To see exhibit per beneficiary see link:
When the ACA passed, it looked like IPAB would have plenty to do. Medicare costs had exceeded IPAB’s spending thresholds in 21 of the previous 25 years. The Congressional Budget Office projected that the panel would save $15.5 billion over 10 years.
Then three things happened.
First, Senate Republicans made it clear they would filibuster any IPAB appointees, who need Senate confirmation.
Second, even after the Senate changed its rules to require only 51 votes to confirm presidential appointees, the President never nominated any IPAB members.
Third, it turned out IPAB wasn’t needed, which is likely why the President decided not to expend any political capital trying to create it.
Medicare spending growth has, quite unexpectedly, slowed dramatically over the past several years, staying under IPAB’s thresholds. As the exhibit below shows, per-beneficiary Medicare spending is not currently projected to exceed the IPAB thresholds until 2022.