Medicare (Hospital Insurance, Part A)

Using Matched Survey and Administrative Data to Estimate Eligibility for the Medicare Part D Low-Income Subsidy Program

This article uses matched survey and administrative data to estimate, as of 2006, the size of the population eligible for the Low-Income Subsidy (LIS), which was designed to provide "extra help" with premiums, deductibles, and copayments for Medicare Part D beneficiaries with low income and limited assets. The authors employ individual-level data from the Survey of Income and Program Participation and the Health and Retirement Study to cover the potentially LIS-eligible noninstitutionalized and institutionalized populations of all ages. The survey data are matched to Social Security administrative data to improve on potentially error-ridden survey measures of income components and program participation.

Disability Benefit Coverage and Program Interactions in the Working-Age Population

It is widely known that about three-fourths of the working-age population is insured for Disability Insurance (DI), but the substantial role played by the Supplemental Security Income (SSI) program in providing disability benefit coverage is not well understood. Using data from the 1996 panel of the Survey of Income and Program Participation (SIPP) we find that over one-third (36 percent) of the working-age population is covered by SSI in the event of a severe disability. Three important implications follow: (1) SSI increases the overall coverage of the working-age population; (2) SSI enhances the bundle of cash benefits available to disabled individuals; and (3) interactions with other public programs—most notably the SSI path to Medicaid coverage—also enhance the safety net. Ignoring these implications could lead to inaccurate inferences in analytic studies.

Characteristics of Noninstitutionalized DI and SSI Program Participants

Medicare Premium Buy-in Programs: Results of SSA Demonstration Projects

In response to a Congressional mandate, SSA tested six different techniques to increase enrollment in programs that pay some Medicare expenses, such as premiums, for low-income individuals. This article describes these outreach projects, provides estimates of the eligible population, and discusses what could be expected for future efforts based on the results of the project.

Eligibility for the Medicare Buy-in Programs, Based on a Survey of Income and Program Participation Simulation

Fewer people appear eligible for Medicare buy-in programs than most earlier research indicated, implying that participation rates may be higher than previously believed. The authors estimate a 63 percent rate of participation among those eligible for the combined Qualified Medicare Beneficiary and Specified Low-Income Medicare Beneficiary programs in 1999. The estimates are based on Survey of Income and Program Participation data matched to the Social Security Administration's administrative records. The matched data provide information of better quality than the data used in previous studies.

Summary of Legislation of Interest to SSA Enacted During the 103rd Congress

During the 103rd Congress, some 400 bills of interest to SSA were introduced. Of these, nine that affect SSA programs were enacted. This note covers these enactments.

Social Welfare Legislation, 1993

Income, Assets, and Health Insurance: Economic Resources for Meeting Acute Health Care Needs of the Aged

Medicare Costs Prior to Retirement for Disabled-Worker Beneficiaries

Social Security Related Legislation in 1989

Eliminating the Medicare Waiting Period for Social Security Disabled-Worker Beneficiaries

Statistical Methods for the Estimation of Costs in the Medicare Waiting Period for Social Security Disabled Worker Beneficiaries

This paper presents the statistical methods used to estimate Medicare costs in the waiting period that were presented in text tables 2–3 of Bye and Riley (1989). The first part describes the development of Medicare utilization equations for each Social Security Disability Insurance (DI) program status group. The second part describes how these equations were used to predict expected costs per month and how the monthly estimates were aggregated to yield estimates of costs in the full 2-year waiting period and in the second year only. Finally, there is a brief discussion of the accuracy of the predictions.

Medicare Utilization by Disabled-Worker Beneficiaries: A Longitudinal Analysis

Consolidated Omnibus Budget Reconciliation Act of 1985

Deficit Reduction Act of 1984: Provisions Related to Medicare and Medicaid Programs

Utilization of Medicaid Services by AFDC Recipients

Medicare Patients: Geographic Differences in Hospital Discharge Rates and Multiple Stays

Ten Years of Medicare: Impact on the Covered Population

Medicare Patients: Regional Differences in Length of Hospital Stays, 1969–71

Medicare, Number of Persons Insured, July 1,1973

Some Aspects of Medicare Experience With Group-Practice Prepayment Plans

HIP Incentive Reimbursement Experiment: Utilization and Costs of Medical Care, 1969 and 1970

An Analysis of Medicare Administrative Costs

Disability Beneficiaries Eligible for Medicare

The Financial Position of Private Community Hospitals, 1961–71

Impact of Cost-Sharing on Use of Ambulatory Services Under Medicare, 1969

Meeting the SMI Deductible Under Medicare, 1966–70

Hospital Costs and the Medicare Program

Medical Care Price Changes Under The Economic Stabilization Program

Age Differences in Medical Care Spending, Fiscal Year 1972

Utilization and Reimbursements Under Medicare for 1967 and 1968 Decedents

Community Hospital Expenses and Revenues: Pre-Medicare Inflation

Trends in Hospital Use by the Aged

Effect of Changing Technology on Hospital Costs

Medical Care Price Changes in Medicare's First Five Years

Five Years of Medicare—A Statistical Review

Medicare Reimbursement for Services in 1967

Early Effects of Medicare on the Health Care of the Aged

Use of Medical Services Under Medicare

Medical Care Outlays for Aged and Nonaged Persons, 1966–69

Medical Care Costs of the Disabled

Current Medicare Survey: Hospital Insurance Sample

Medical Care Outlays for Aged and Nonaged Persons, 1966–68

Medical Care and Health Insurance Coverage: Their Use by Disabled Adults

Medicare Discharged Patients, July 1–December 31, 1966

Medical Prices and Their Control

Persons Insured Under Medicare, July 1, 1967

Medical Care Price Changes in Medicare's First Two Years

Utilization and Cost of General Hospital Care: Canada and the United States, 1948–66

Financial Position of Hospitals in the Early Medicare Period

Medicare and Federal Employees Health Benefits Programs: Their Coordination

Medical Care Price Changes in Medicare's First Year

Health Insurance for the Aged: Participating Home Health Agencies

Health Insurance Coverage Complementary to Medicare

Trends in Medical Care Prices

Medicare's First Year

Medicare's Early Months: A Program Round-Up

The Positive Impact of Medicare on the Nation's Health Care Systems

Health Insurance for the Aged: Participating Extended-Care Facilities

Health Insurance for the Aged: Claims Reimbursed for Hospital and Medical Services

Current Medicare Survey: The Medical Insurance Sample

Enrollment in the Health Insurance Program for the Aged

Health Insurance for the Aged: The Statistical Program

Employee-Benefit Plan Adjustments to Health Insurance for the Aged

Health Insurance for People Aged 65 and Over: First Steps in Administration

Hospital Insurance, Supplementary Medical Insurance, and Old-Age, Survivors, and Disability Insurance: Financing Basis Under the 1965 Amendments

Private Consumer Expenditures for Medical Care and Voluntary Health Insurance, 1948–63

Private Consumer Expenditures for Medical Care and Voluntary Health Insurance, 1948–62

Medical Care Costs of Aged OASI Beneficiaries: Highlights from Preliminary Data, 1957 Survey

Medicare: Uniformed Services Program for Dependents