Summary of Cost And Savings Estimates

Percent
Change
(%)

Restructure Benefits
    Combined A/B deductible of $500
    Prescription drug, separate $250 deductible/20 percent co-payment
    "stop-loss" provision of $3,000
    Eliminate Medigap
7.7

Enhanced Preventive Care

    Free preventive dental care
3.4
    Free annual comprehensive physical
1.0
    Telenurse program
0.1
    Smoking, obesity, exercise, nutrition counseling
0.3
    Additional screening tests
0.1


Outpatient mental health parity


0.3
Allow individuals to buy into Medicare age 62/55
0
Reduce taxpayer subsidy for those able to pay more
-1.7
Integrate hospital and physician inpatient payment
-1
Reallocate hospital payments for postacute shift
-1
Competitive bidding for supplies, and for Medicare+Choice
-0.4
Roll back Balanced Budget Act of 1997 home health provisions
1.3
Extend Balanced Budget Act of 1997 cost-saving provisions one decade
-2.6


TOTAL (Percent of Medicare program outlays)

7.5


Memo: Total in 1997 Program Dollars ($billions)


$15.5