For decades, runaway Medicare spending was the story of the federal budget.

Now, flat Medicare spending might be a bigger one.

Something strange has been happening in this giant federal program. Instead of growing and growing, as it always had before, spending per Medicare beneficiary has nearly leveled off over more than a decade.

The trend can be a little hard to see because, as baby boomers have aged, the number of people using Medicare has grown. But it has had enormous consequences for federal spending. Budget news often sounds apocalyptic, but the Medicare trend has been unexpectedly good for federal spending, saving taxpayers a huge amount relative to projections.

The reason for the per-person slowdown is a bit of a mystery. Scholars have been arguing about it for years, but no one seems sure enough to confidently predict whether it is likely to stick around for much longer.

  • @Wogi
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    899 months ago

    Could it have something to do with hundreds of thousands of the sickest boomers dying suddenly a few years ago?

    • @MicroWaveOP
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      9 months ago

      No, this trend started over a decade ago. Here are some possible explanations from the article:

      Some of the reductions are easy to explain. Congress changed Medicare policy. The biggest such shift came with the Affordable Care Act in 2010, which reduced Medicare’s payments to hospitals and to health insurers that offered private Medicare Advantage plans. Congress also cut Medicare payments as part of a budget deal in 2011.

      Older Americans appear to be having fewer heart attacks and strokes, the likely result of effective cholesterol and blood pressure medicines that became cheap and widely used in recent years, according to research from Professor Cutler and colleagues. And drug makers and surgeons haven’t developed as many new blockbuster treatments recently — there has been no new Prozac or angioplasty to drive up spending. (Medicare is currently barred by statute from covering the new class of expensive anti-obesity drugs.)

      Parts of the health system appear to have become more efficient, as medical providers have been more cautious about adopting new therapies without much evidence, and more care has shifted outside hospitals into cheaper settings.

      • @[email protected]
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        19 months ago

        Most (all?) insurance plans that charge copays for medications will give heart-related medications for free because of the cost when things like high-blood pressure our not treated.

        This is both great and sad news if true. Great that it’s made a big difference in the quality of later life and sad that it’s largely preventable and yet nothing was done, and that there is still so much to improve with our health care system.

    • SaltySalamander
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      199 months ago

      Considering that this is a trend that started a decade ago, probably not nearly as much as you seem to think.

    • hypelightfly
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      109 months ago

      Looking at the graph, no.

      The change appears to start roughly in 2010. It could possibly be ACA related. During the many attempts to repeat it the CBO estimated doing so would drastically increase medicare spending.

    • Alto
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      69 months ago

      Considering the change in trend started a decade before that

        • @Wogi
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          79 months ago

          I am not able to read the article.

        • eric
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          49 months ago

          Not to mention even bother to read the article’s summary that’s available right here in the comments SMDH

    • partial_accumen
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      59 months ago

      Future right-wing headline: “COVID vaccinated retirees cost Medicare more money”

  • @clearedtoland
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    299 months ago

    Oh no!!! What entitlement spending scapegoat will the GOP turn to now?

      • be_excellent_to_each_other
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        29 months ago

        I bet it involves drag queens spending welfare on wigs or something.

        I bet you are more right than you know. They’ve had the term “welfare queen” circulating for years now; they just need to repurpose and modernize it.

        • @clearedtoland
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          29 months ago

          Are those the one turning the frogs gay…?

    • @[email protected]
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      49 months ago

      I removed the comment and everything broke

      //For some reason removing this comment breaks everything

  • @[email protected]
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    79 months ago

    The given explanation seems to be that existing methods and medications got cheaper but…wouldn’t that mean all medical insurance would get cheaper?

    • EnglishMobster
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      9 months ago

      Hahahahahahahahaha

      Prices don’t go down for anything that people need to live. Not unless the government makes them do so.