand how well the program is serving the people...

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