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ah. my bad - I assumed you were capable of making the leap.
Earl's benefits are cut because his access is cut. In two ways: 1. the number of available providers will shrink dramatically and 2. the range of services that remaining providers will be able to afford to provide him with at Medicare reimbursement rates will sink. Earl is going to have to look harder and go to more effort and personal expense in order to get less healthcare. That's why it's a "cut".
Strictly unproven speculation on your part.
"Medicare reforms do not reduce Medicare’s guaranteed benefits.
The Affordable Care Act achieves savings in the Medicare program through a series of payment reforms, service delivery innovations, and increased efforts to reduce fraud, waste, and abuse. The actual projected reduction in Medicare spending is $428 billion over 10 years, after $105 billion in new Medicare spending is taken into consideration.[ii] These projections actually extend the life of the Medicare trust fund by about a decade. It is important to stress that none of the payment reforms affect Medicare's guaranteed benefit packages. The law specifically states that the guaranteed benefits in Medicare Part A and Part B will not be reduced or eliminated as a result of changes to the Medicare program.
Health Care Reform Does Not Cut Medicare Benefits || CMA